With the financial year ended, overall performance during 2010-11 is becoming a bit clearer. Both NHS North East and Yorkshire and the Humber appear to have met headline targets, but Yorkshire is showing signs of strain.

Recent strategic health authority documents show the Yorkshire region is expected to have spent £46m less than planned in 2011-12 – although only thanks to the SHA itself undercutting its own budget by £73m. That compares with a £185m regional underspend in 2009-10.

All Yorkshire primary care trusts were likely to break even but several seem likely to fall well short of planned surpluses. NHS North Yorkshire and York was due to have spent £18m more than planned, and NHS Sheffield £4m. On the provider side, Mid Yorkshire Hospitals Trust was expected to spend £3m more.

Figures for accident and emergency waiting times had Yorkshire and the Humber reporting 96.7 per cent waiting under four hours. That is above the government’s 95 per cent bar but short of the previous 98 per cent target, which the region met in 2009-10.

The only trust in Yorkshire, one of 10 nationally, to achieve under 95 per cent in 2010-11 was Mid Yorkshire at 94.9 per cent.

Yorkshire’s performance on elective waits is not yet clear but papers showed signs of slippage compared with last year.

Meanwhile, the North East region looked likely to have spent £72m less than initially planned, just £8m less than last year’s underspend, and performance appears to be less variable in the patch.

No PCTs were heading for obvious overspend and waiting times for elective patients seem to have stayed down. The region was on course to meet the 98 per cent A&E standard.