What is countering fraud bribery, and corruption in the health and social care sector?

Countering fraud, bribery, and corruption in the health and social care sector

Fraud, bribery, and corruption pose significant risks to the integrity and efficacy of the health and social care sector. In this blog, Elsie emphasises that professionals in this field must understand and mitigate these threats effectively.

Key facts and statistics

• In 2023, the NHS Counter Fraud Authority reported detecting over £137 million in fraud within the NHS alone.
• The cost of fraud to the UK health sector is estimated to exceed £1.29 billion annually.
• Bribery and corruption can damage patient care and the trust of healthcare providers.

Relevant legislation, regulations, and best practice

• Legislation - The Bribery Act 2010 and the Fraud Act 2006 are pivotal in combating these crimes.
• Regulations - NHS England's Counter Fraud Strategy and the Care Quality Commission's (CQC) regulatory framework mandate robust anti-fraud measures.
• Best practice - Implementing stringent internal controls, conducting regular audits, and fostering a culture of integrity and transparency are essential.

Understanding the threat

Fraud, bribery, and corruption undermine patient care, diverting resources from frontline services. Instances include fictitious invoicing, kickbacks, and abuse of procurement processes.

Legislative framework

The Bribery Act 2010 criminalises offering, promising, or giving bribes, as well as failing to prevent bribery within an organisation. The Fraud Act 2006 addresses false representation, failure to disclose information, and abuse of position for personal gain.

Regulatory requirements

Organisations must adhere to NHS England's Counter Fraud Strategy, which mandates proactive measures to prevent, detect, and investigate fraud. The CQC ensures compliance through inspections, emphasising the need for robust governance and risk management frameworks.

Best practices for prevention

• Implementing strong policies - Establish clear anti-fraud policies and codes of conduct.
• Staff training - Educate employees on identifying, reporting, and preventing fraudulent activities.
• Risk assessment - Conduct regular risk assessments to identify vulnerabilities and mitigate potential threats.
• Whistleblowing mechanisms - Provide confidential channels for reporting suspicions of fraud or corruption.
• Auditing and monitoring - Regularly audit financial processes and conduct internal investigations where necessary.

Recommendations 

To safeguard against fraud, bribery, and corruption, health and social care organisations should:

• Embrace a zero-tolerance approach to unethical conduct.
• Foster a culture of transparency and accountability.
• Continuously review and update anti-fraud measures in line with evolving threats and regulatory changes.

Conclusion

Countering fraud, bribery, and corruption is a legal obligation and a moral imperative for health and social care providers. Organisations can protect their resources and uphold public trust by adhering to robust legislative frameworks, implementing best practices, and fostering a culture of integrity.

Click here to learn more about how our tailored training courses can equip your staff with the knowledge and skills to effectively combat fraud, bribery, and corruption. 

About the author

Elsie Rodas

Since its inception, Elsie, a vital pillar at LearnPac Systems, has seamlessly crafted and implemented commercial strategies as part of the Senior Management Team, fueling accelerated growth and profitability. With over two decades in various healthcare settings, she possesses deep insights, finely tuning our offerings to meet client needs exceptionally.