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New payment system could mean.

Nurse-led services are in danger of being axed because costs are based on doctors rather than nurses providing the service, the RCN claims. RCN policy adviser Tim Curry explained: 'The essence of the problem is that the tariff relates to different procedures. Nurse-led services might be a great deal cheaper than a doctor-led service, but trusts will not be able to recognise this under PbR.