Fraud relating to the pre- and post-contract stages of the procurement and commissioning process.
Fraud vulnerabilities relating to prescription charge evasion, dental charge evasion and optical voucher abuse.
Fraud relating to the manipulation of income streams or activities that violate contractual terms perpetrated by either GPs or practice staff.
Fraud relating to inappropriate claims for dispensing and enhanced services offered by community pharmacies, inflated claims under the drug tariff or activities that contravene contractual terms.
Fraud relating to manipulation of data and the Payment by Results (PbR) system to intentionally falsify performance in order to make a financial gain.
Fraud relating to members of NHS staff who fraudulently inflate or falsify their income, expenses or working hours for financial gain, or who assume a false identity.
Fraud relating to inappropriate access to NHS secondary care by foreign nationals who avoid payment for services delivered.
Fraud relating to inappropriate claiming or dispensing at the optical practice, or care provided in homes, nursing, residential or day care facilities.
Fraud relating to overseas visitors claiming for treatment under reciprocal healthcare agreements when not entitled to do so.
Fraud relating to inappropriate claiming or dispensing at the dental practice relating to services delivered as defined by the contractual agreements, or private work carried out and its impact on the NHS.
Fraud relating to falsified applications or false documents supplied to support a bursary application or other NHS-funded training or financial support stream.
Fraud relating to fabrication or failure to notify pension administrators of material changes to circumstances that would affect the person’s eligibility for receiving an NHS pension.
Fraud relating to the serious exaggeration of a legitimate claim for damages under NHS Resolution-administered insurance schemes, or the falsification of circumstances supporting a claim.
We estimate that the NHS is vulnerable to £1.14 billion worth of fraud each year.
Report any suspicions or concerns about fraud against the NHS to the NHSCFA.
Help stop NHS Fraud. Start an online report >>
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