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News Analysis: Annual Fraud Indicator 2017 and NHSCFA<br />

Mothershaw went on to explain: “Also<br />

interesting is that the report shows pension<br />

fraud is growing in the public sector. While<br />

there are no published figures for the private<br />

sector, it’s understood that fraudsters are<br />

targeting the Pensions Release (where pension<br />

holders, aged over 55, are allowed to withdraw<br />

up to 100% of their pension benefits as a cash<br />

lump sum, income or a combination of both).<br />

It’s worth noting that, while the volume of fraud<br />

is low, the value of fraud losses is high,<br />

suggesting fraudsters are focusing their<br />

attentions on the biggest value areas.”<br />

According to Mothershaw, consumers need to<br />

be very careful of investment opportunities that<br />

are potentially too good to be true. For their<br />

part, pension companies need to ensure their<br />

ID verification tools are both Best in Class and<br />

cost-effective to execute as the Pensions<br />

Release is predicted to continue to grow.<br />

“In the finance sector,” observed<br />

Mothershaw, “plastic card and online banking<br />

fraud continues to increase. A new regulation in<br />

2018, in the form of the Payment Services<br />

Directive 2, will enforce more robust ID and<br />

fraud controls on online payments to address<br />

this. Essentially, it will make it much harder for<br />

a fraudster to use a victim’s payment card<br />

online unless they also gain control of the<br />

individual’s online banking details. The<br />

regulation should result in a significant decline<br />

in plastic card fraud, yielding an increase in<br />

detected and prevented frauds as a result.”<br />

Launch of NHSCFA<br />

In parellel, the new NHS Counter Fraud<br />

Authority (NHSCFA) has been given the<br />

independence it needs to fight and deter fraud,<br />

bribery and corruption that attacks the NHS. It’s<br />

a Centre of Excellence employing specialists in<br />

intelligence, fraud prevention, computer<br />

forensics, fraud investigation, financial<br />

investigation, data analysis and<br />

communications, all of them working together<br />

to detect, reduce and deter economic crime<br />

specifically targeting the NHS.<br />

Having launched last month, the NHSCFA’s<br />

work begins with a focus on five areas. The<br />

organisation will be the single expert,<br />

intelligence-led organisation providing a<br />

centralised investigation capacity for complex<br />

economic crime matters in the NHS, support<br />

the Department of Health’s strategy for tackling<br />

fraudulent activity affecting the NHS, serve as<br />

the body leading and influencing the<br />

improvement of standards in counter fraud<br />

work across the NHS, take the lead in and<br />

encourage fraud reporting across the NHS and<br />

the wider health group and, last but not least,<br />

“The £190 billion cost of fraud represents more than the<br />

UK Government spends on health and defence combined<br />

or all welfare payments excluding pensions”<br />

continue to develop the expertise of staff<br />

working for the NHSCFA.<br />

Sue Frith, interim CEO of the NHSCFA, said:<br />

“As a new, independent, intelligence-led<br />

special health authority, we’re wholly dedicated<br />

to tackling fraud against the NHS in England.<br />

Our creation is good news for the taxpayer, for<br />

patients and for the honest majority working in<br />

and with the NHS. I’m proud to be leading the<br />

new NHS Counter Fraud Authority as we<br />

embark on this fight against the fraudsters who<br />

target the NHS. I’m working alongside our<br />

Board and all of our dedicated staff. We’re<br />

delighted to have full backing across the<br />

Government and the wider NHS and, indeed,<br />

among many other key stakeholders.”<br />

Simon Hughes, interim chairman of the<br />

NHSCFA, added: “Some of the challenges faced<br />

in this work include a limited awareness of<br />

fraud among NHS staff and the significant<br />

under-reporting of fraud. Many people find it<br />

unthinkable that anyone would seek to defraud<br />

money meant for healthcare. Our ability to<br />

counter fraud has a direct impact on healthcare.<br />

Every fraud takes a service away from someone<br />

who needs it. This reality must be faced. We<br />

can all play our part in turning the tide,<br />

ensuring that public money pays for services<br />

the public needs and doesn’t line the pockets<br />

of criminals. We all use the NHS and will all<br />

benefit from securing its resources.”<br />

Hughes went on to state: “Establishing the<br />

NHS Counter Fraud Authority strengthens our<br />

resolve in fighting fraud, bribery and<br />

corruption, protecting healthcare and<br />

supporting the many thousands of dedicated<br />

health service staff, suppliers and contractors.”<br />

The Government’s view<br />

Lord O’Shaughnessy, the health minister,<br />

observed: “Fraud in the healthcare system not<br />

only undermines public confidence in the NHS,<br />

but also diverts valuable resources away from<br />

caring for patients. It’s estimated that<br />

prescription fraud alone costs the NHS<br />

somewhere in the region of £217 million each<br />

year. We created the NHS Counter Fraud<br />

Authority so that, for the first time, there’s a<br />

dedicated NHS organisation designed to tackle<br />

health service fraud and corruption and bring<br />

fraudsters to justice.”<br />

Further information on the NHSCFA is<br />

available online at https://cfa.nhs.uk/<br />

Professor Mark Button BA<br />

(Hons) MA PhD FSyI:<br />

Director of the University of<br />

Portsmouth’s Centre for<br />

Counter Fraud Studies<br />

The NHS Counter Fraud<br />

Authority has been given the<br />

independence it needs to fight<br />

and deter episodes of fraud,<br />

bribery and corruption<br />

9<br />

www.risk-uk.com

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