Tackling fraud in the NHS

Fraud and corruption within the NHS is unacceptable and diverts valuable resources away from patient care.

Measures to counter NHS fraud were established in 1998, and in 2006 the NHS Counter Fraud and Security Management Service (CFSMS) became part of the NHS Business Services Authority. From 2011 NHS Protect leads on a wide range of work to protect NHS staff and resources from crime.

Local Counter Fraud Specialists (LCFS) are established in all NHS Trusts to assist in reducing fraud and corruption to the absolute minimum, and they can only do this with your help. If you are aware of potential fraud or corruption concerning anyone within the Trust, even if this is just a suspicion or a single piece of information, then it is your responsibility to pass this information to your local counter fraud specialist. LCFS are also responsible for raising awareness of NHS fraud issues locally and are available to speak to staff groups and deliver presentations as appropriate.

The Fraud Team

AuditOne, Crosskill House, Mill Lane, Beverley, HU17 9JB, Tel (01482) 866800 Fax (01482) 882992 nikki.cooper1@nhs.net 07872 988939

Alternatively you can forward information to the National Fraud and Corruption Hotline by calling 0800 028 40 60 or you can complete an online reporting form.

The action that you take when you first suspect fraudulent activity may be crucial; do not try to investigate the matter yourself. Attempts to gather evidence by people who are unfamiliar with the law may destroy the case. You will not suffer any recriminations as a result of voicing a reasonably held suspicion. You can remain anonymous if you wish.

LCFS are also responsible for raising awareness of NHS fraud issues locally and are available to speak to staff groups and deliver presentations as appropriate.

Bribery Act 2011

On 1 July 2011 the Bribery Act came into force.  This Act makes it a criminal offence for organisations to fail to prevent bribes being paid on their behalf.  As a Trust it is important that we fully comply with this Act and that all our staff are aware of what their responsibilities are and the standards of behaviour expected of them.

The Chief Executive has produced a statement regarding the Bribery Act which you can read here. There are also some guidelines from NHS Protect, the NHS Counter Fraud Service, explaining the Act at top level along with what you should do if you are concerned about any bribery within the Trust.

There are a number of key points that all staff should be aware of, and these are:

  • The Act covers both the offer of a bribe and being bribed
  • Bribery can be defined as “offering an incentive (usually monetary) to someone who can take a decision or action on behalf of others in order to influence that decision”
  • It is an offence not only to give, offer, request or receive a bribe, but also to turn a blind eye to bribery within an organisation
  • It is an offence to fail to prevent bribery
  • Penalties for bribery are severe for both the individual and potentially the organisation

The Trust Bribery Prevention policy is currently in draft and will be launched soon, please watch this space.

Fraud outside the NHS

To report other types of fraud, such as benefit fraud or tax evasion, please go to:

Report benefit fraud

Report tax evasion

Report fraud and cyber crime

Scams

The UK Border Agency have put together a list of the latest tricks and scams in use and gives you advice on protecting yourself. To view the scams, please see here.

The Met Police have issued their third edition of their Little Book of Big Scams which you can download here.

Current Fraud stories in the news

Jailed – the ‘siblings’ who stole £558K in benefits and NHS bursaries. Read the story here.

Sentenced – NHS Worker jailed for £93k false identity fraud. Read the story here.

Sentenced – NHS Locum Doctor swindles NHS for over £13k. Read the story here.

Sentenced – Former NHS England Equality Lead Paula Vasco-Knight CBE and husband sentenced for NHS fraud. Read the story here.

Sentenced – Lancashire Consultant Radiologist pleads guilty to ‘efficient’ £24,000 NHS fraud. Read the story here.

 

Key downloads

Counter fraud presentation.ppt (1.06 MB)

ECAC counter fraud alert 4 2016 (0.11 MB)

ECAC counter fraud alert 5 2016 (0.12 MB)

Local Anti Fraud Bribery and Corruption Policy.pdf (0.36 MB)

NHS Protect fraud who pays leaflet.pdf (0.33 MB)

NHS Protect fraud who pays poster.pdf (1.43 MB)

Rogue publishers – What to look out for.pdf (0.03 MB)

Eliminating Public Sector Fraud.pdf (0.38 MB)

Report_NHS_fraud_A5_leaflet.pdf (2.39 MB)

Report_NHS_fraud_Credit_card_sized_flyer.pdf (0.70 MB)

ECAC alert 10 Mar 2017 (0.06 MB)

ECAC alert 11 Mar 2017 (0.05 MB)

Payroll_fraud_-_Expenses_claims (3.55 MB)

Payroll_fraud_-_Fake_qualifications (5.16 MB)

Payroll_fraud_-_Timesheets (3.38 MB)

Payroll_fraud_-_Working_while_off_sick

 

External websites

AuditOne

Met Police 

National Anti-Fraud Network

facebook facebook