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Examples of Fraud

Below are a few examples of the types of circumstances that are considered to be NHS fraud that are being investigated by LCFSs throughout England Wales.


  • Use of false qualification certificates and references in order to gain employment;
  • Claiming for hours not worked;
  • Working whilst off sick;
  • Claiming for travel and other expenses not incurred;
  • Managers obtaining goods and services for personal use;
  • Creation of ghost employees.

GP Contractors

  • Creating ghost patients;
  • Claiming for services provided to ghost employees including production of false prescriptions;
  • Claiming for services not provided (enhanced services);
  • Raising false prescriptions for self-medicating;
  • Accepting bribes to register overseas visitors.

Other Contractors

  • Pharmacists claiming for medication not dispensed;
  • Pharmacists claiming for services not provided;
  • Failure to declare prescription charges collected;
  • Creation of claims for ghost patients – (dentists and opticians)
  • Dentists claiming for higher number of Units of Dental Activity than provided;
  • Optician claiming NHS allowances for individuals who are not entitled.


  • Amending prescriptions to gain additional medication;
  • Gaining multiple registrations with GP’s in order to obtain additional medication;
  • Overseas visitors using false documents in order to gain NHS services;
  • Patients selling their medication.

Newspaper Articles

Express and Star Newspaper

Birmingham Evening Mail


Many more examples of fraud and cases that have been successfully prosecuted can be viewed by visiting www.nhsbsa.nhs.uk/Protect.aspx