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Presented by: Wendy Currums, Local Counter Fraud Specialist

Anti-Fraud, Bribery & Corruption Presentation Corporate Induction. Presented by: Wendy Currums, Local Counter Fraud Specialist. Aim of Today’s Session. Awareness of NHS Fraud, Bribery and Corruption Types of NHS Fraud using real cases Introduction to Bribery Act

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Presented by: Wendy Currums, Local Counter Fraud Specialist

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  1. Anti-Fraud, Bribery & Corruption Presentation Corporate Induction Presented by: Wendy Currums, Local Counter Fraud Specialist

  2. Aim of Today’s Session • Awareness of NHS Fraud, Bribery and Corruption • Types of NHS Fraud using real cases • Introduction to Bribery Act • Role of Local Counter Fraud Specialist • Contact details to report suspicions

  3. What is FRAUD? • Fraud Act 2006 • Sect 2 – Fraud by False Representation • Sect 3 – Fraud by Failing to Provide Information • Sect 4 – Fraud by Abuse of Position

  4. Drug Fraud

  5. Cremation Expenses Fraud

  6. Rubbing salt into the wounds!

  7. Calculated!

  8. Recent Cases • Lab Technician in Mansfield used the Trust’s mailing system to deliver items he had sold on eBay. Sentenced to 12 month Conditional Discharge, compensation and costs. • A patient was prosecuted in Salford in February 2012. She added Diazepam to her prescription before presenting it to pharmacy who spotted the fraudulent prescription. When she was arrested the police found an additional four prescriptions that she had stolen from the Trust. 6 month community order, 6 month supervision order and 6 month womens order to run in parallel. • Senior Nurse from St Helens claimed payment for shifts not worked to the value of £24,000. 2 year supervision order. £2,210 investigation costs and Trust repaid in full.

  9. Types of NHS Frauds • Working whilst sick • Timesheet/overtime • Travel and associated mileage • E-bay • Procurement Fraud • Contractor Fraud • CVs and qualifications • Patient Fraud

  10. Bribery Act 2010 An inducement or reward offered, promised or provided to someone to perform a relevant function or activity improperly in order to gain a personal, commercial, regulatory and/or contractual advantage, on behalf of oneself or another. In effect from 1st July 2011 • Criminal offence to: • Give, promise or offer a bribe (s1) • Request, agree to receive or accept a bribe (s2) • Bribe a foreign public official (s6) • Corporate criminal offence of failing to prevent bribery (s7) • ‘Adequate Procedures’ defence

  11. First defendant to be convicted under new Bribery Act is a COURT CLERK • Munir Patel, 22, made legal history as he became the first person to be convicted under the new Bribery Act. • He used his privileged access as an administration clerk in the back rooms of a magistrates’ court to tamper with an official database. Taking £500 bungs to wipe out convictions of speeding motorists • Patel was recorded by a hidden camera bragging how he took bribes ‘all day long’ to delete vital court records in Redbridge, east London. • An undercover national newspaper reporter also caught him agreeing to wipe a conviction for a driver caught speeding in return for cash. • He was arrested after a dossier of damning evidence was handed to the Metropolitan Police in August.

  12. Role of the Local Counter Fraud Specialist • Creating an Anti-fraud Culture Workshops, presentations, newsletters, e-learning, surveys etc. • Deterrence Publicity, leaflets, posters. • Prevention Fraud Alerts, strengthening systems and procedures • Detection Liaise with staffgroups/Undertake pro-active work. • Investigate Staff trained to police standards • Sanctions/Redress Criminal and disciplinary – recovery of funds – civil action • Counter Fraud Arrangements Meets with key stakeholders – AC attendance and reporting

  13. Suspect NHS Fraud, Bribery or Corruption? PLEASE REPORT IT... Your active assistance is socially responsible & saves the NHS £££££…It benefits us all as taxpayers & NHS users and frees up valuable funds for a better NHS DO... • Note details of the suspect(s) • Note specific issues/concerns – think what would be useful • Identify anyone who may have information • Note contact details • Secure any evidence and keep your notes safe • Maintain confidentiality • Contact your LCFS, Director of Finance, Fraud Hotline 0800 028 40 60 or online at www.reportnhsfraud.nhs.uk • PLEASE DO NOT... • Report to your Line Manager • Ignore the problem – you might be the only one who knows about it • Investigate it yourself or start discussing it with others • Confront anyone • Carry out any surveillance • Tamper with computers, equipment or files you think may be involved • Commence any disciplinary action before informing your LCFS

  14. Official Reporting Lines • Neil Smith,Director of Finance • Darrell Davies, Head of Fraud / Local Counter Fraud Specialist Tel: 0151 285 4520 Email: darrell.davies@miaa.nhs.uk • MIAA Counter Fraud Team Tel: 0151 285 4500 • Confidential Fraud Hot-line- 0800 028 4060 • Online at www.reportnhsfraud.nhs.uk

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