This report extends previous investigations into NHS productivity growth carried out at the University of York. It finds that NHS productivity continued to grow between 2021/22 and 2022/23 (between 0.88% and 1.05% depending on the method used). However, when compared to 2019/20, productivity in 2022/23 remains lower (between -9.65% and -9.07% depending on the method used). Although this is a considerable improvement of between 4.2% to 2.8% percentage points respectively compared to 2021/22, a significant gap still remains between NHS productivity before the pandemic and in 2022/23.