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What's this all about?


Doctors may receive money and benefits from a wide range of sources. They may be paid by the pharmaceutical industry to give lectures to other doctors. They may run companies that sell health services to the NHS. They may receive hospitality, such as food and drink, or accept free travel and hotel accommodation from industry in order to attend conferences. They may accept free training about which treatments work best, that has been funded by drug companies. They may be paid by industry to conduct research. They may be paid by PR companies working on behalf of drug companies, or providers of health services, such a companies making supplements, health products, or foods.

It can be hard to determine what a 'conflict' is, and of course what is a conflict in one context might not be a conflict in another. This is why we describe this site for 'declarations of interest' as we believe this will support transparency and judgements about the potential biases individuals may have.

We suggest that headlines of: clinical work, academic work, consultancy, financial interests, sponsorship received (including educational) , political and spousal interests are useful but if you have other suggestions please let us know.

It's not necessarily a bad thing if doctors are paid for their time and expertise working outwith the NHS. For example, working for NICE, or giving expert views to court. However, when a doctor has a financial “conflict of interest”, this can affect the treatment decisions they make, or recommend. These conflicts cannot be entirely avoided, and in many cases they are entirely reasonable. However, it is important that information is available on which companies have paid a doctor, so that colleagues and patients can decide for themselves what they think. For example, there is longstanding evidence that exposure to industry promotional activity can lead to doctors recommending worse treatments for patients.

Today, it’s very hard to find out who has paid a doctor in the UK. We know that the pharmaceutical industry has paid healthcare workers £40 million per year in the UK, but companies currently refuse to say who they have paid, and how much. Employers and regulators have failed to collect this information. Where data has been collected, at public expense, this is often kept secret from patients and researchers. The small amount of publicly accessible information is chaotic and dispersed.

Professional bodies, regulators, hospitals, and other NHS organisations have failed to address this problem, despite many decades of research and campaigning. This site is the beginning of an attempt to bring transparency.

I have a suggestion or a problem: Please get in touch with us. This site is in the early stages of development. It isn't perfect, and we need feedback to make it better.

How do I sign up?

If you are a GMC registered doctor, use your ac.uk or nhs.uk/nhs.net, email address to begin the simple process.