In order to assess the potential exposure to fraud vulnerabilities in this area, two combined assessments are used. As per last year’s assessment, an estimate of 1% is used as baseline in non-pay procurement expenditure, based on public sector assessments such as the Ministry of Defence and Police.


from an expenditure of £26.8 billion

For agency expenditure, NHSCFA has previously identified through loss analysis exercises that the likely rate of overcharging associated with employment agency staff invoicing is 4.7% of which the NHSCFA has taken the view that 50% of overcharging may be vulnerable.

Financial fraud vulnerability: £ 300.4 million.

This is made up of approximately £244 million in non-pay procurement and £56.4 million on agency workers.

Information reports received for procurement and commissioning

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

15 %

increase in referrals for this theme compared to last year

2016-17 2017-18 2018-19 2019-20
229 232 384 441