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NHS Newcastle Gateshead Clinical Commissioning Group

Clinicians commissioning healthcare for the people of Northumberland

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Newcastle Gateshead CCG

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  • Home
  • About us
    • Counter fraud
    • Executive members
    • Equality and diversity
    • Governing Body members
    • How we work
    • Northern CCG Joint Committee
    • North of Tyne area prescribing committee
    • Our Governing Body
    • Our Integrated Care System and Partnerships
    • Our vision and values
    • Primary care
    • Primary Care Commissioning Committee
    • Safeguarding
    • What is a CCG?
    • Who we work with
    • 360 degree view
  • Get involved
    • Changes to GP practices
    • Deciding together, delivering together (adult mental health services)
    • Health checks for people with serious mental illness
    • How to get involved
      • Visits to local NHS services
    • Involving young people with Special Educational Needs and Disabilities services
    • Listening to you: our past involvement work
      • Mental health services – adults
      • Mental health services – children and young people
      • Reviewing urgent care in Newcastle
    • Long-term conditions patient group
    • My NHS
    • Newcastle Pride
    • Patient participation groups
    • Supporting Primary Care Networks
    • Working with schools and colleges
    • Working with the deaf community
    • Young people’s mental health
    • Your voice, your health
    • You said, we did
  • Your health
    • Care and support planning for long-term conditions
    • Coronavirus (COVID-19)
    • Children and young people
      • Do you need help with your mental health?
      • Free, safe, confidential support for young people
      • Share your experiences
      • Special educational needs and disabilities
      • Supporting wellbeing in schools
      • Under 18? Your healthcare rights
      • Worried about a poorly child?
    • Diabetes prevention
    • Find a service
    • Improving mental health services
    • InformationNOW
    • Need urgent healthcare?
    • Need help with your mental health?
    • NHS continuing healthcare
    • NHS Lung Health Checks
    • Patient choice
    • Personal health budgets
  • News
  • Events
    • Consultation and engagement events
    • Governing Body Meetings
    • Northern CCG joint committee meetings
    • Primary care commissioning committee meetings
  • Documents
    • Accessible information standard
    • Annual reports
    • Committees – terms of reference
    • Constitution and operational plans
    • Freedom of information disclosure log
    • Getting involved
    • Governance guides
    • Governing Body meeting papers
    • Northern CCG joint committee papers
    • Plans and policies
    • Primary Care Commissioning Committee papers
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    • Register of interests
    • Transparency reports
  • Contact us
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Counter fraud

It is estimated that the NHS loses £1.21 billion per year, or roughly £3.3 million per day, to fraud. This is taxpayers’ money that is taken away from patient care and falls into the hands of criminals. This is enough money to pay for over 40,000 staff nurses, or to purchase over 5,000 emergency ambulances.

When we say ‘fraud’, we refer to a range of economic crimes, such as fraud, bribery and corruption or any other illegal acts committed by an individual or group of individuals to obtain a financial or professional gain.

How does the CCG fight fraud?

auditone, the CCG’s counter fraud provider, works closely with the CCG to combat fraud. We have a team of experienced counter fraud specialists delivering a full range of counter fraud, bribery and corruption services including prevention, detection and investigation.

Our professionally qualified counter fraud specialists work to identify potential fraud, bribery and corruption risks through policy and system reviews and suggest remedial action to reduce and mitigate these risks. We are experienced in carrying out timely criminal investigations, from referral to prosecution.

auditone is an NHS consortium providing counter fraud services to 23 NHS and independent health care provider organisations across the North of England. It is hosted by Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust and is a not-for-profit organisation.

Who is the CCG’s counter fraud specialist?

Martyn Tait

Counter Fraud Specialist

    How we help tackle fraud

    The CCG has a suite of policies that focus on staff and organisational behaviour. By following these policies, staff working in or associated with the CCG can help prevent fraud. These policies cover the following areas:

    • Standards of business conduct
    • Gifts and hospitality policy
    • Declarations of interest policy

    Preventing fraud

    The NHS Counter Fraud Authority have produced some useful reference and prevention guidance documents for NHS organisations. There are several fraud reference guides available which cover the following areas:

    • NHS staff – This relates to a person working in, or for, the NHS in any capacity. This includes salaried employees, retired employees receiving an NHS pension, agency staff, trainees, contractors such as GPs, dentists, pharmacists, opticians and their organisations and any other contractors who work for the NHS in the same manner as an employee.
    • NHS patients – This relates to a patient, that is someone obtaining treatment, services or medication from the NHS. It may relate to someone using the NHS (either in the UK or abroad) to obtain medical, dental, optical or pharmacy services.
    • NHS suppliers – This relates to a person or organisation providing goods and/or services to the NHS. This can include contractors (individuals or companies), suppliers, or other organisations.
    • NHS systems – This relates to fraud in relation to financial accounting, performance, incentives or penalties or any other financial issue.
    • Third parties – This relates to a person or organisation not linked to the NHS but trying to gain financially from it. This would include a third party making unsolicited requests for payment from the NHS or someone using an NHS facility to which they are not entitled.

      There are also eight quick guides which covering different types of procurement frauds to aid prevention of these types of fraud:
    • Contract splitting prevention quick guide
    • Contract reviews quick guide
    • Buying goods and services quick guide
    • Due diligence quick guide
    • Suppliers’ code of practice quick guide
    • Mandate fraud quick guide
    • Petty cash fraud quick guide
    • Credit card fraud quick guide

    Contact our counter fraud specialists

    Our counter fraud specialists deal with all reports of suspected fraud in the strictest confidence. You will be informed of the progress of the investigation and you will not suffer any recriminations from voicing reasonably held suspicions.

    Fraud hotline: 0191 441 5936

    Email: counterfraud@audit-one.co.uk

    Alternatively, you can phone the National Fraud and Corruption Reporting Line: 0800 028 40 60

    How to report fraud

    If you suspect fraud is occurring, you can help by reporting your suspicions confidentially to the counter fraud specialist.

    Follow these simple guidelines when reporting your suspicions:

    • Do make an immediate note of your concerns
    • Do deal with the matter promptly if you feel your concerns are warranted
    • Don’t do nothing
    • Don’t be afraid to raise your concerns
    • Don’t approach or accuse individuals yourself
    • Don’t try to investigate the matter yourself

    How to contact a Counter Fraud Specialist

    The CCG’s counter fraud specialist can be contacted via the following:
    Fraud Hotline: 0191 441 5936 Email: counterfraud@audit-one.co.uk

    You can also report suspicions of fraud to the chief finance officer

    Alternatively, you can phone the National Fraud and Corruption reporting line: 0800 028 40 60

    All calls are made in strictest confidence and no attempt will be made to persuade you to provide your personal details if you want to remain anonymous. You will be given a call reference number which you can quote if you phone again with additional information.

    Finally, you can report allegations of fraud online directly to the NHS Counter Fraud Authority at https://cfa.nhs.uk/reportfraud

    Fraud Champion

    Each NHS organisation is required to nominate a fraud champion whose role is to support the counter fraud specialist in promoting awareness of fraud across the CCG. The CCG’s fraud champion is Neil Hawkins, Head of Corporate Affairs, email neil.hawkins@nhs.net.

    Staff should be aware that fraud champions are not authorised to investigate allegations of fraud. Therefore, staff should not report suspicions to fraud champions.

    Useful links

    Fraud Insight newsletter – Insert link to latest newsletter

    Fraud, bribery and corruption policy – Insert link to fraud policy

    Fraud awareness videos:

    • Patient travel claims
    • Fraud by abuse of position
    • Fake Qualifications
    • Invoice Fraud
    • Working whilst sick
    • Timesheet fraud

    Primary Sidebar

    About us

    • About us
      • Counter fraud
      • Executive members
      • Equality and diversity
      • Governing Body members
      • How we work
      • Northern CCG Joint Committee
      • North of Tyne area prescribing committee
      • Our Governing Body
      • Our Integrated Care System and Partnerships
      • Our vision and values
      • Primary care
      • Primary Care Commissioning Committee
      • Safeguarding
      • What is a CCG?
      • Who we work with
      • 360 degree view

    © 2023 - NHS Newcastle Gateshead Clinical Commissioning Group

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