Fraser Paterson
National Counter Fraud Manager
NHS Scotland Counter Fraud Services
Together we can stamp out fraud
Agenda
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Background – Counter Fraud Services (CFS)
Strategy
Investigations
Future – Public Service Reform
Together we can stamp out fraud
Background - CFS
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2000 - Fraud Investigation Unit established
2003 - Extended Role & Remit approved
2004 - CFS established
2013 - Public Service Reform Order
Together we can stamp out fraud
Strategy to Combat NHS Fraud in Scotland
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CFS Purpose
Shared responsibility
Culture change
4D principle
Together we can stamp out fraud
Deter
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Fraud awareness roadshows
Fraud awareness presentations
eLearning programme
Website
Together we can stamp out fraud
Together we can stamp out fraud
Disable
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Fraud proofing
Workshops
Alerts and Bulletins
Fraud Risk Assessment
Methodology
“An ounce of prevention
is worth a pound of cure”
Benjamin Franklin
1706 – 1790
Together we can stamp out fraud
Detect
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Toolkits
Intelligence
Patient Claims Team
Hotline - powered by
Crimestoppers
Together we can stamp out fraud
Deal With
• Investigations
• Sanctions
• Publicity
Together we can stamp out fraud
Together we can stamp out fraud
Current Investigations
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Payroll
Procurement
Timesheet/overtime
Expenses
Sick Pay
Together we can stamp out fraud
Investigation Statistics
Sanctions recommended/accepted (437/380)***
52
103
24
89
Prosecutions (28 since April 2010)
Dismissals
Erasures/Suspensions
Recoveries
*** Since April 2005
Together we can stamp out fraud
NSS Shared Services Programme
“Doing things Once for Scotland”
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Finance
Information and Technology
Legal Services
Counter Fraud Services
Risk Management
Corporate Governance
Facilities and Estate Management
Together we can stamp out fraud