Agency overview | |
---|---|
Formed | 1 November 2017 |
Preceding agency | |
Jurisdiction | England |
Headquarters | Canary Wharf, London, England |
Employees | 185 (2023/24) [1] |
Minister responsible | |
Agency executives |
|
Parent department | Department of Health and Social Care |
Website | cfa |
The NHS Counter Fraud Authority is a special health authority charged with identifying, investigating and preventing fraud and other economic crime within the NHS and the wider health group, formed on 1 November 2017 under section 28 of the National Health Service Act 2006. [2] It replaces its predecessor NHS Protect, which was part of the NHS Business Services Authority.
As a special health authority focused entirely on counter-fraud work, the Counter Fraud Authority is independent from other NHS bodies and as an arm's length body is directly accountable to the Department of Health and Social Care.
The departmental sponsor is the Department of Health and Social Care's Anti-Fraud Unit, which holds the board to account for the delivery of its strategy. [3]
The mission of the organisation is to lead the fight against fraud affecting the NHS and wider health service, and protect vital resources intended for patient care. It is intended to be the single expert, intelligence-led organisation providing centralised intelligence, investigation and solutions capacity for tackling fraud in the NHS in England. It acts as the repository for all information related to fraud in the NHS and the wider health group, and will have oversight of and monitor counter fraud work across the NHS. [3]
It calculates that £216 million in fraud was “almost certain” and a further £135 million was “highly likely” with around £560 million considered likely. This included £100 million of pharmaceutical contract fraud, £90.6 million payroll and identity fraud and £165 million related to procurement and commissioning. [4]
It had five objectives for 2017–2020:
It aims to identify current and future fraud risks and adapt to emerging threats and issues, meeting head-on the fraud risks affecting the NHS and wider health group. [3]
The organisation's headquarters is at 10 South Colonnade in Canary Wharf, London, [6] with additional offices at Citygate in Newcastle upon Tyne and Earlsden Park in Coventry. [7]
The Department of Health and Social Care (DHSC) is a ministerial department of the Government of the United Kingdom. It is responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the Secretary of State for Health and Social Care with three ministers of state and three parliamentary under-secretaries of state.
NHS National Services Scotland (NSS) is a public body and national health board of NHSScotland.
Monitor was an executive non-departmental public body of the Department of Health, responsible between 2004 and 2016 for ensuring healthcare provision in NHS England was financially effective. It was the sector regulator for health services in England. Its chief executive was Ian Dalton and it was chaired by Dido Harding. Monitor was merged with the NHS Trust Development Authority to form NHS Improvement on 1 April 2016.
The University Hospitals Birmingham NHS Foundation Trust provides adult district general hospital services for Birmingham as well as specialist treatments for the West Midlands.
The Counter Fraud and Security Management Division protects the staff, assets and resources of the National Health Service in England and Wales. Since 1 April 2006 it has been a division of the NHS Business Services Authority, a special health authority of the Department of Health of the United Kingdom. It was formerly known as the NHS Counter Fraud and Security Management Service.
NHS Scotland, sometimes styled NHSScotland, is the publicly–funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland, supported by seven special non-geographic health boards, and Public Health Scotland.
NHS Blood and Transplant is an executive special health authority of the United Kingdom's Department of Health and Social Care. It was established on 1 October 2005 to take over the responsibilities of two separate NHS agencies: UK Transplant, founded by Dr. Geoffrey Tovey in 1972, and the National Blood Service. Its remit is to provide a reliable, efficient supply of blood, organs and associated services to the NHS. Since NHSBT was established, the organisation has maintained or improved the quality of the services delivered to patients, stabilised the rising cost of blood, and centralised a number of corporate services.
The Health Protection Agency (HPA) was a non-departmental public body in England. It was set up by the UK government in 2003 to protect the public from threats to their health from infectious diseases and environmental hazards.
A fraud squad is a police department which investigates fraud and other economic crimes, the largest of which in the United Kingdom is run by the City of London Police.
The California Department of Justice is a statewide investigative law enforcement agency and legal department of the California executive branch under the elected leadership of the Attorney General of California (AG) which carries out complex criminal and civil investigations, prosecutions, and other legal services throughout the US State of California. The department is equivalent to the state bureaus of investigation in other states.
CONTEST is the United Kingdom's counter-terrorism strategy, first developed by Sir David Omand and the Home Office in early 2003 as the immediate response to 9/11, and a revised version was made public in 2006. Further revisions were published on 24 March 2009, 11 July 2011 and June 2018. An Annual Report on the implementation of CONTEST was released in March 2010 and in April 2014. The aim of the strategy is "to reduce the risk to the UK and its interests overseas from terrorism so that people can go about their lives freely and with confidence." The success of this strategy is not linked to total elimination of the terrorist threat, but to reducing the threat sufficiently to allow the citizens a normal life free from fear.
NHS England, formerly the NHS Commissioning Board for England, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012. It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the NHS mandate which specifies the objectives which the Board should seek to achieve. National Health Service Regulations are published each year to give legal force to the mandate.
Shrewsbury and Telford Hospital NHS Trust is the main provider of hospital services for Shropshire, Telford and Wrekin and North Powys. It runs the Royal Shrewsbury Hospital, the Princess Royal Hospital in Telford, Oswestry Maternity Unit, and Wrekin Community Clinic, Euston House, Telford, in Shropshire, England. It is one of a small number of English NHS Trusts which takes patients from over the border in Wales.
Dentistry provided by the National Health Service in the United Kingdom is supposed to ensure that dental treatment is available to the whole population. Most dentistry is provided by private practitioners, most of whom also provide, on a commercial basis, services which the NHS does not provide, largely cosmetic. Most adult patients have to pay some NHS charges, although these are often significantly cheaper than the cost of private dentistry. The majority of people choose NHS dental care rather than private care: as of 2005, the national average proportion of people forced to use private care was 23%. NHS dentistry is not always available and is not managed in the way that other NHS services are managed.
Healthcare in London, which consumes about a fifth of the NHS budget in England, is in many respects distinct from that in the rest of the United Kingdom, or England.
The "Greater Manchester Model" of NHS health care was a system uniquely devolved within England, by way of close integration with the Greater Manchester Combined Authority and local authorities, led by the Mayor of Greater Manchester. In July 2022 the Greater Manchester integrated care system took over responsibility for health and social care in the conurbation. The financial plan for 2022–23 had an initial shortage of £187 million.
In England, a sustainability and transformation plan (STP) is a non-statutory requirement which promotes integrated provision of healthcare, including purchasing and commissioning, within each geographical area of the National Health Service. The plans were introduced in 2016 but by 2018 had been overtaken by progress towards integrated care systems.
In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area. The organisations involved include the NHS, local authorities, voluntary and charity groups, and independent care providers. The NHS Long Term Plan of January 2019 called for the whole of England to be covered by ICSs by April 2021. On 1 July 2022, ICSs replaced clinical commissioning groups in England.
The Health Services Safety Investigations Body (HSSIB) is a fully independent arm's length body of the Department of Health and Social Care. HSSIB came into operation on 1 October 2023. It investigates patient safety concerns across the NHS in England and in independent healthcare settings where safety learning could also help to improve NHS care.
Exercise Cygnus was a three-day simulation exercise carried out by the UK Government in October 2016 to estimate the impact of a hypothetical H2N2 influenza pandemic on the United Kingdom. It aimed to identify strengths and weaknesses within the United Kingdom health system and emergency response chain by putting it under significant strain, providing insight on the country's resilience and any future ameliorations required. It was conducted by Public Health England representing the Department of Health and Social Care, as part of a project led by the "Emergency Preparedness, Resilience and Response Partnership Group". Twelve government departments across Scotland, Wales and Northern Ireland, as well as local resilience forums (LRFs) participated. More than 950 workers from those organisations, prisons and local or central government were involved during the three-day simulation, and their ability to cope under situations of high medical stress was tested.