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<p>The Health and Social Care Act 2012 Act transferred responsibility for developing
payment systems for health care services from the Department to NHS England and NHS
Improvement (formerly Monitor). The costs of drugs that are used in the course of
a patient’s stay in hospital are reimbursed via the Healthcare Resource Group tariff
that the provider receives for that spell.</p><p> </p><p>We are advised by NHS England
that they are not aware of issues with the national tariff having an impact on the
choice of antibiotic therapy available in hospitals.</p><p><strong> </strong></p><p>The
decision on whether to prescribe an antibiotic is entirely a matter for the clinician,
based on his or her clinical judgement.</p>
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