GovS 013 component 1: Accountable individual

Have an accountable individual at board level who is responsible for counter fraud, bribery and corruption. GovS 013 ref: 4.7.2

Published: 8 February 2022

Updated: 9 October 2025

Version: 2.0

Guidance, supporting documentation and evidence

Organisations should consider the following (the list is not exhaustive):

  • Board meeting minutes
  • Organisational counter fraud, bribery and corruption work plan
  • Annual report on counter fraud, bribery and corruption work
  • Progress reports to the audit committee, board or executive level managers
  • Minutes of relevant meetings, action points and records of their execution
  • Audit committee minutes
  • Standing Orders/Standing Financial Instructions
  • Evidence of the supply of counter fraud, bribery and corruption information to coordinating commissioners. This may include, but is not limited to, the functional standard return, the annual report of counter fraud work and the counter fraud work plan.
  • NHSCFA benchmarking data
  • Documentation from the nominations process

NHS Requirement 1B:

The organisation’s non-executive directors, counter fraud champion or lay members and board/governing body level senior management are accountable for gaining assurance that sufficient control and management mechanisms in relation to counter fraud, bribery and corruption are present within the organisation.

The counter fraud champion understands the threat posed and promotes awareness of fraud, bribery and corruption within the organisation.

Board level evaluation of the effectiveness of counter fraud, bribery and corruption work undertaken is documented. Where recommendations have been made by NHSCFA following an engagement, it is the responsibility of the accountable board member to provide assurance to the board surrounding the progress of their implementation.

The organisation reports annually on how it has met the requirements set by NHSCFA in relation to counter fraud, bribery and corruption work, and details corrective action where requirements have not been met.

Organisation meets the requirement

Senior management ensures that recommended actions are implemented following any NHSCFA engagement and there is evidence of demonstrable outcomes. Updates on the implementation of recommended actions are provided to NHSCFA upon request, in line with the NHSCFA’s engagement process.

Any corrective or preventative actions identified as a result of evaluation are implemented in line with agreed timeframes to ensure that counter fraud, bribery and corruption work continues to address organisational risks.

The counter fraud champion promotes awareness of fraud, bribery and corruption within the organisation.

The annual report on counter fraud, bribery and corruption work complies with the NHSCFA’s guidance in relation to content, directly referring to all applicable standards for fraud, bribery and corruption, and providing a clear update on progress against work plan objectives.

An appropriately signed statement of assurance is included in the annual report. A fully completed functional standard return is included with the annual report.

Where standards have not been met, the reasons for this are documented and corrective action is suggested for the following year.

The annual report also provides an update on progress made with any action points set out as part of the quality assurance process.

Note

This requirement directly relates to the organisation's defence in respect of the failure to prevent fraud offence as introduced by the Economic Crime and Corporate Transparency Act 2023 . Guidance focusing on the failure to prevent fraud offence has been produced by the Home Office , with supplementary guidance produced by NHSCFA .

As the Counter Fraud Functional Standard Return (CFFSR) is a self-assessment, a GREEN rating does not in itself provide any assurance of the organisation’s defence in respect of the offence. The NHS Requirements and CFFSR can be used as tools to indicate the organisation’s preparedness for a defence; however, value is directly linked to the accuracy with which the organisation’s counter fraud position has been reflected and standard of procedures and other evidence available.

Organisation partially meets the requirement

Organisation partially meets the requirement

There is evidence of proactive support for counter fraud, bribery and corruption work from senior management at the organisation. Support for the trained and nominated person carrying out counter fraud, bribery and corruption work on the part of the organisation is present and evident.

There is evidence that senior management recognises its responsibilities in relation to counter fraud, bribery and corruption work.

There is a counter fraud champion, however, little or no evidence of promoting awareness of fraud, bribery and corruption within the organisation.

Senior management ensures compliance with the requirements of the NHSCFA’s quality assurance programme. This includes ensuring that recommended actions are implemented in line with agreed timeframes following any NHSCFA engagement.

However, there is little or no evidence to indicate that this work has been evaluated for effectiveness by the organisation.

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