X : Thoughts on private companies being on the boards of ICS (integrated care systems).
Me : Conflict of interest question? Supplier determining needs?
X : Yes
Me : It's ok, as long as
a) you have effective spend control
b) those private companies are JVs which Gov owns 51% of.

X : What if they are not 51% owned JVs?
Me : Ah, that's a bad idea. You really want your boards to have your interests at heart.
X : What about experience, partnership?
Me : Those are advisors and you take it with a pinch of salt and as much as possible use critical friends.

Suppliers will always tell you that they want to be your partners, to build a relationship, to be your friends, to find the win/win in much the same way a second hand car salesperson wants to be your buddy ... but their interests are not yours and never can be.

X : Critical friends?
Me : Occassionaly you can find critical friends. People that we willing to tell you the truth as they see it regardless of the consequences. They are not very common and it normally requires a deep sense of duty that exceeds any loyalty to others.

X : Can the relationship be symbiotic?
Me : Rarely but that depends. If the organisation has a core overiding principle of focusing on the customer need and I don't mean lip service to this but absolutely embedded into its very core then yes i.e. places like Amazon, Alibaba etc.