Local Counter Fraud Specialist

4 weeks ago


Truro, United Kingdom Royal Cornwall Hospitals NHS Trust Full time

NHS organisations are required to have counter fraud arrangements in place to provide added value through the use of counter fraud specialists, LCFS work is primarily to deliver counter fraud investigations and value-added proactive work to a specified organisation which fall into three distinct categories.
Work with senior LCFSs in the development of good governance frameworks to reduce the risk of fraud at organisations, detect fraud pursue relevant sanctions, respond to requests for information, specialist advice and guidance from senior managers and regulators.
Undertake proactive work including educating NHS staff about fraud so that they are able to identify fraud and know how to respond correctly; undertake nationally directed proactive exercises and deliver local proactive exercises.
Undertake criminal investigations complying with the requirements of criminal investigation legislation. Investigations range in complexity and whilst Band 6 LCFS are expected to be able to deal with less complex investigations, Band 7 LCFS may give instruction in respect of more complex issues. The Band 6 LCFS role may involve the preparation of prosecution files for the Crown Prosecution Service. Where appropriate, the post holder will liaise with multiple HR departments, regulators and other organisations where the case includes disciplinary and/or professional conduct matters.

Work with a Senior LCFS to ensure and assist in the development of appropriate governance frameworks in place to reduce the risk of fraud at
organisations to an absolute minimum; ensure that those frameworks provide significant opportunity to detect and be able to prosecute fraud that occurs. The post holder is also required to respond to requests for information, specialist advice and guidance from senior managers and
regulators of the organisations.

Undertake proactive work including (but not limited to) educating staff at the organisations for which they are nominated about fraud so that
they are able to identify fraud and know how to respond correctly; undertake nationally directed proactive exercises and deliver local risk based proactive exercises.

Undertake criminal investigations complying with the requirements of criminal investigation legislation (including but not exclusively, the Police
and Criminal Evidence Act 1984, the Fraud Act 2006, Theft Act 1968, Criminal Procedure and Investigations Act 1996 and the Regulation of
Investigatory Powers Act 2000).

Support the Counter Fraud Manager in the team’s development of fraud risk assessments and service metrics to meet the requirements of the
recently issued NHS Counter Fraud Authority functional standards.

Support the team in the prevention, detection and investigation of fraud, corruption and bribery within the NHS and in the delivery of the
Counter Fraud Service to ASW Assurance’s clients.

Royal Cornwall Hospitals NHS Trust is the biggest provider of healthcare services in Cornwall and the Isles of Scilly. Our three main sites are Royal Cornwall Hospital Truro, St Michael’s Hospital Hayle and West Cornwall Hospital Penzance, our staff and services are available across the region.

The Trust employs 5,000+ staff, has a budget of £380 million and 750 beds. We work with health and social care organisations -including NHS Kernow and NHS England
- to ensure local healthcare needs are met. We provide acute medical, surgical and specialist services to around 500,000- which can increase significantly during busy holiday periods.

The Trust has teaching hospitals status as part of the University of Exeter Medical School. Keeping at the forefront of medical advances, we continually develop clinical services and are committed to maximising the range of specialist care offered locally.

We can offer you a rewarding career in a supportive working environment. We have extensive educational links to help you realise your full potential and develop skills to provide outstanding healthcare to the local community.

Enjoy an outstanding quality of life in a place that offers surfing beaches and fishing harbours to beautiful countryside and historic towns. With clean air, plenty of opportunities for outdoor activities and excellent schools, colleges and universities (including adult education) it is the ideal place for families and for you to develop your own career.

Under the guidance of the Band 7 Senior LCFS, the Band 6 LCFS is responsible for the delivery of all aspects of the operational counter fraud
service to prevent, detect and investigate fraud, corruption and bribery in line with NHS Counter Fraud Authority (NHSCFA) requirements.

As a counter fraud specialist, promote and maintain effective counter fraud arrangements for specified clients in accordance with the NHS
Counter Fraud initiative, with NHSCFA and the Police

To work in partnership with ASW Assurance audit colleagues and other external agencies in the key areas of counter fraud work as set out in
Government Functional



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