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.
- 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.
- 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.
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