Wasted Universal Coverage?

In the "King's Fund" article, the writer states that the NHS is in major deficit and all the possible current reform ideas will only increase the deficit. Like the US system, the UK must find all possible avenues of wasted or excess money. Since it is the hospitals that are feeling the greatest impact, the hospitals must obviously do a better job with their financial provisions. I'm not too sure what aspects are hindering the NHS system, but i'm guessing that there is money being wasted in hospital protocol and is in need of managerial discretion. I like the idea that the article mentioned about doctors being paid by performance. Good doctors will continue to be paid for providing good service, while the bad doctors will be weeded out. This sort of performance-based pay will motivate doctors to perform at their highest level of service. Although universal coverage would be ideal in the States, we don't need to add more deficit to our abyssmal debt.