Conflict of interest in relation to patientConflict of interest in relation to role as custodian of public money
Throughout our report, we have made several recommendations that will act as safeguards against conflicts of interest, including requiring commissioning consortia to have governance bodies with independent membership, which meet in public; to consult publicly on their commissioning plans; and to publish details of their contracts. In addition to these safeguards, we recommend that:  Health and wellbeing boards should have a role in identifying any potential or actual conflicts of interest in respect of commissioning consortia decisions. The NHS Commissioning Board should regularly review the safeguards against actual and potential conflicts of interest within the health and wellbeing system, to ensure that it is robust and fit for purpose.
Insurance companies Capitation fee $ $ $ negotiated annually, paid monthly Physician group or IPA Primary Drugs care Specialists Imaging Hospitals Groups take risk for some or all of these servicesGroups use a combination of salaries, bonusesand fee for service to pay physicians