Published: 10/02/2005, Volume II5, No. 5942 Page 11

Primary care trusts should not expect a route-map to delivering the public health white paper when the delivery framework is published next month.

Tony Elson, Department of Health adviser and now a member of the team writing the framework, told HSJ: 'People are expecting something terribly detailed, but there will be no route-map.' He had earlier hinted what to expect when he addressed a seminar at the King's Fund to launch its new report, Managing for Health.

Local area agreements in which local authorities and PCTs agreed joint targets and action plans will provide a way forward, he said. These locally owned plans contain measures for local performance management.

Mr Elson said: 'The presumption is that the first responsibility lies with the locality and that performance management is the responsibility of the partners. This is a critical shift in thinking.' The Office of the Deputy Prime Minister is keen to replace the multitude of performance management systems in government departments with a single system.

Mr Elson told HSJ: 'A strong element of the delivery framework will look at how local government and health will be brought together.'