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Counter fraud

Counter fraud

Counter fraud

Taunton and Somerset NHS Foundation Trust supports the NHS Counter Fraud Authority strategy that aims to eliminate fraud within the NHS

We are committed to the prevention, detection and investigation of any such allegations and will seek to apply criminal, disciplinary, regulatory and civil sanctions where allegations are upheld. This includes the recovery of identified losses to ensure that NHS resources are used for their intended purpose - the delivery of 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.

 

Suspect fraud? Call:

Aimee Newton, counter fraud manager, on 07867 526312 or 01935 384106

Or NHS Counter Fraud Authority on 0800 028 4060 (Freephone Monday to Friday 8am - 6pm)

 

What is fraud?

Fraud is when someone does something dishonestly in order to make a gain for themselves or someone else or to cause a loss to another. According to the Fraud Act 2006, it is not necessary to prove a person has been deceived. The focus is on the individual’s dishonest behaviour and intent – and just trying to do it, even if not successful, makes the act complete.


Types of fraud

Fraud manifests itself in the NHS in a variety of ways. Fraud is said to cost the NHS an estimated £5 billion every year.

Patient fraud
Patient fraud includes wrongful claiming of exemption from fees or travel expenses, alteration of prescriptions, and using aliases to obtain controlled drugs.

Professionals

Fraud by NHS professionals includes claiming for treatment or services not provided, undertaking private work in NHS time and using trust equipment and materials for private work

Managers and staff
This type of fraud involves the submission of a false CV or references; false or inflated time sheets or expenses; working elsewhere while on sickness absence 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.

Immigration matters
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:
Tell your local counter fraud service immediately by email or telephone – your confidentiality will be respected.
Keep or copy any document that arouses your suspicions
Do not confront the individual with your suspicions
Do not try to investigate your suspicions yourself
If you are a member of staff at the trust, you can tell your line manager, but you are not required to – you can come directly to the local counter fraud service.


Contact your local counter fraud service

All employees play a vital role in helping reduce losses throughout the NHS. We all therefore have a responsibility to protect the NHS from fraud and bribery at any level. If you have any concerns in regard to fraud or bribery at Musgrove Park Hospital, please contact the trust’s local counter fraud manager:
Aimee Newton
Telephone: 07867 526312 / 01935 384106 E-mail: Aimee.newton@sompar.nhs.uk / Aimee.newton@nhs.net

 

NHS Counter Fraud Authority

Alternatively, you can contact NHS Counter Fraud Authority. It is a simple means of reporting genuine suspicions of NHS fraud. All calls are dealt with by experienced, trained staff. Callers may remain anonymous if they wish. Freephone 0800 028 4060 (Monday to Friday - 8am to 6pm). You can also report fraud using the NHS Counter Fraud Authority online reporting form.

 

Downloads

Board statement

Counter Fraud Policy (Coming soon)