Indicators are a fact of life for every NHS local authority, and social care organisation. For the most part, you will have little or no choice over the indicators that are used to measure performance in your organisation. If you don't fully understand the indicators you have to work with; if you think they paint an inaccurate picture of how things really are on the ground; or suspect they are fundamentally flawed in some way – you can find yourself locked into an unhappy relationship with a performance measurement tool that you can neither challenge nor improve.

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