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Annual performance ratings have been published for NHS trusts in England since 2001, and the fifth and
final set was published in July 2005.This process of naming and shaming gave each trust a rating from
zero to three stars. Trusts that failed against a small number of key targets were at risk of being zero rated
and their chief executives at risk of losing their job; trusts that performed well achieved three stars and
were eligible for benefits from “earned autonomy.” Although the government has abandoned the star
ratings, targets are likely to remain. We consider reported improvements in performance against key
targets, problems of the system, and what ought to happen in the future. bevan_hood_2006.pdf
final set was published in July 2005.This process of naming and shaming gave each trust a rating from
zero to three stars. Trusts that failed against a small number of key targets were at risk of being zero rated
and their chief executives at risk of losing their job; trusts that performed well achieved three stars and
were eligible for benefits from “earned autonomy.” Although the government has abandoned the star
ratings, targets are likely to remain. We consider reported improvements in performance against key
targets, problems of the system, and what ought to happen in the future. bevan_hood_2006.pdf