Based on the number of General Ophthalmic Services (GOS) optical vouchers, processed in each service area, it is estimated that £527.9 million was spent in this area by around 14,280 optical practitioners.
The NHSCFA directly measured this area in 2015-16 and identified individual potential loss rate per GOS service area. This was then applied to the most recent activity data, published by NHS Digital.
from an expenditure of 527.9 million
Financial fraud vulnerability: £ 84.9 million.
This is a slight increase on the previous year. This is most likely due to increases in expenditure for this area and GOS services rather than an increase in fraudulent behaviour.
Over the past few years, NHSCFA stakeholders, like the NHSBSA and NHS England have completed extensive provider assurance work in this area, further mitigating potential fraud vulnerability and providing a more transparent landscape.
Information reports received for optical contractors
Change in the number of fraud referrals (allegations) received in relation to optical contractors.
decrease in referrals for this theme compared to last year