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medical director Bruce Keogh transaction fees will be withheld if the patient receives the highest level of treatment

Hospitals will face financial penalties if they fail to provide patients with problems such as a stroke or a heart attack the best possible care in the controversial plans outlined by the physician in the top of NHS.

Professor Sir Bruce Keogh

, told the Guardian, said that the new GP-led clinical groups commissioning (GCC), which will take control of 65 billion pounds of spending on health you come back on Monday some of the costs of the hospital for an operation if the patient has not been treated with the highest standards possible. "The idea is that the GCC said:" Let a certain amount of payment from you until you can demonstrate compliance with these standards So it's a bit like the construction industry - . You pay 90% of the [cost] original building, final payments and then comes a little later, when you are sure that everything goes well, "Keogh said in his interview to the new NHS in England begins on April 1 .

differential payments - should - force hospitals to provide high quality care units and forces that do not adopt the latest thinking in their medical specialty to examine what they do. Medical teams that do not implement the latest clinical guidelines - known quality standards - in how to manage those who have a particular condition, lose some, yet to be agreed payment

hospitals should see the new payment system such as carrots rather than sticks, Keogh. "So the idea of ??giving quality and innovation is to keep a little money. 'S not bad, but it is an incentive for people to come to a set of rules."

his stern message to hospitals on the quality of care has been strengthened by the decision Thursday night to stop child heart surgery in Leeds General Infirmary following concerns about the quality of procedures rescues are available and the number of patients who died. A survey of the practice of LGI began.

Monday, the new NHS Commissioning Board takes over from day to day the NHS in England the Department of Health as part of the radical reorganization of coalition service initiated by Andrew Lansley after 2010 elections. His intention is to use so-called Keogh its "financial strength" - budget of ? 95.6bn -. To all hospitals to meet quality standards covering 180 different conditions and procedures

National Health Confederation, which represents hospitals, said he was concerned about the plan. It is much better for small hospitals performance bonus on the full price instead of using sentences against weaker, said Mike Farrar, chief executive and former head of the North West NHS.

"Bruce is right that the Commissioners [GCC] to use levers. But the downside is that if sanctions hospitals fail to set standards, then do not get the rest of the royalty rate and the risk of a downward spiral in which they have the least resources next year to try to meet the standards, "said Farrar.

In the Guardian interview Keogh urged the NHS to help meet the expenditure ceilings by attacking patients receiving unnecessary tests and procedures -. Known as "overtreatment"
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