2021005

Request regarding Effectiveness of counter fraud functions.

Published: 8 March 2021

Information requested

  1. What was your organisation’s staff headcount for those undertaking operational duties (Operational duties include those staff that may support an investigation such as Financial Investigators and those within the Forensic Computing Unit)?
  2. What was your staffing cost for those undertaking operational duties?
  3. How many open cases were operational staff investigating?
  4. How much fraud was identified by operational staff?
  5. How much fraud was recovered by operational staff (recovered as part of an NHSCFA investigation as opposed to supporting another organisation’s investigation)?
  6. How many system weaknesses were reported by operational staff?
  7. How many successful criminal sanctions were reported by operational staff?
  8. How many unsuccessful criminal sanctions were reported by operational staff?
  9. How many successful disciplinary sanctions were reported by operational staff?
  10. How many unsuccessful disciplinary sanctions were reported by operational staff?
  11. How many successful civil sanctions were reported by operational staff?
  12. How many unsuccessful civil sanctions were reported by operational staff?
  13. How many SRTs were submitted by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  14. What was the total annual budget for NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  15. How many days did NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers spend on proactive work (Classed by the key areas strategic governance, inform and involve and prevent and deter).
  16. How many days did NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers spend on reactive work (Hold to account)?
  17. What was the total cost of NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers expenditure on proactive work?
  18. What was the total cost of NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers expenditure on reactive work?
  19. How many information reports were assigned to, or raised by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  20. How many open investigations were assigned to, or raised by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  21. How many investigations were closed by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  22. How many successful criminal sanctions were reported by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  23. How many unsuccessful criminal sanctions were reported by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  24. How many successful disciplinary sanctions were reported by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  25. How many unsuccessful disciplinary sanctions were reported by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  26. What was the total value of fraud identified by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  27. What was the total value of fraud recovered by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?
  28. How many system weaknesses were recorded by NHS Trusts, Clinical Commissioning Groups, Special Health Authorities and Independent Healthcare Providers?

NHSCFA response

1. The average staff headcount for those undertaking operational duties 2019/20 was 42 . This includes Fraud Investigation staff and support staff, Financial Investigators and those within the Forensic Computing Unit.

2. For the financial year 1.4.2019 to 31.3.2020, the total cost of staff including NI, pension and HCAS (where applicable) was £2,046,120 (average head count 42)

3-12. Data for questions 3 – 12 are included in the attached spreadsheet.

13. Providers – 280
Clinical Commissioning Groups – 191

14. We have used the total budget mid-points to provide an estimated figure:

Providers - £323,033,928.57

CCGs - £4,833,115.18

15. Providers – 18,567 CCGs – 4,257.3

16. Providers – 8,267.5 CCGs – 914.3

17. Providers - £6,939,413.31 CCGs - £1,508,453.61

18. Providers - £3,067,884.74 CCGs - £348,038.80

19-28 Data for questions 19-28 are included in the attached spreadsheet.

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