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| Surgeons could earn pay bonuses | Surgeons could earn pay bonuses |
| (about 7 hours later) | |
| Surgeons could earn bonuses for operations under plans being considered by the UK's largest hospital trust. | Surgeons could earn bonuses for operations under plans being considered by the UK's largest hospital trust. |
| The Imperial College Healthcare Trust in London will launch a pilot programme later in 2008 aimed at "rewarding excellence", a spokesman said. | The Imperial College Healthcare Trust in London will launch a pilot programme later in 2008 aimed at "rewarding excellence", a spokesman said. |
| The Patients Association said the public would be "horrified". | The Patients Association said the public would be "horrified". |
| But Department of Health spokesman said it wanted to strengthen the Clinical Excellence Awards Scheme, which rewards consultants for high performance. | But Department of Health spokesman said it wanted to strengthen the Clinical Excellence Awards Scheme, which rewards consultants for high performance. |
| 'Widespread and robust' | 'Widespread and robust' |
| The trust spokesman said it was looking at awarding bonuses for a specific procedure for which patient outcomes could be clearly measured, with a view to introducing it within a few months. | The trust spokesman said it was looking at awarding bonuses for a specific procedure for which patient outcomes could be clearly measured, with a view to introducing it within a few months. |
| "We are looking at a pilot scheme for a particular operation which will measure the improved functionality of the patient and we are looking at linking certain performance-related bonuses to that," he said. | "We are looking at a pilot scheme for a particular operation which will measure the improved functionality of the patient and we are looking at linking certain performance-related bonuses to that," he said. |
| I think a good doctor would be insulted by the idea that they will only do their best on the operating table if there is extra money in it Katherine MurphyPatients Association | I think a good doctor would be insulted by the idea that they will only do their best on the operating table if there is extra money in it Katherine MurphyPatients Association |
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| "At the moment we are in discussions with the surgical team." | "At the moment we are in discussions with the surgical team." |
| But Katherine Murphy from the Patients Association warned there was a risk that the most complicated cases would be forgotten because they would not guarantee the best outcomes. | But Katherine Murphy from the Patients Association warned there was a risk that the most complicated cases would be forgotten because they would not guarantee the best outcomes. |
| "Doctors already have a duty to provide high-quality care," she said. | "Doctors already have a duty to provide high-quality care," she said. |
| "I think a good doctor would be insulted by the idea that they will only do their best on the operating table if there is extra money in it." | "I think a good doctor would be insulted by the idea that they will only do their best on the operating table if there is extra money in it." |
| A review into the future of the NHS led by health minister Lord Darzi promised a system of care which focused on quality. | A review into the future of the NHS led by health minister Lord Darzi promised a system of care which focused on quality. |
| The Department of Health spokesman said the trust's pilot was not a government scheme, but bonuses could be awarded for procedures such as hip operations, after which patient mobility could be measured. | The Department of Health spokesman said the trust's pilot was not a government scheme, but bonuses could be awarded for procedures such as hip operations, after which patient mobility could be measured. |
| "Quality indicators such as complication rates and patient feedback are already used in specialties where they are available," he added. | "Quality indicators such as complication rates and patient feedback are already used in specialties where they are available," he added. |
| "As such measures become more widespread and robust, they will become increasingly influential in determining who gets awards." | "As such measures become more widespread and robust, they will become increasingly influential in determining who gets awards." |