Intended for healthcare professionals

Rapid response to:

Opinion

Conflicts of interest: moving towards zero tolerance

BMJ 2024; 387 doi: https://doi.org/10.1136/bmj.q2574 (Published 19 November 2024) Cite this as: BMJ 2024;387:q2574

Rapid Response:

Re: Conflicts of interest: moving towards zero tolerance

Dear Editor

In his response to this opinion article [1] Dr Aggarwal of the ABPI accuses the authors of being 'lazy', 'unjustified' and 'provocative' [2]. He states that this 'undermines the ability to have a proper discussion': however his own defensive language only serves to polarise the debate further. The concern here is that this will only continue to impede progress in this area.

Patient harm associated with the promotion of new interventions, including pharmaceuticals, is not a myth [3]. More than four years have passed since Baroness Cumberlege published her report 'First Do No Harm'. At the very least the call by Van Tulleken, Rollins and Coombes for conflicts of interest to be removed from would-be regulators should be implemented without delay.

References:
[1] https://doi.org/10.1136/bmj.q2574
[2] https://www.bmj.com/content/387/bmj.q2574/rr
[3] https://www.immdsreview.org.uk/downloads/IMMDSReview_Web.pdf

Competing interests: In 2013 Dr Peter J Gordon raised a petition with The Scottish Parliament urging the Scottish Government to introduce Sunshine legislation

11 December 2024
Peter J. Gordon
Retired NHS doctor
Dr Sian F Gordon
Bridge of Allan