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Counter Fraud

What are Fraud and Bribery?

The Fraud Act 2006 makes it an offence for someone to make a false representation, fail to disclose information, or abuse a position, in order to make a gain or cause a loss.

Common frauds in the NHS include:

  • Staff, contractors or agency workers falsifying timesheets or expense claims, using false qualifications, references or work history on applications and working whilst on  sick leave.
  • Patients altering prescriptions or receiving free NHS care to which they are not entitled.
  • Duplicate or overinflated invoices submitted by suppliers, suppliers engaging in price fixing and suppliers falsifying performance records to inflate invoice value.
  • Decision makers failing to declare an interest in a firm competing for a contract.
  • Bogus invoices submitted by fraudsters and fake companies.

The Bribery Act 2010 defines a bribe as “a financial or other advantage” offered or received in return for “performing a relevant function improperly”.  It is a criminal offence to accept, promise, offer or make a bribe. 

Some examples of bribery payments:

  • to secure or keep a contract / order.
  • to gain an advantage over a competitor.
  • to turn a blind eye.
  • to prescribe or favour a particular drug or medical equipment supplier.
  • to queue-jump waiting lists.

Under the Bribery Act it is also a corporate offence if the CCG cannot demonstrate they had “adequate procedures in place to prevent a bribe”.

How to Raise Concerns

If you have concerns about fraud, corruption or bribery in the NHS, information should be given directly to the CCG’s Local Counter Fraud Specialist.  

  • Lisa George, Counter Fraud Specialist
  • Email: lisa.george [at] tiaa.co.uk or lisa.george4 [at] nhs.net
  • Mobile: 07825 827024

All allegations will be thoroughly and professionally investigated.  If you feel unable to report your suspicions internally you may also raise your concerns with:

  • NHS National fraud and Corruption Hotline: 0800 028 4060
  • Public Concern at Work: 0207 404 6609
  • NHS Whistleblowing Helpline: 08000 724 725      
  • Action Fraud: 0300 123 2040.

All calls are dealt with in the strictest of confidence and callers may remain anonymous if they prefer.