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Conflicts of interest are bound to increase as GPs co-commission more primary care services, report warns

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4882 (Published 11 September 2015) Cite this as: BMJ 2015;351:h4882
  1. Gareth Iacobucci
  1. 1The BMJ

Controls for managing conflicts of interests in clinical commissioning groups (CCGs) in England are variable in their robustness and will be increasingly tested as groups commission more general practice services, the National Audit Office (NAO) has warned.

A new report produced for the Department of Health, NHS England, and Monitor found that almost all CCGs in England had put in place legislative requirements set out in the Health and Social Care Act 2012 to help them prevent and manage conflicts of interest.1

But, where CCGs reported information about their current processes for managing conflicts, the NAO reported that “the adequacy of those controls had varied.” It added that new arrangements enabling CCGs to co-commission primary care services from GPs “are likely to significantly increase the number and scale of conflicts of interest.”

In an analysis conducted in February 2015 the NAO found that 117 of England’s …

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