The King's Fund -
This report describes how six trusts have been dealing with the productivity challenge. It also suggests ways to prevent the NHS and social care from overspending, decreasing quality of care, or both. It puts forward the idea of running overlapping services – ‘double running’ – until new services and delivery arrangements take root, while acknowledging that payback (in terms of better quality services and improved productivity) may not be realised for some time. Finally, it finds that there needs to be a renewed effort to encourage clinicians to identify and lead change.