Counter Fraud

Everyone including staff, our patients and even members of the general public, have a role to play in reducing fraud within the NHS.

Counter fraud process

The counter fraud process ensures that action is taken across the complete range of our work. As a Trust we seek to:

  • Create an anti-fraud culture
  • Maximise the deterrence of fraud
  • Prevent fraud
  • Detect fraud quickly
  • Work closely with the NHS Counter Fraud Service
  • Professionally investigate detected fraud
  • Apply effective penalties, including legal action

Fair Process Notice Requirement - National Fraud Initiative

We are required by law to protect the public funds we administer. We may share information provided to us with other bodies responsible for; auditing, or administering public funds, or where undertaking a public function, in order to prevent and detect fraud.

The Cabinet Office is responsible for carrying out data matching exercises.

Data matching involves comparing computer records held by one body against other computer records held by the same or another body to see how far they match. This is usually personal information. Computerised data matching allows potentially fraudulent claims and payments to be identified. Where a match is found it may indicate that there is an inconsistency which requires further investigation. No assumption can be made as to whether there is fraud, error or other explanation until an investigation is carried out.

We participate in the Cabinet Office’s National Fraud Initiative: a data matching exercise to assist in the prevention and detection of fraud. We are required to provide particular sets of data to the Minister for the Cabinet Office for matching for each exercise, as detailed here.

The use of data by the Cabinet Office in a data matching exercise is carried out with statutory authority under Part 6 of the Local Audit and Accountability Act 2014. It does not require the consent of the individuals concerned under the Data Protection Act 1998.

Data matching by the Cabinet Office is subject to a Code of Practice.

View further information on the Cabinet Office’s legal powers and the reasons why it matches particular information. For further information on data matching at this Trust, contact Erin Sims.

 

Please see below contact details of our Local Counter Fraud Specialist:

Erin Sims - Local Counter Fraud Specialist

T: 07800 617 456
E: erin.sims@rsmuk.com; erin.sims@nhs.net