By Anushka Asthana, Political Correspondent
The NHS is in danger of developing a BBC-style "culture of excessive pay and pay-offs", the Health Secretary has warned.
In a letter to health chiefs, Jeremy Hunt says the time has come for a "collective reality check" on pay.
Public trust will be damaged if NHS bosses see lucrative wage increases while frontline staff face a salary freeze, he warns.
Mr Hunt is planning a cap on the number of managers earning more than £100,000 and stricter redundancy rules.
"It is vital that we stay in tune with the public mood at a time when there is unprecedented pressure on the pay of frontline staff," he writes in the letter, which was sent to the heads of health quangos this weekend.
It follows revelations that 48 senior figures in the NHS organisations earn more than the Prime Minister.
Sir David Nicholson, the chief executive of NHS England who will step down next March, has been criticised over his £211,000 salary.
His successor, Simon Stevens, is taking a lower wage of £189,000 - a decision praised by the Health Secretary.
In the letter, he adds: "I believe that it is time for a collective reality check; we must not develop a culture where very high pay is normalised.
"I do not want the NHS to make the same mistakes as the BBC, where a culture of excessive pay and pay-offs was tolerated for too long and damaged public confidence in one of our great national institutions."
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