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 (lisa.george [at] tiaa.co.uk) or lisa.george4 [at] nhs.net (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.