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Government Functional Standard 013

This section of the website introduces the new Government Functional Standard 013 as a suite of requirements to countering fraud across the NHS and UK government.

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Introduction and overview

This section provides an introduction and overview of the new Government Functional Standard 13 for counter fraud.

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NHS Requirements

This section lists each of the individual components of the new Government Functional Standard 013 Counter Fraud and provides detailed information on how they are to be applied across the NHS and wider health group.
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NHS Standard Contract

This section describes the counter fraud clauses set out in Service Condition 24 of the NHS Standard Contract and place the follow obligations on providers and commissioners of NHS services.
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NHSCFA Quality Assurance Programme

This section describes the NHSCFA’s approach to leading the NHS in protecting its resources by using intelligence to understand the nature of fraud risks, investigate serious and complex fraud, reduce its impact and drive improvements.
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Mapping of previous NHS counter fraud standards

Mapping of previous editions of the NHSCFA's counter fraud standards are available on this page for reference.
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Obligations of independent healthcare providers

Useful information for NHS independent healthcare providers who wish to understand more about their counter fraud responsibilities in respect of the NHS Standard Contract.
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Glossary of terms

An alphabetical list of terms and phases specific to the Functional Standard and NHS Requirements.

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.

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