NHS staff

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.

1.32 million people are employed by the NHS in England, with an approximate staffing cost of £59.5 billion for 2019-20.

Because this area has not been directly measured this reporting period, NHSCFA apply a previously identified 0.2% estimated loss to fraud for this area.


from an expenditure of £13.06 billion

NHSCFA have applied the 0.2% estimated loss to non-basic pay expenditure and sickness absence pay between April 2019 and March 2020, in this instance.

Financial fraud vulnerability: £ 26.07 million.

The effects of COVID-19 may have had an impact on this area due to an increase in resources being made available to tackle the pandemic. For example, there has been a 6.3% increase in staff across the NHS between June 2019 – June 2020.

Information reports received for NHS staff

Change in the number of fraud referrals (allegations) received in relation to NHS staff from 2016-17 to 2019-20.


decrease in referrals for this theme compared to last year

2016-17 2017-18 2018-19 2019-20
2,139 2,160 2,500 2,369