There were falls across all but one of the confidence indicators

Overall confidence in dampening demand has fallen in both emergency and elective care, according to the latest HSJ Barometer survey of primary care trust chief executives, although responses varied hugely.

For elective activity, although the average fell from 6.1 to 5.45 out of 10, 23 per cent scored at 2 or less while 34 per cent scored at 8 or more.

There were falls across all but one of the confidence indicators, with optimism only in the national IT programme showing a slight rise.

Opposition to the fitness for purpose programme has also hardened with half of respondents giving it a score of 3 out of 10 or less.

The Barometer survey is based on a panel of 90 PCT chief executives and is carried out every two months. The panel gives a score of 1-10 against key indicators. It was set up in association with NHS Networks ( www.networks.nhs.uk)