Cargando…
How are declarations of interest working? A cross-sectional study in declarations of interest in healthcare practice in Scotland and England in 2020/2021
OBJECTIVE: To understand arrangements for healthcare organisations’ declarations of staff interest in Scotland and England in the context of current recommendations. DESIGN: Cross-sectional study of a random selection of National Health Service (NHS) hospital registers of interest by two independent...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639127/ https://www.ncbi.nlm.nih.gov/pubmed/36332951 http://dx.doi.org/10.1136/bmjopen-2022-065365 |
_version_ | 1784825572321394688 |
---|---|
author | McCartney, Margaret Bergeron Hartman, Raphaella Feldman, Harriet MacDonald, Ronald Sullivan, Frank Heneghan, C McCutcheon, Calum |
author_facet | McCartney, Margaret Bergeron Hartman, Raphaella Feldman, Harriet MacDonald, Ronald Sullivan, Frank Heneghan, C McCutcheon, Calum |
author_sort | McCartney, Margaret |
collection | PubMed |
description | OBJECTIVE: To understand arrangements for healthcare organisations’ declarations of staff interest in Scotland and England in the context of current recommendations. DESIGN: Cross-sectional study of a random selection of National Health Service (NHS) hospital registers of interest by two independent observers in England, all NHS Boards in Scotland and a random selection of Clinical Commissioning Groups (CCGs) in England. SETTING: NHS Trusts in England (NHSE), NHS Boards in Scotland, CCGs in England, and private healthcare organisations. PARTICIPANTS: Registers of declarations of interest published in a random sample of 67 of 217 NHS Trusts, a random sample of 15 CCGs of in England, registers held by all 14 NHS Scotland Boards and a purposeful selection of private hospitals/clinics in the UK. MAIN OUTCOME MEASURES: Adherence to NHSE guidelines on declarations of interests, and comparison in Scotland. RESULTS: 76% of registers published by Trusts did not routinely include all declaration of interest categories recommended by NHS England. In NHS Scotland only 14% of Boards published staff registers of interest. Of these employee registers (most obtained under Freedom of Information), 27% contained substantial retractions. In England, 96% of CCGs published a Gifts and Hospitality register, with 67% of CCG staff declaration templates and 53% of governor registers containing full standard NHS England declaration categories. Single organisations often held multiple registers lacking enough information to interpret them. Only 35% of NHS Trust registers were organised to enable searching. None of the private sector organisations studied published a comparable declarations of interest register. CONCLUSION: Despite efforts, the current system of declarations frequently lacks ability to meaningfully obtain complete healthcare professionals’ declaration of interests. |
format | Online Article Text |
id | pubmed-9639127 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-96391272022-11-08 How are declarations of interest working? A cross-sectional study in declarations of interest in healthcare practice in Scotland and England in 2020/2021 McCartney, Margaret Bergeron Hartman, Raphaella Feldman, Harriet MacDonald, Ronald Sullivan, Frank Heneghan, C McCutcheon, Calum BMJ Open Health Policy OBJECTIVE: To understand arrangements for healthcare organisations’ declarations of staff interest in Scotland and England in the context of current recommendations. DESIGN: Cross-sectional study of a random selection of National Health Service (NHS) hospital registers of interest by two independent observers in England, all NHS Boards in Scotland and a random selection of Clinical Commissioning Groups (CCGs) in England. SETTING: NHS Trusts in England (NHSE), NHS Boards in Scotland, CCGs in England, and private healthcare organisations. PARTICIPANTS: Registers of declarations of interest published in a random sample of 67 of 217 NHS Trusts, a random sample of 15 CCGs of in England, registers held by all 14 NHS Scotland Boards and a purposeful selection of private hospitals/clinics in the UK. MAIN OUTCOME MEASURES: Adherence to NHSE guidelines on declarations of interests, and comparison in Scotland. RESULTS: 76% of registers published by Trusts did not routinely include all declaration of interest categories recommended by NHS England. In NHS Scotland only 14% of Boards published staff registers of interest. Of these employee registers (most obtained under Freedom of Information), 27% contained substantial retractions. In England, 96% of CCGs published a Gifts and Hospitality register, with 67% of CCG staff declaration templates and 53% of governor registers containing full standard NHS England declaration categories. Single organisations often held multiple registers lacking enough information to interpret them. Only 35% of NHS Trust registers were organised to enable searching. None of the private sector organisations studied published a comparable declarations of interest register. CONCLUSION: Despite efforts, the current system of declarations frequently lacks ability to meaningfully obtain complete healthcare professionals’ declaration of interests. BMJ Publishing Group 2022-11-04 /pmc/articles/PMC9639127/ /pubmed/36332951 http://dx.doi.org/10.1136/bmjopen-2022-065365 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Health Policy McCartney, Margaret Bergeron Hartman, Raphaella Feldman, Harriet MacDonald, Ronald Sullivan, Frank Heneghan, C McCutcheon, Calum How are declarations of interest working? A cross-sectional study in declarations of interest in healthcare practice in Scotland and England in 2020/2021 |
title | How are declarations of interest working? A cross-sectional study in declarations of interest in healthcare practice in Scotland and England in 2020/2021 |
title_full | How are declarations of interest working? A cross-sectional study in declarations of interest in healthcare practice in Scotland and England in 2020/2021 |
title_fullStr | How are declarations of interest working? A cross-sectional study in declarations of interest in healthcare practice in Scotland and England in 2020/2021 |
title_full_unstemmed | How are declarations of interest working? A cross-sectional study in declarations of interest in healthcare practice in Scotland and England in 2020/2021 |
title_short | How are declarations of interest working? A cross-sectional study in declarations of interest in healthcare practice in Scotland and England in 2020/2021 |
title_sort | how are declarations of interest working? a cross-sectional study in declarations of interest in healthcare practice in scotland and england in 2020/2021 |
topic | Health Policy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639127/ https://www.ncbi.nlm.nih.gov/pubmed/36332951 http://dx.doi.org/10.1136/bmjopen-2022-065365 |
work_keys_str_mv | AT mccartneymargaret howaredeclarationsofinterestworkingacrosssectionalstudyindeclarationsofinterestinhealthcarepracticeinscotlandandenglandin20202021 AT bergeronhartmanraphaella howaredeclarationsofinterestworkingacrosssectionalstudyindeclarationsofinterestinhealthcarepracticeinscotlandandenglandin20202021 AT feldmanharriet howaredeclarationsofinterestworkingacrosssectionalstudyindeclarationsofinterestinhealthcarepracticeinscotlandandenglandin20202021 AT macdonaldronald howaredeclarationsofinterestworkingacrosssectionalstudyindeclarationsofinterestinhealthcarepracticeinscotlandandenglandin20202021 AT sullivanfrank howaredeclarationsofinterestworkingacrosssectionalstudyindeclarationsofinterestinhealthcarepracticeinscotlandandenglandin20202021 AT heneghanc howaredeclarationsofinterestworkingacrosssectionalstudyindeclarationsofinterestinhealthcarepracticeinscotlandandenglandin20202021 AT mccutcheoncalum howaredeclarationsofinterestworkingacrosssectionalstudyindeclarationsofinterestinhealthcarepracticeinscotlandandenglandin20202021 |