2018017

Information requested

In NHSCFA’s 2018 strategic assessment report, paragraph 5.4 states that: During 2016-2017, NHSCFA received 4,602 fraud information reports. And paragraph 6.5.2 states that: Throughout 2016-2017 NHSCFA received one allegation per 90 community pharmacist (sic).

I would like to know:

1. In total, how many of the reports received by the NHSCFA in 2016-2017 were of fraud undertaken by community pharmacy contractors
2. How many of the total number of the community pharmacy contractor fraud reports received in 2016/17 were due to:
   
   1. Inappropriate claims relating to dispensing and enhances services offered at the premises
   2. Inflation of fees, allowances and reimbursements claimed under the drug tariff
   3. Activities that contravene the terms of the contractual agreement
3. The data underpinning NHSCFA’s assertion that community contractor fraud reports were received at a ratio of one allegation per 90 community pharmacist (sic)
4. Clarification of whether NHSCFA’s assertion that “community contractor fraud reports were received at a ratio of one allegation per 90 community pharmacist” (sic) relates to one allegation per community pharmacist, or one allegation per community pharmacy.

NHSCFA response

In NHSCFA’s 2018 strategic assessment report, paragraph 5.4 states that: During 2016-2017, NHSCFA received 4,602 fraud information reports. And paragraph 6.5.2 states that: Throughout 2016-2017 NHSCFA received one allegation per 90 community pharmacist (sic).

I would like to know:

1. In total, how many of the reports received by the NHSCFA in 2016-2017 were of fraud undertaken by community pharmacy contractors -7
2. How many of the total number of the community pharmacy contractor fraud reports received in 2016/17 were due to:
   
   1. Inappropriate claims relating to dispensing and enhances services offered at the premises. -97
   2. Inflation of fees, allowances and reimbursements claimed under the drug tariff. -7
   3. Activities that contravene the terms of the contractual agreement -15
3. The data underpinning NHSCFA’s assertion that community contractor fraud reports were received at a ratio of one allegation per 90 community pharmacist (sic) -11,700 community pharmacies with 132 allegations.
4. Clarification of whether NHSCFA’s assertion that “community contractor fraud reports were received at a ratio of one allegation per 90 community pharmacist” (sic) relates to one allegation per community pharmacist, or one allegation per community pharmacy. -Per community pharmacy.