NHS Protect is responsible at a national level for overseeing anti fraud work across the NHS. Its intelligence function collates and disseminates national information about common fraud risks and issues.
Table of Contents
What should I do if I suspect fraud NHS?
The NHS / Crimestoppers Fraud and Corruption Reporting Line
Calls to the National Fraud and Corruption Reporting Line – on 0800 028 4060 – are treated in confidence by trained staff and information given will be professionally assessed and evaluated.
Who should you report NHS fraud and bribery to?
What do you do if you suspect fraud? If you have any suspicions or concerns about fraud, bribery and corruption affecting the NHS, report them to the NHSCFA. You can report online or call 0800 028 4060. All reports are treated in confidence and you have the option to report anonymously.
Which Organisation is responsible for NHS spending?
NHS England is responsible for determining allocations of financial resources to Integrated Care Boards (ICBs) from April 2022. Total annual budgets given to ICBs cover the majority of NHS spending.
What are the 3 key steps to dealing with counter fraud?
In so doing NHS Resolution will take appropriate measures as set out under the NHS Counter Fraud Authority’s Key Principles of Strategic Governance; Inform and Involve; Prevent and Deter; and Hold to Account.
What triggers a DWP investigation?
As soon as there is enough evidence of potential fraud, the DWP will launch an official investigation and notify you. DWP investigators are allowed to gather many types of evidence against a potentially fraudulent claimant.
What are the first three steps when dealing with fraud?
- Possible fraud ploys.
- The company’s fraud risks.
- Internal controls that have been implemented to mitigate specific fraud risks or to generally help prevent, deter, and detect fraud.
How much fraud is there in the NHS?
Fraud costs the NHS £1.27 billion each year.
Which of the following is an example of fraud by false representation?
Examples of fraud by false representation include: Selling an item under false pretences: i.e. claiming a gemstone is a diamond when in fact it is cubic zirconia. Using a credit card that does not belong to you to make a purchase. Lying on an application form: i.e. overstating your income to gain a mortgage.
Who can investigate a potential fraud NHS?
The role of the LCFS
The LCFS is also responsible for investigating allegations of fraud, bribery and corruption. Your LCFS is here to help. If you have concerns about fraud affecting the NHS, please do get in touch with them for advice.
Who funds the CCG?
NHS England determines the amount that CCGs receive by considering the funds they obtained in the previous budget, the average age of the local population and how deprived or affluent the local area is. All of this information is considered when NHS England decides on a CCG’s budget.
Who owns the NHS now?
Structure. The English NHS is controlled by the UK government through the Department of Health and Social Care (DHSC), which takes political responsibility for the service.
Who makes the decisions in the NHS?
The government ultimately is the decision-maker when it comes to NHS funding, with the Secretary of State having overall responsibility for the work of the Department of Health.
Reference:
- https://www.covwarkpt.nhs.uk/anti-fraud-services/
- https://www.civil-service-careers.gov.uk/professions/working-in-counter-fraud/
- https://www.jpaget.nhs.uk/about-us/countering-fraud,-bribery-and-corruption-in-the-nhs/reporting-fraud-in-the-nhs/
- https://cfa.nhs.uk/fraud-prevention/what-is-nhs-fraud
- https://www.england.nhs.uk/allocations/
- https://resolution.nhs.uk/wp-content/uploads/2021/01/Anti-fraud-Bribery-and-Corruption-Policy-and-Procedure.pdf
- https://www.dailyrecord.co.uk/lifestyle/money/dwp-benefit-claim-investigation-evidence-27716179
- https://www.kpmcpa.com/three-steps-experts-follow-when-investigating-fraud/
- https://www.cnwl.nhs.uk/patients-and-carers/fraud-nhs
- https://purcellparker.co.uk/how-we-help/fraud-business-crime-solicitors/fraud-by-false-representation/
- https://www.humber.nhs.uk/about/reporting-nhs-fraud.htm
- https://www.wifispark.com/blog/what-is-ccg-funding-used-for-and-how-is-it-allocated
- https://en.wikipedia.org/wiki/National_Health_Service_(England)
- https://www.uni-med.co.uk/who-makes-decisions-about-nhs-funding/
