We work together <a href=" http://www.gasworldltd.co.uk/zyprexa-constipation.pdf ">zyprexa constipation</a> "Now, just over halfway through the so-called Nicholson Challenge, it is clear the NHS will struggle to meet its £20bn productivity target, with potentially serious consequences for patient care," said Professor John Appleby, chief economist at the King's Fund health thinktank, which asked 42 NHS finance directors about how the service in England had performed in April, May and June this year.