The great majority of people use the NHS properly and honestly. But there are some who try to commit fraud against the NHS and our trust supports the NHS Counter Fraud Authority strategy that aims to detect, report and eliminate fraud.
We are committed to the prevention, detection and investigation of any fraud allegations and will support criminal, disciplinary, regulatory and civil sanctions where allegations are upheld. This includes recovering funds to make sure NHS resources are used as intended – to deliver patient care.
All staff, contractors, vendors and patients are encouraged to report concerns to the trust’s local counter fraud manager or NHS Counter Fraud Authority.
What is fraud?
Fraud is when someone does something dishonestly in order to gain for themselves or someone else, or to cause a loss to another. Even if someone is just trying to do it, even if not successful, this still counts as fraud.
Types of fraud
Fraud is said to cost the NHS an estimated £1.27 billion every year.
Patient fraud includes wrongly claiming exemption from fees or travel expenses, altering prescriptions, or using aliases to obtain controlled drugs.
Fraud by NHS professionals includes claiming for treatment or services not provided, undertaking private work in NHS time or using trust equipment and materials for private work.
Managers and staff
This type of fraud involves submitting false CV or references; false or inflated time sheets or expenses; working elsewhere while on sick leave from the trust; abuse of trust equipment; misappropriation of funds; claims for non-existent employees; and for goods and services that are for personal use.
Contractors and suppliers
Contractor and supplier fraud includes charging for items of a higher quality or greater quantity than those supplied; using an inappropriate tendering processes; false or duplicate invoices; and price fixing.
Individuals who work, or attempt to work for NHS organisations supplying false documentation ranging from false passports, visas and national insurance numbers to secure employment.
What should I do if I suspect fraud?
If you are suspicious or have concerns please contact the trust’s local counter fraud manager:
Aimee Newton, counter fraud manager, on 07867 526312 or 01935 384106
Or call the NHS Counter Fraud Authority on 0800 028 4060 (Freephone Monday to Friday 8am – 6pm).
You can also report online: https://cfa.nhs.uk/reportfraud