Stopping fraud against the NHS: new plans announced

The government has announced how it will take tougher action on fraud and save hundreds of millions of pounds for the NHS over the next 5 years, increasing the money available for improving patient care.

The plans were announced by Health and Social Care Secretary Matt Hancock.

The new approach will start with a commitment to halve prescription fraud, which costs the NHS £256 million a year.

Prescription exemptions will be digitised, allowing pharmacies to check whether the patient does not have to pay charge before their medication is dispensed. This will be piloted next year, before being rolled out across the NHS.

The focus on prescriptions is one aspect of a wider crackdown on NHS fraud, which will prevent up to £300 million being lost to fraud by April 2020. This is part of the government’s commitment to ensuring public finances are managed responsibly and that every penny invested goes towards improving care.

Further measures being introduced to stop fraud include:

  • a new partnership between the NHS Counter Fraud Authority (NHSCFA) and the fraud prevention service Cifas, allowing NHS counter-fraud professionals to access Cifas data
  • more collaboration and data sharing between the NHS Business Services Authority and NHSCFA to identify the small number of pharmacists and dentists claiming payments for services they have not carried out
  • the introduction of a new counter-fraud profession in central government, bringing together around 10,000 counter-fraud specialists, including 400 focused on fraud in the NHS
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