This Annual Plan is the first under our 2021-2030 Strategy, ‘Stopping Corruption – Promoting Integrity’.

This report looks at how changes to the NHS in England over the past decade have created greater risks of abuses of power, and how reforms to local commissioning are exacerbating them. Since 2012, membership organisations made up of General Practitioners (GPs), called Clinical Commissioning Groups (CCGs), have managed most of the NHS’ budget in England. They are responsible for purchasing £78 billion of healthcare services on behalf of the NHS. At the same time, these same GPs are independent contractors to the NHS and are in receipt of around £8.5 billion of NHS funding each year.

This report examines the quality and effectiveness of defence governance across fifteen countries in Central and Eastern Europe: Albania, Armenia, Azerbaijan, Bosnia & Herzegovina, Estonia, Georgia, Hungary, Kosovo, Latvia, Lithuania, Montenegro, North Macedonia, Poland, Serbia and Ukraine. It analyses vulnerabilities to corruption risk and the strength of institutional safeguards against corruption across national defence sectors, drawing on data collected as part of Transparency International Defence & Security’s (TI-DS) Government Defence Integrity Index (GDI).

Businesses in the UK generate billions in turnover every year, with operations ranging in size from micro businesses to large multi-national enterprises. As a key player in the global economy with an independent voice at the World Trade Organization, the UK is well equipped to lead the integrity agenda, not only because of its progressive anti-bribery legislation, but also because many UK businesses now recognise the strategic advantage responsible business conduct offers to the country’s dynamic economy.