PSA Template 01

1
insert here
xx/xx/xx to xx/xx/xx
insert here

one-line statement on overall PSA
progress trend since last report
High
Red
Name and one line statement
on indicator progress trend since last report.
Complete a Summary Sheet for every PSA Indicator
but only complete a Current Performance Sheet
when reporting formal PSA Indicator data.
Green
as above
as above
Red
Green
as above
Red
as above
BEFORE THE MEETING Insert as BULLET POINTS the
key issues for consideration and /or decisions
required from the PSA Board (from the Current
Performance Sheets). AFTER THE MEETING Add to
this box a brief record of the decisions taken /
actions agreed.
BEFORE THE MEETING Insert as BULLET POINTS the
key issues for consideration and / or decisions
required from the PSA Board (from the Delivery
Agreement Exception Report Sheet). AFTER THE
MEETING Add to this box a brief record of the
decisions taken / actions agreed.
3. Top 5 Risks and Horizon-scanning BEFORE THE
MEETING Flag as BULLET POINTS any particular
questions or decisions about the significant
risks that you need the Board to take, and any
questions related to the Horizon Scan (from the
Top 5 Risks and Horizon Scanning sheet). AFTER
THE MEETING Add to this box a brief record of
the decisions taken/actions agreed.
4. Issues/Risks to be escalated to the PSA
Officials Group AFTER THE MEETING Add to this
box a brief record of the issues, decisions
and/or risks that need to escalated.
What should successful progress against the
indicators look like at the next reporting date?
What actions need to be prioritised now to
ensure success?
2
insert here
xx/xx/xx to xx/xx/xx
insert here
Red
Where no new evidence is available, mark trend as
Same and state No new evidence.

e.g. brief summary of progress depicted by the
graph, and explanation of under-pinning issues.
Break down the summary to highlight trends, e.g.
gender inequalities, ethnicity, LA performance
Include reference to any Stakeholder Reference
Group feedback, other major sources of evidence,
survey findings, etc.
e.g. include specific delivery issues (LAs, PCTs,
etc.), impacts on other PSAs, long-term impact on
ability to deliver this PSA
3
insert here
xx/xx/xx to xx/xx/xx
insert here
Confirm actions for each identified
activity (e.g. action, name of person
accountable, by xx/xx/xxxx)
e.g. Activity 1 name e.g. Activity 2 name
Respond for each identified activity Include
feedback from the Delivery Chain, Key
Stakeholders, cultural/behavioural impact
e.g. Activity 1 name e.g. Activity 2 name
Indicator name
Red
Indicator name
As above
As above
As above
As above
Red
Indicator name
As above
As above
As above
As above
As above
As above
As above
As above
Indicator name
Indicator name
As above
As above
As above
As above
e.g. Activity 1 name e.g. Activity 2 name
Respond for each identified activity Include
feedback from the Delivery Chain, Key
Stakeholders, cultural/behavioural impact
Confirm actions for each identified activity
(e.g. action, name of person accountable, by
xx/xx/xxxx)
e.g. Activity 1 name e.g. Activity 2 name
4
insert here
xx/xx/xx to xx/xx/xx
insert here
Insert here Insert here Insert here Insert here
Insert here
What we can do now to try to reduce the
likelihood of the risk occurring
Insert here
What we can do now so that if the risk does occur
its impact is minimised
Insert here
Insert here Insert here Insert here Insert here
Insert here
As above
Insert here
As above
Insert here
Insert here Insert here Insert here Insert here
Insert here
As above
Insert here
Insert here
As above
Insert here Insert here Insert here Insert here
Insert here
As above
Insert here
As above
Insert here
Insert here Insert here Insert here Insert here
Insert here
As above
Insert here
Insert here
As above
Insert Horizon Scan here
5
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