Alex Rothwell

Alex worked for more than 30 years in the Metropolitan and City of London Police Services and has extensive strategic, operational and investigative experience of tackling fraud and financial crime.

Image of Alex Rothwell, Chief Executive Officer

Alex Rothwell joined the NHS Counter Fraud Authority as Chief Executive Officer in 2021.

He was born and raised in the Northwest of England and although he now lives in Kent has maintained a passion for rugby league and football, supporting Widnes RLFC and Liverpool FC. With a tradition of sea faring in his family he also has a lifelong love of the sea and sailing and is more likely to be on the water than on dry land when taking time off.

His career began at the age of 18 when he moved to London to join the Metropolitan Police as a cadet, completing his service as a Detective Chief Superintendent with City of London Police.

Alex specialised in many aspects of crime fighting that took him around the world and was an active hostage and crisis negotiator but one aspect of his job that he found particularly interesting from early in his career was fraud investigation. He headed the Metropolitan Police Cyber Crime Unit and Fraud Teams and ultimately acted as Head of National Fraud Operations and Deputy National Policing Coordinator for Economic Crime.

It was therefore a natural progression for Alex to bring his experience and expertise to the CFA.

“The CFA has influenced the way the NHS manages its finances for more than 30 years and I am proud to have the opportunity to continue and develop this important work. Fraud is the most prevalent crime in the UK and unless it is kept in check represents a significant risk to all public sector organisations.

“As the largest publicly funded body in the UK the NHS is especially vulnerable. I would like to see fraud recognised as a substantial threat in all areas of the organisation and for the counter fraud response to be recognised as an enabler for efficient business, embedded in policy change, decision making and governance.

“In short, to make counter fraud business as usual, ensuring that it makes a genuine contribution to better healthcare outcomes and a happy and productive workforce.”

Since Alex joined the CFA, the organisation has consistently achieved its financial targets, delivering over £500m of fraud prevention activity over a three-year period.


More than 30 years in the Metropolitan and City of London Police

Extensive strategic, operational, and investigative experience of tackling fraud and financial crime

Secondments with the Serious Organised Crime Agency, Customs and Excise and the National Crime Agency

Head of Metropolitan Police Cyber Crime Unit and Fraud teams

Transformation lead on the Met’s Specialist Operations Business Group

Extensive experience in hostage and crisis negotiation and the investigation and management of kidnap for ransom.

Deputy National Policing Coordinator and Head of National Fraud Operations

Chief Executive Officer – NHS Counter Fraud Authority.

Alex is married with twin teenage sons.

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