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Fraser Paterson National Counter Fraud Manager NHS Scotland Counter Fraud Services

Fraser Paterson National Counter Fraud Manager NHS Scotland Counter Fraud Services. Agenda. Background – Counter Fraud Services (CFS) Strategy Investigations Future – Public Service Reform. Background - CFS. 2000 - Fraud Investigation Unit established

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Fraser Paterson National Counter Fraud Manager NHS Scotland Counter Fraud Services

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  1. Fraser Paterson National Counter Fraud Manager NHS Scotland Counter Fraud Services

  2. Agenda • Background – Counter Fraud Services (CFS) • Strategy • Investigations • Future – Public Service Reform

  3. Background - CFS • 2000 - Fraud Investigation Unit established • 2003 - Extended Role & Remit approved • 2004 - CFS established • 2013 - Public Service Reform Order

  4. Strategy to Combat NHS Fraud in Scotland • CFS Purpose • Shared responsibility • Culture change • 4D principle

  5. Deter • Fraud awareness roadshows • Fraud awareness presentations • eLearning programme • Website

  6. Disable • Fraud proofing • Workshops • Alerts and Bulletins • Fraud Risk Assessment Methodology “An ounce of prevention is worth a pound of cure” Benjamin Franklin1706 – 1790

  7. Detect • Toolkits • Intelligence • Patient Claims Team • Hotline - powered by Crimestoppers

  8. Deal With • Investigations • Sanctions • Publicity

  9. Current Investigations • Payroll • Procurement • Timesheet/overtime • Expenses • Sick Pay

  10. Investigation Statistics Sanctions recommended/accepted (437/380)*** 52 Prosecutions (28 since April 2010) 103 Dismissals 24 Erasures/Suspensions 89 Recoveries *** Since April 2005

  11. NSS Shared Services Programme“Doing things Once for Scotland” • Finance • Information and Technology • Legal Services • Counter Fraud Services • Risk Management • Corporate Governance • Facilities and Estate Management

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