The NHSCFA is a centre of excellence employing specialists in intelligence, fraud prevention, computer forensics, fraud investigation, financial investigation, data analysis and communications. We provide a range of specialised services to tackle NHS fraud.  The NHSCFA’s departmental sponsor is the Department of Health and Social Care Anti-Fraud Unit (DHSC AFU).

By raising awareness of fraud against the NHS and publicising the work of the NHSCFA, we encourage stakeholders and the public to join the fight against NHS fraud.

Our vision is to work together to understand, find and prevent fraud, bribery and corruption in the NHS. Our purpose is to “protect the NHS from fraud, bribery and corruption”.

According to our latest estimate, the NHS is vulnerable to £1.264 billion worth of fraud each year.

As an intelligence-led organisation, we use a wide range of information to build a more accurate picture of the fraud risks facing the NHS, to inform preventative action and to support investigations.

The NHSCA investigates the most serious, complex, and high-profile cases of fraud, and works closely with the police and the Crown Prosecution Service to bring offenders to justice. Our specialist financial investigators have powers to recover NHS money lost to fraud, and we have a digital forensic computing team who collect and analyse digital evidence.

We develop a range of targeted fraud prevention solutions to address identified fraud risks. This may include reviewing and redesigning whole systems or developing tailored guidance or other solutions. Our aim is to be a digital by default organisation, using technology to make our work quicker, smarter and more data-driven.

By using complex algorithms and data mining tools to identify both normal behaviour and outliers in NHS data, fraudulent behaviour can be found. The resulting analyses are used to support ongoing investigations as well as inform the intelligence picture and guide fraud prevention steps.

More information: https://cfa.nhs.uk/