NHS Counter Fraud

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Conference
2009 Health Care Service Group Conference
Date
12 December 2008
Decision
Carried as Amended

Conference notes with concern the number of cases that are being handled by NHS Counter Fraud Service covering England and Wales and other agencies.

Conference notes the lack of transparent guidelines on what cases are referred to NHS Counter Fraud Service and what cases are handled locally by employers. Conference also notes with concern the lack of clear transparent guidelines on how cases not referred to NHS Counter Fraud Service are handled. In particular it notes with concern the number of such cases are being outsourced to agencies outside the NHS.

These inconsistencies have caused enormous distress to members – leading even to cases of self- harm and led to an exceptionally poor use of public money. We note too that the operation of the Counter Fraud Service is not subject to the normal system of accountability. Unlike the police they are not subject to independent supervision.

Conference instructs the HSGE to:

1.Seek to negotiate a national protocol covering England and Wales along with clear transparent guidelines and procedures on:

a.What type cases of cases should be referred to NHS Counter Fraud Services with the aim of limiting the work of this body to significant cases where fraud is suspected;

b.How cases not referred to NHS Counter Fraud Services should be processed locally, without the recourse of outsourcing to privately run agencies outside the NHS.

2.Discuss with the government a mechanism for independent supervision of this body and the establishment of a robust complaints procedure.