Figures released this week paint a dire picture of the NHS’ finances at trust-level. According toThe Guardian, Barts NHS Trust in London is on course to run up a deficit of £134.9 million this year – the largest of any in the history of the National Health Service. Other trusts in and around the capital are also in serious trouble, with London North West Healthcare and King’s College each expected to be £88.3m and £65m in the red respectively. What is even more concerning is the rate at which these overspends are growing: Barts’ deficit has grown by 69% from its £79.6m overspend in 2014/15. This is unsustainable. The trusts’ combined £1.6bn deficit last year is a serious drain on the public’s finances.