NHS West Lancashire CCG Anti-Fraud Services

Background

NHS Protect, are the responsible body tasked with tackling crime across the health service.  The aim is to make the NHS a safer and more secure environment, and to help ensure proper use of NHS resources.  On a local level, all commissioners and providers of NHS services are required to put in place arrangements to tackle fraud, bribery and corruption, and this is undertaken by the CCG’s nominated Anti-Fraud Specialist (AFS), Ann Gregory, together with the Anti-Fraud Team at Mersey Internal Audit Agency (MIAA).  The CCG’s Chief Financial Officer, Paul Kingan, oversees the anti-fraud arrangements for the CCG.

What is Fraud, Bribery and Corruption?

Fraud against the NHS is not a victimless crime – it diverts much needed public funds into fraudsters’ pockets and it needs to be stamped out. Some people are not aware that fraud is a problem for the NHS, or even know what fraud is or how it is committed.

FRAUD involves dishonestly making a false representation, failing to disclose information or abusing a position held, with the intention of making a financial gain or causing a financial loss to the Trust.

BRIBERY or CORRUPTION involves offering, promising or giving a payment or benefit-in-kind in order to influence others to use their position in an improper way to gain an advantage.

Some examples of NHS fraud and corruption are as follows:

  • NHS staff dishonestly working in another job when they are off sick.
  • NHS staff making false and inflated expenses, mileage claims, or timesheet claims.
  • NHS staff procuring goods and services for personal gain; such as ordering IT equipment or printer cartridges, then keeping for their own use, or selling on the internet or at car boot sales.
  • Job applicants failing to disclose criminal convictions, or providing false documentation such as qualifications, passports, and Home Office documents, in order to gain NHS employment.
  • Patients claiming free treatment and services when not entitled, such as prescriptions/glasses/dental treatment; or ‘Health Tourists’ providing false personal details in order to gain hospital treatment.
  • Contractors and suppliers to the NHS submitting false invoices for work they have not done, or submitting duplicate invoices for payment.

 How can I help to fight fraud against the NHS?

You can help to reduce NHS fraud, bribery and corruption by reporting any suspicions against the CCG or in the wider NHS, via any of the official reporting channels below. Referrals will be assessed and appropriately dealt with by professionals, and you can provide information in confidence, or remain anonymous.

 Report your concerns to

(AFS) Ann Gregory: Email ann.gregory@miaa.nhs.uk / Telephone 0151 285 4500

The CCG’s Chief Financial Officer:  Paul Kingan

NHS Fraud and Corruption Reporting Line: 0800 028 4060

Online: www.reportnhsfraud.nhs.uk

For more information about the online Reporting Tool please click here.

For more information on the Anti-Bribery and Corruption Initiative please click here.

To access the West Lancashire CCG Bribery Act 2010 and CCG Anti-Bribery Statement please click.