The Branch develops and maintains the NSW Health Purchasing Framework, NSW Health Performance Framework, Local Health District Service Agreements and Service Compacts with the Pillars and other health agencies. It supports and monitors the performance of Health Services by working in close partnership with health service executives, senior managers and clinicians as well as other parts of the Ministry and the Pillars.

These Branches maintain effective relationships with a defined group of Local Health Districts, Specialty Health Networks and other health organisations based on a deep shared understanding of all dimensions of performance: quality and safety, service access, financial and population health.