NHS Requirement 6
The organisation identifies and reports on annual outcome-based metrics with objectives to evidence improvement in performance. This should be informed by national and local risk assessment, national benchmarking and other comparable data. Proactive and reactive outcomes and progress are recorded on the approved NHS fraud case management system.
Metrics should include all reported incidents of fraud, bribery and corruption, the value of identified fraud losses, the value of fraud recoveries, the value of fraud prevented, criminal sanctions and disciplinary sanctions.
Guidance, supporting documentation and evidence
Organisations should consider the following (the list is not exhaustive):
- The NHSCFA strategy
- NHS Counter Fraud Manual
- The NHSCFA instructions and guidance on the use of the NHSCFA case management system.
- Approved NHS fraud case management system records
- Approved NHS fraud case management system weakness records
- Investigation files
- Evidence of proactive prevention and detection exercises
- NHSCFA Benchmarking data
- Counter fraud, bribery and corruption work plan
- Audit committee minutes
- A measured reduction in risk or expenditure
- NHSCFA circulars
- NHSCFA’s Intelligence Alerts, Bulletins and Local Warnings Guidance
- Results of thematic engagements
- Evidence derived from participation in the National Fraud Initiative (if appropriate)