Counter Fraud Newsletter - Winter 2025

The assessment offers a comprehensive analysis of fraud, bribery, and corruption affecting the NHS in England.

It includes:

An evaluation of potential threats, vulnerabilities, and factors that enable fraudulent activities Data on reported incidents of alleged fraud, bribery, and corruption targeting the NHS in England A calculation of the estimated NHS funds at risk of being lost due to fraudulent, corrupt, or bribery-related activities

The estimated amount vulnerable to fraud, bribery, and corruption has increased by £50.6 million this year, partly due to the overall growth in the NHS budget. However, when viewed as a percentage of the total NHS budget for 2023-24, the proportion at risk has actually decreased compared to 2022-23. This reduction may be attributed to enhanced counter-fraud measures, such as the ongoing implementation of Real Time Exemption Checking (RTEC) and improved collaboration with stakeholders.

About 86% of the estimated vulnerable funds were associated with four main areas:

Fraud committed by NHS staff

Patient exemption fraud

Procurement and commissioning fraud

Fraudulent access to NHS care by overseas visitors

COUNTER FRAUD | SCRUTTON BLAND | 9 C O U N T E R

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