The final report of a three-year scrutiny of regional performance for the North West Regional Review, published by the North West Regional Assembly. The report examines progress in eleven targets – sustainable economic performance, investment, employment, skills, productivity, innovation, enterprise, urban, rural, regeneration and physical development. It examines progress towards social justice in the North West, assesses the impact of external opportunities and challenges to regional performance and recommends a new approach to assessing regional performance.