What is fraud?
Fraud is defined as any dishonest false representation, failure to dislcose information or abuse of position (Fraud Act 2006).
Other offences under other statutes, such as the Theft Acts and Corruption Acts, may also be considered as fraud.
Corruption - where someone is influenced by bribery, payment or benefit-in-kind to unreasonably use their position to give some advantage to another.'
Who commits fraud?
Anyone can commit fraud against the NHS. People investigated include doctors, nurses, administration staff, managers, health care professionals, dentists, opticians, pharmacists, patients, directors, GPs and even chief executives.
Examples of fraud
The types of fraud investigated in the NHS include the following:
- false time recording (overtime, flexi time, enhanced hours etc)
- false qualifications/professional registrations
- working whilst sick
- claiming additional or ficticious expenses
- false charge exemptions
- contractor claims.
What to do if you suspect a fraud
DO report your suspicions confidentially to someone with the appropriate authority and experience.
DO deal with the matter promptly if you feel your concerns are warranted.
DO NOT ignore it.
DO NOT approach or accuse individuals directly.
DO NOT try to investigate the matter yourself.
DO NOT convey your suspicions to anyone other than those with the proper authority.
Who to contact:
If you have any concerns about fraud within the NHS, or need fraud related advice, you can contact the NHS Fraud and Corruption Reporting Line on 0800 028 40 60. This is a free phone service. Lines are open Monday to Friday, 8am – 6pm.