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.