RiskUKDecember2017
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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 />
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