Professor Alan Irvine:

One needs to ask locally each organisation what will work best for them to fix their particular problems. To get systemwide solutions, one can look at core matters like IT and health identifiers. These should really be implemented for efficient running across the public system and better identification of patients and their needs.

To get innovative solutions, Ms Susan Clyne already mentioned looking at CityWest. There is much capacity and many spare office buildings around which can be used for low-level outpatients which we really should embrace to expand public capacity and its footprint.