National fraud initiative
The CCG is required by law to protect the public funds it administers. It may share information provided to it with other bodies responsible for auditing or administering public funds, in order to prevent and detect fraud.
The Cabinet Office is responsible for carrying out data matching exercises.
Data matching involves comparing computer records held by one body against other computer records held by the same or another body to see how far they match. This is usually personal information. Computerised data matching allows potentially fraudulent claims and payments to be identified. Where a match is found it may indicate that there is an inconsistency which requires further investigation. No assumption can be made as to whether there is fraud, error or other explanation until an investigation is carried out.
We participate in the Cabinet Office’s National Fraud Initiative: a data matching exercise to assist in the prevention and detection of fraud. We are required to provide particular sets of data to the Minister for the Cabinet Office for matching for each exercise, as detailed here.
The use of data by the Cabinet Office in a data matching exercise is carried out with statutory authority under Part 6 of the Local Audit and Accountability Act 2014. It does not require the consent of the individuals concerned under the Data Protection Act 1998.
Data matching by the Cabinet Office is subject to a Code of Practice.
By ensuring that we all understand what healthcare fraud may look like, we increase the chances of reducing the threat instead of feeling the effects. If you haven’t already, check out the Recognise What Fraud Looks Like video at https://www.youtube.com/watch?v=zNgaCGoM6_o
Read The Bribery Act 2010 – Statement from the Chief Officer here.
For more information about Countering Fraud in the NHS, please visit the NHS Protect website http://www.nhsbsa.nhs.uk/protect
The latest Counter Fraud Cases publication is available here