Local Counter Fraud Specialist

3 weeks ago

Bristol, United Kingdom University Hospitals Bristol and Weston NHS Foundation Trust Full time

As part of the NHS Contract organisations are required to have counter fraud arrangements in place to provide added value through the use of counter fraud specialists, the purpose of this role is primarily to deliver counter fraud investigations and value-added proactive work to a specified organisation.

Band 6 LCFS report to and are supervised by a specified Band 7 LCFS.

Expectations of the post holder fall into three distinct categories.
1. Work with a specified Band 7 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, advice and guidance from senior managers and regulators of the organisations.
2. 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 exercise
- nder 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 Standard 13 relating to Counter Fraud
- Identify and provide solutions to fraud risks in line with the Government Counter Fraud Profession Fraud Risk Assessment Methodology. Escalate risks in the event of insufficient mitigation and proactively track progress of fraud risk mitigation implementation
- Undertake the role of “Officer in charge” of investigations into less complex allegations and suspicions of fraud against client organisations. Complying at all times with relevant legislation including the Police and Criminal Evidence Act 1984, Criminal Procedure and Investigations Act 1996 and the Regulation of Investigatory Powers Act 2000
- Participate in relevant internal and external working groups and provide project advice, expertise and support where requested

As the main counter fraud service provider to the NHS in the South West, ASW Assurance provides an excellent, value added service, which meets and exceeds the delivery of both national and local NHS counter fraud requirements.

ASW Assurance work is focused to ensure that fraud risks that may prevent the achievement of NHS organisations strategic objectives are kept to a minimum. The counter fraud work is pivotal in ensuring that the organisations specific fraud risks are identified and managed to prevent financial loss and protect the organisation’s reputation. We also deliver specialised security management consultancy services, and can provide a comprehensive, joined up, resilient anti-crime service.

**The Local Counter Fraud Specialist (LCFS) focus is to**:

- Implement and encourage an anti-fraud culture throughout specified organisations
- Provide operational support in delivering the counter fraud message to specified organisations
- Take positive action against fraud, including sanctions against perpetrators and recovery of any monies defrauded
- Participate in local and national proactive exercises
- Although the LCFS will primarily deliver work to a selection of ASW Assurance clients, there may be requirement for them to work across the wider ASW Assurance client group at times
- Meet and exceed the NHSCFA requirements
- Achieve successful outcomes from both criminal and civil proceedings

For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy.

1. 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). 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

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