‘2023/24 priorities and operational planning’ guidance sets out that all National Health Service integrated care boards and providers will develop robust plans and oversight arrangements to meet the agreed 2.2% efficiency target and improve levels of productivity. Measures to release efficiency savings will include actions to reduce agency spending across the NHS to 3.7% of the total pay bill, reduce corporate running costs, procurement and supply chain costs, improve inventory management, and purchase medicines at the most effective price point