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Examples of fraud

Below are a few examples of the types of frauds that are being investigated across the NHS throughout England Wales by CFS.

  • Staff
    • 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.
  • Patients
    • 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 of Successful Prosecutions