The GP contractor area has not been subject to a loss measurement exercise this financial year and relies on historic loss measurement reporting and comparative analysis to dental and optical contractor fraud.

£93.8m

from an expenditure of £9.38 billion

Recent loss measurement exercises for dental and optical have identified overall vulnerability percentages of between 1% and 3.5%. 1% has been used to express the possible financial vulnerability.

Financial fraud vulnerability: £93.8 million.

It is assessed that this increase, compared to last years assessment, is likely a result of increased funding to General Practice contracts and as it is estimated that the fraud loss will increase in-line with increased funding.

Information reports received for General Practice (GP) contractors

Change in the number of fraud referrals (allegations) received in relation to General Practice (GP) contractors from 2016-17 to 2019-20.

13%

decrease in referrals for this theme compared to last year

2016-17 2017-18 2018-19 2019-20
100 122 190 165