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.

As of April 2021, the Government Functional Standard 013: Counter Fraud (Functional Standard) replaces the previous NHS specific Standards for Fraud, Bribery and Corruption (Standards).

Together with stakeholders the NHSCFA have developed new NHS Requirements to meet the Functional Standard. The mapping tables below provides detail of where previous Standards are aligned to the new NHS Requirements.

Key Principle 1: Strategic governance
NHSCFA Standard Functional Standard Notes
1.1 A member of executive board accountable Component 1 NHS Requirement 1A
1.2 Non-executive or lay members accountable for assurance Component 1 NHS Requirement 1B
1.3 Employs/contracts accredited LCFS Component 9 NHS Requirement 9
1.4 Comprehensive risk assessment Component 3 NHS Requirement 3
1.5 Annual report Component 1 NHS Requirement 1B
1.6 Counter fraud work necessary tools and resources Referenced in NHS Requirements 3 and 5.
1.7 Lines of communication Referenced in NHS Requirements 3, 5 and 7. Includes evidence in the use of the approved NHS Fraud Case Management System.
Key Principle 2: Inform and involve
NHSCFA Standard Functional Standard Notes
2.1 Ongoing programme of fraud awareness Component 11 NHS Requirement 11
2.2 Fraud, bribery and corruption policy Component 4 NHS Requirement 4
2.3 Liaison with organisations and agencies Manual of guidance advises on information requests. Further evidenced by use of the approved NHS Fraud Case Management System.
2.4 Code of conduct (inc Bribery Act 2010) Component 12 NHS Requirement 12
Key Principle 3: Prevent and deter
NHSCFA Standard Functional Standard Notes
3.1 Review policies Manual of guidance.
3.2 Use of info/intel to ID anomalies FBC Component 10 NHS Requirement 10
3.3 Issue, implement, comply with FBS intel bulletins Amalgamated into NHS Requirement 10
3.4 Pre-employment checks Amalgamated into NHS Requirement 10
3.5 Prevent, deter, detect - Procurement Amalgamated into NHS Requirement 10
3.6 Prevent, deter, detect - Invoice Amalgamated into NHS Requirement 10
Key Principle 4: Hold to account
NHSCFA Standard Functional Standard Notes
4.1 Record on case management system (CMS) Component 8 NHS Requirement 8
4.2 Use CMS in investigations Component 8 NHS Requirement 8
4.3 Pursue sanctions Manual of guidance. Further evidenced by use of the approved NHS Fraud Case Management System.
4.4 Witness statements Evidence for NHS Requirement 9
4.5 Interviews under caution Evidence for NHS Requirement 9
4.6 Recovery of losses Manual of guidance. Further evidenced by use of the approved NHS Fraud Case Management System.

Below you can find previous editions of the NHSCFA's fraud, bribery and corruption standards for providers, commissioners and NHS bodies in Wales.

NHS counter fraud standards 2019-20

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NHS Standards for providers 2019-20
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Standards for commissioners 2019-20
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Standards for NHS bodies 2019-20 (Wales)