At a glance

An outline of what the NHSCFA aims to achieve by 2023

1. LEAD AND INFLUENCE

  • More people understand NHS fraud, are engaged with the counter fraud agenda and report fraud.
  • A network of counter fraud champions is embedded in NHS providers.
  • All NHS organisations are supported in achieving compliance with the Government Functional Standard GovS 013: Counter Fraud (known as ‘Government Counter Fraud Functional Standard’).
  • Membership of the Government Counter Fraud Profession is available to the whole NHS counter fraud community in England, with all eligible professionals empowered and supported to become members.
  • Building relationships with our stakeholders, driving best practice by supporting and enabling the sector to achieve the strategic aims of the national counter fraud response.
  • Designing our strategy to support and enable the counter fraud response across the NHS.

2. REDUCE FRAUD LOSS

  • National and local counter fraud activity will result in measurable financial benefits.
  • We continue to measure value for money in local counter fraud functions for both proactive and reactive counter fraud work.
  • Targeted intervention by the NHSCFA in partnership with health bodies and counter fraud providers will have delivered measurable results.
  • Data and technology drive efficiencies in how we work and innovate our services.

3. SUPPORT AND EMPOWER OUR PEOPLE

  • We will continue to refine our smarter working principles.
  • Leaders create an open, empowering, and supportive culture, where people feel they add value and are treated fairly.
  • Our people have access to the training and development they need.
  • The delivery of our people-related functions will be supported by a newly developed HR advisory function. Our workforce planning will reflect the promotion and support of equality, diversity and inclusion, and mental health and wellbeing.

4. EFFECTIVE USE OF OUR RESOURCES

  • We consistently deliver financial balance by integrated alignment of financial, business and workforce planning, translating our strategy into effective and resourced deliverables.
  • We will continue to improve and develop performance and project management approaches to drive delivery of our priorities.
  • All opportunities to secure additional funding are identified and pursued.
  • NHSCFA will undertake a programme of evolution and change in order to align our service and support to drive the counter fraud response across the NHS.
  • We will work with NHS partners to develop shared programmes of intervention and objectives.

Government Counter Fraud Functional Standards

1
Our compliance, advice guidance and intelligence
  • Quality and Compliance
  • Fraud Prevention
  • Intelligence
2
Our enforcement
  • National Investigation Service - including Forensic Computing Unit and Financial Investigators
3
Our support
  • Organisational Development
  • Information Systems
4
Our counter fraud analytical ability, governance & performance
  • Information Analytics
  • performance & Governance
5
Our stakeholders and partnership working
  • Cabinet Office
  • DHSC AFU
  • Local counter fraud services
  • NHS bodies

Objectives and areas of focus


6
Leading and influencing
  • Developing system-wide counter fraud networks
  • Maintaining and developing a counter fraud culture
  • Guidance and toolkits within the NHS network
7
Compliance
  • Provision of evaluation and assurance of compliance against the Counter Fraud Functional Standard by NHS Bodies
8
Analysis
  • Determining thematic counter fraud priorities
  • Intelligence and analytical capability
9
Investigative priorities
  • Investigations are considered, prioritised and allocated
  • Investigating allegations of fraud across national and local services
10
Identifying, assessing and informing
  • Collating information against fraud threats
  • Strategic Intelligence Assessment (SIA)