Executive summary

A brief overview of the NHS’s overall vulnerability to fraud, bribery and corruption.

The NHS Counter Fraud Authority assess that the NHS is vulnerable to fraud, bribery and corruption to an estimated £1.14 billion.

The fraud vulnerability has been decreasing year upon year since the formation of the NHSCFA as a result of a proactive and collaborative approach from all stakeholders within the health group; working collectively to identify vulnerabilities and mitigate any risk posed.

It is important to note that fraud is only committed by a minority of people. As more and more people become aware of how fraud impacts on the NHS, it is expected that more reports will be submitted to the NHSCFA. Through this increase in transparency, the NHSCFA and stakeholders are better informed of the landscape and as such; more capable to direct resources to mitigate against potential vulnerabilities.

Four-year vulnerability estimate (£ billion)

Change in the overall estimated loss to fraud from 2016-17 to 2019-20

2019-17 2017-18 2018-19 2019-20
£1.29 billion £1.27 billion £1.21 billion £1.14 billion