- use our understanding of fraud to develop a control strategy, agree priorities, develop action plans, manage strategic and tactical tasking of resources and close intelligence gaps
- through developing a response to allegations of fraud we will prioritise prevention and disruption to reduce harm and loss
- we will conduct and support, criminal, financial and corporate investigations to establish whether a) fraud, bribery or corruption has occurred b) determine or influence appropriate action/sanctions and c) initiate recovery of funds lost
- we will provide support, advice and guidance to the counter fraud community in developing capability and capacity to respond to fraud.
- we will develop our analytical capability to provide insight that presents patterns in data indicative of fraud
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Key areas of focus (year 1) |
Deliverables |
Launch of the NHSCFA Fraud Hub |
- establishing a new function to provide support and enable an improved counter fraud enforcement response at a local level
- establishing a new function to provide support to and enable an improved counter fraud prevention response at a local level
- establishing a new stakeholder engagement and relationship management function to develop a more collaborative counter fraud community within the NHS
- establishing a new function to provide an improved case management process to capture and realise the activity and impact of all counter fraud activity in the NHS
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Together with partners lead both the strategic tasking and tactical tasking coordinating groups to agree priorities and areas of new and emerging fraud to tackle |
- coordinated and resourced areas of activity agreed with key counter fraud partners to maximise impact across the NHS that will contribute towards the health group financial achievements
- production of an agreed strategic action plan
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Increase opportunities for prevention |
- improved integrated response to intelligence and horizon scanning, data analysis and learning from enforcement
- produce timely Fraud Prevention Notices, Intelligence Bulletins to enable counter fraud action
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Provide an effective national counter fraud enforcement response |
- Undertake national enforcement activity in all instances of serious fraud, bribery and corruption
- Improved outcomes in both the financial and deterrent impact of NHSCFA enforcement activity
- Develop a highly skilled enforcement workforce through a robust programme of Continuous Professional Development
- Provide high levels of assurance relating to enforcement activity via a robust quality management system applied to investigations
- Extend current scope of accreditation to provide a responsive expert digital forensic capability to support criminal investigations in England, Wales and Scotland
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Directly support enforcement activity at a local level through the Fraud Hub |
- Improved financial and deterrence outcomes from local NHS enforcement activity
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Innovate using data to support of counter fraud response |
- Scope and develop enhanced analytical capability to proactively find novel insight that may be indicative of fraud
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