Just as we aim to keep people both mentally and physically healthy and prevent sickness, our Counter Fraud team are keen to prevent fraud.
We read about fraud all the time, but you might not imagine that it happens in the NHS.
Fraud in the NHS can range from suppliers issuing false invoices to patients seeking treatment they are not eligible to receive or potential staff making false claims on their CV. In fact, there are hundreds of ways that people can abuse the NHS for their own personal gain.
We’re all victims of this type of crime because the NHS is paid out of our taxes. Every penny that’s taken from the NHS through fraud is money that we can’t spend on patient care.
The Trust is committed to maintaining an honest and open approach so as to best fulfill the objectives of the NHS. We expect all our staff to operate in accordance with our values, and to have the best interests of the NHS and our service users in mind.
This means fraud, bribery and corruption related activity will not be tolerated. Such conduct, at any level, is unacceptable. We are committed to the elimination of fraud, bribery and corruption, to the rigorous investigation of any such allegations and to taking appropriate action against such individuals that includes criminal prosecution and recovery of losses as a result of any criminal act.
The Trust board will ensure that stringent policies and internal systems to deal with fraud, bribery and corruption are in place and are acted upon swiftly.
If an employee has suspicions regarding fraud, bribery or corruption related activity within the trust, we assure you that the matter will be taken seriously and referred to the Local Counter Fraud Specialist (LCFS). For further advice and information, please refer to the Trust’s Counter Fraud Policy.
Should you have any concerns or require any advice, please contact our dedicated LCFS, Lianna Parker-Carn (email@example.com / lianna.parker-carn @rsmuk.com) for a confidential discussion. You can also speak to the Director of Finance and Business, or report any suspicions directly to NHS Counter Fraud Authority at www.cfa.nhs.uk/reportfraud or by calling 0800 028 4060.
How to report fraud
If you have any suspicions of fraud that might affect the Trust, contact:
Tel: 07800 617 462
National Fraud Line
0800 028 40 60 (during office hours)
What we do to combat fraud
Fraud is a hidden crime so our Counter Fraud team spends a lot of time raising awareness within the Trust as well as informing patients, clinicians, pharmacists and others about how they can help.
Our aim is to develop a strong anti-fraud culture throughout the NHS and deter potential fraudsters by demonstrating that all types of fraud are investigated and, where appropriate, prosecuted. If we’re unsuccessful at preventing or deterring fraud, our counter fraud team will investigate suspicions of fraud as they arise.
The aim is to obtain information on whether fraud is present and collect evidence so it can be presented to the appropriate body for appropriate sanctions to be applied.The counter fraud team are professionally trained and accredited and aim to gather the facts to help determine whether fraud is present. The purpose of an investigation is not to prove fraud but rather to assess objectively the truth behind the suspicion.
This trust 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, or where undertaking a public function, 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.
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.
- More about the Cabinet Office’s legal powers and the reasons why it matches particular information.
For more information on data matching at this trust, contact Gemma Higginson at firstname.lastname@example.org.