5. 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 services
Groups use a combination of salaries, bonuses
and fee for service to pay physicians
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: [16] 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.