Conflicts of Interest

What is a conflict of interest?

A conflict of interest could be defined as any situation in which an individual’s personal interests or responsibilities may, or may appear to, influence their decision-making.

Why is it important to manage conflicts of interest?

NHS Norwich CCG is responsible for commissioning healthcare services to improve the health and wellbeing of people who live here. It decides which services the people of Norwich most need and pays local hospitals and other healthcare providers to provide these services. In addition, it holds the healthcare providers to account to ensure that they provide the services paid for. Therefore, is important to manage conflicts of interest to:

  • Protect the integrity of the CCG’s decision-making processes and decisions
  • Avoid improper influence and prevent fraud
  • Ensure decisions are legal and can be defended in the case of a  challenge
  • Fulfil its duty to look after public money
  • Ensure honesty, fairness, transparency and equality in the way we spend money
  • Ensure our patients receive the best possible care

How does Norwich CCG manage conflicts of interest?

Norwich CCG takes its responsibility to manage conflicts of interest seriously and has a pdf Conflict of Interest Policy (522 KB) . This policy sets out how Norwich CCG Governing Body members, officers, staff, members and clinical leads should behave in their role at Norwich CCG. It also sets out the steps and measures that the CCG takes to manage conflicts of interest. An example of this is that the policy requires those people referred to above to declare any and all interests which may be, or may lead to, a conflict of interest.

The most common types of conflicts of interest include:

  • Direct financial interests
  • Indirect financial interests
  • Non-financial personal interests
  • Conflicts of loyalty

The CCG has appointed a Conflicts of Interest Guardian, the Governing Body Lay Member for Governance & Audit, Paul Fisher. It is the duty of every CCG employee, Governing Body member, Committee or Sub-Committee member and GP practice member to speak up about genuine concerns in relation to the conflicts of interest management, and to report these concerns to the Conflicts of Interest Guardian.

This is the CCG's pdf Register of Interests (186 KB)

The Register of Interetss will also be made available upon application, either by post to NHS Norwich CCG, Room 202, City Hall, St. Peter’s Street, Norwich NR2 1NH or via email to This email address is being protected from spambots. You need JavaScript enabled to view it..

What happens when a conflict of interest is identified?

The CCG publishes any breaches on a live log - pdf Conflicts of Interest Breach Log LIVE (190 KB)

The CCG manages the risk of improper or undue influence carefully in a variety of ways, including excluding that person from any decision-making in relation to their conflict. We publish our procurement decisions in a NHS Norwich CCG Procurement Register LIVE

CCGs also need to ensure that robust processes are in place to ensure that individuals do not accept gifts, hospitality or other benefits, which might reasonably be seen to compromise their professional judgement or integrity.  All CCG employees and Committee Members therefore should make a declaration of interest in accordance with national guidance.  Register of Gifts and Hospitality.