Counter Fraud Services Sample Clauses

Counter Fraud Services. 4.3.1 CFS will support Health Boards to manage their fraud risks by finding, measuring, risk- assessing and reducing their fraud loss and promoting a counter-fraud culture. The aim of this work is to ensure that NHS funds intended for patient care are used for patient care. 4.3.2 CFS will provide support and facilitation for the DoFs, FLOs and CFCs in their work. 4.3.3 The role of CFS, in partnership with Health Boards, is to: • engage with experts to assess programmes and processes to identify fraud risks and mitigation; • support the creation of a Fraud Annual Action Plan that summarises key actions to improve capability, activity and resilience in that year; • maintain reporting routes for staff, contractors and members of the public to report suspicions of fraud and record these referrals and allegations; • provide trained investigators that meet the agreed public sector skill standard; • undertake activity to try and detect fraud; • provide a range of channels for all NHS staff to access and undertake high quality fraud awareness and training as appropriate to their role; • investigate alleged cases of fraud by staff, patients, primary care practitioners, contractors or suppliers, third parties and to pursue all cases to an appropriate conclusion; • where necessary, undertake directed surveillance and CHIS management in relation to fraud in accordance with RIP(S)A; • provide specialist advice to assist in the formulation of national and UK wide counter fraud policy, regulations and guidance; and • assist in the recovery of resources fraudulently or corruptly obtained from NHS Scotland. 4.3.4 CFS shall provide reporting in accordance with section 7 of this Agreement. 4.3.5 Although CFS forms part of NSS and is accountable to the Chief Executive NSS for governance, the Head of CFS has responsibility for providing advice, support and guidance to Health Boards in the delivery of its counter fraud services. Information concerning work carried out on behalf of a Health Board may only be disclosed out- with the confines of CFS with the express permission of the relevant Health Board. The only exception is where disclosure is necessary to the SGHSCD, or other relevant UK statutory bodies, where they require such as part of policy, operational or legal requirements. In particular, the Crown Office and Procurator Fiscal Service, police or appointed auditor may require such information. Where appropriate, CFS will inform the relevant Health Board when informatio...
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Counter Fraud Services. 4.4.1 CFS will work with the Board to promote an anti-fraud culture among: staff; patients; FHS practitioners; contractors; suppliers; and the wider public who will come to regard fraud against NHS Scotland as unacceptable. CFS delivers prevention, detection and investigation services and provides support and facilitation for the FLO and the CFC in their work.
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Counter Fraud Services. 4.3.1. CFS, in partnership with the Health Boards, will work proactively to be integral in embedding an anti-fraud culture into Scotland’s Health Service and to deliver a health impact by reducing losses from financial crime. The aim of this work is for NHS Scotland staff, patients, FHS practitioners, contractors or suppliers and the wider public to have a knowledge of financial crime and its impact and will come to regard financial crime against NHS Scotland as unacceptable. 4.3.2. CFS will provide support and facilitation for the Counter Fraud Champions in their work. 4.3.3. The role of CFS, in partnership with Health Boards, is to: - undertake a campaign of financial crime deterrence and provide training and education in respect of countering fraud; - undertake the work necessary to disable financial crime; - proactively detect financial crime; - deal with alleged cases of financial crime by staff, patients, FHS practitioners, contractors or suppliers and to pursue vigorously all cases to a conclusion; - where necessary, undertake directed surveillance and covert human intelligence source management in relation to financial crime in accordance with RIP(S)A; - provide specialist advice to assist in the formulation of national and UK wide counter fraud policy, regulations and guidance; - assist in the recovery of resources fraudulently or corruptly obtained from NHSScotland; 4.3.4. Reporting – CFS shall provide reporting in accordance with section 7 of this Partnership Agreement. 4.3.5. Although CFS forms part of NSS and is accountable to the Chief Executive NSS for governance, Director CFS has a professional responsibility to the Accountable Officer of Health Boards for the delivery of CFS’ functions on their behalf, and the provision of subsequent advice. Information concerning work carried out on behalf of a client body may only be disclosed outwith the confines of CFS with the express permission of the relevant Health Board. The only exception is where disclosure is necessary to the SGHSCD, or other relevant, UK Statutory Bodies where they require such as part of policy, operational, or legal requirements. In particular, the Crown Office and Procurator Fiscal Service, Police or appointed auditor may require such information. Director CFS also has the right of access to the Director of Finance and Information, SGHSCD in exceptional circumstances (e.g. those involving allegations against the most senior staff in a Health Board, or cases directly involvi...
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Counter Fraud Services. 4.3.1. CFS, in partnership with the Health Boards, will work actively to promote an anti-fraud culture the aim being that NHS staff, patients, FHS practitioners, contractors or suppliers and the wider public will come to regard fraud against NHSScotland as unacceptable. An overview of CFS’s role, and contact details, is at Appendix II. 4.3.2. CFS will provide support and facilitation for the Counter Fraud Champions in their work. 4.3.3. The role of CFS, in partnership with Health Boards, is to: - undertake a campaign of fraud deterrence and provide training and education in respect of countering fraud; - undertake the work necessary to prevent and detect both primary and secondary care patient exemption fraud on behalf of Health Boards, and to pursue vigorously all cases of suspected fraud to a conclusion; - proactively detect and identify fraud against NHSScotland; - investigate, on behalf of the Health Boards, alleged cases of fraud by staff, patients, FHS practitioners, contractors or suppliers; - where necessary, undertake directed surveillance and covert human intelligence source management in relation to fraud or other financial irregularities in accordance with RIP(S)A; - provide specialist advice to assist in the formulation of national and UK wide counter fraud policy, regulations and guidance; - assist in the recovery of resources fraudulently or corruptly obtained from NHS Scotland; - undertake a biennial measurement of the level of patient fraud/error, delivering proposals for reducing that fraud/error.
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Related to Counter Fraud Services

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