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The NHS Fraud Reference Guide - Third parties

This relates to a person or organisation not linked to the NHS but trying to gain financially from it. This would include a third party making unsolicited requests for payment from the NHS or someone using an NHS facility to which they are not entitled.

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Payment fraud

This relates to someone outside the NHS attempting or succeeding in extracting payments from within the NHS.

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Usage fraud

This relates to someone outside the NHS who has attempted or succeeded in using a facility intended only for use by the NHS.

  • NHS fraud definitions
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  • Relevant pages
  • Fraud against NHS Resolution
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  • See you at the Pharmacy Show 2019
  • New guidance launched to prevent fraud in NHS procurement
  • Mapping of previous NHS counter fraud standards

We estimate that the NHS is vulnerable to £1.21 billion worth of fraud each year.

Report any suspicions or concerns about fraud against the NHS to the NHSCFA.

Help stop NHS Fraud. Start an online report >>

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