Counter Fraud Manager

Job summary

Cardiff and Vale Health Board Counter Fraud Service is an in-house provider of specialist counter fraud services to a number of NHS organisations in South Wales. The Counter Fraud Service works closely with these organisations, particularly their senior managers and audit committees, helping them to prevent and detect fraudulent activities to ensure resources are utilised as intended.

The post holder will work within Legal Policies and protocols to effectively lead the Local Counter Fraud service provided by the Health Board. They will be accountable for the overall management and performance of the Finance Directorate's Counter Fraud Department.

The post holder will lead on the development and implementation of the overall counter fraud agenda, providing vision and leadership on all aspects of counter- fraud, bribery and corruption across the organisation and to its clients.

The post holder will be a qualified LCFS and will lead on the detection and investigation of potential fraud issues that arise, as well as developing and implementing the organisation's policies for countering fraud, bribery and corruption.

Main duties of the job

Manage and lead the Counter Fraud Team

Manage the fraud risks across the organisation

Investigate financial crime on behalf of the organisation ensuring that a wide range of sanctions are available and utilised, in order to hold to account those who commit these crimes

Design, manage and implement the Counter Fraud communication strategy for the organisation

Design, manage and implement the Counter Fraud awareness and communication strategy

Be responsible for providing assurance that the Counter Fraud provision is effective and efficient, reporting this to relevant stakeholders both internal and external to the organisation

To create an anti fraud culture across the organisation thus reducing to an absolute minimum financial loss to the organisation as a result of this activity

The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.

About us

Cardiff and Vale University Health Board is one of the largest Integrated Health Boards in the UK, employing over 15,000 staff, providing over 100 specialist services. Working across 6 hospital sites, we have a diverse range of career opportunities to offer. Serving around 500,000 people living in Cardiff and the Vale of Glamorgan, we are focussed on the health and care needs of our local population whilst working with our partners to develop regional services.

Our mission is "Caring for People, Keeping People Well", and our vision is that every person's chance of leading a healthy life should be equal. As an organisation we are unashamedly ambitious for our population's health, rising to the challenges of today and tomorrow through our 10-year strategy, Shaping our Future Wellbeing. We are contributing to a healthier Wales with great emphasis placed on innovation and improvement, learning from around the world and leading the way in clinical research. Partnership working is strong at Cardiff and Vale, and we work closely with our staff and our community.

Cardiff, the thriving Welsh capital, is a fantastic city to live and work in with an abundance of sports, arts and cultural attractions. Situated to the west of Cardiff, the Vale of Glamorgan offers a combination of beautiful Welsh countryside and a dramatic natural coastline. Whether city life or rural living, Cardiff and the Vale offers the best of both worlds.

Job description

Job responsibilities

Management and Leadership To manage the Health Boards Counter Fraud Team resource, ensuring the successful delivery of the organisations and its clients Annual Counter Fraud Work Plan. Ensure that the Counter Fraud Team is proactive and influential in its contribution to the LHBs and client organisations strategic agenda of reinforcing the culture of fraud awareness, probity and control across the Organisations. Lead the Team to ensure a culture of continuous improvement and professional excellence is achieved. Communication and Relationships To communicate sensitively and professionally with anyone reporting a potential fraud, bribery or corruption matter, or who may be the subject of or involved in an investigation. This involves exchanging complex, highly sensitive confidential information which requires developed persuasive, empathetic and/or reassuring skill, often in a highly emotive or hostile environment such as when taking witness statements or conducting an interview under caution. Preparation and submission of detailed prosecution files to the Crown Prosecution Service which comply with all relevant polices and legislation, including the CPS National File Standard. To foster and maintain professional and effective relationships with staff across the Health Board, client organisations and beyond. To provide detailed advice, guidance and support to internal and external contacts, including all staff, contractors, patients and members of the public, on all matters pertaining to NHS fraud, bribery and corruption. To assist and support the intelligence and information gathering systems maintained by the NHS Counter Fraud Service (Wales) and NHS CFA Regularly meet with and provide reports for the Directors of Finance and Audit Committees in order to agree work plans, review performance and provide briefings in relation to active cases. Analytical and Judgement Skills The post holder will be required to make judgements involving the analysis, interpretation and comparison of highly complex situations, facts and evidence often made up of several conflicting components, and consideration of a range of options and their implications. This will require highly developed specialist knowledge across a range of work procedures and practices, underpinned by theoretical knowledge and practical experience. Create reports using internal and external information sources which allow the evaluation of the LHB counter fraud service. Assess, interpret and apply national guidance and local policy in order to ensure counter fraud strategies are compliant. Planning and Organising Prepare and produce the annual Local Counter Fraud Work Plans, ensuring adequate coverage of all aspects required within the Fraud, Bribery and Corruption Standards for NHS bodies, whilst balancing the need for proactive service development and strategic leadership against the reactive demand of operational responsibilities. This will also require the post holder to adjust plans where legislation requirements change. Manage delivery of Plans, making adjustments for changes in local need and in response to changes in national policy, guidance and priorities in order to achieve set duties and responsibilities within available resources. Plan and prioritize own work and that of the Team, ensuring effective support to all areas and delivery of key objectives. Plan, organize and promptly execute the investigation of potential frauds utilizing specialist knowledge and procedures for gathering and documenting evidence in compliance with Police and Criminal Evidence Act 1984, Criminal Procedure and Investigations Act 1996 and all other relevant legislation. To develop long term strategic plans for the Local Counter Fraud service ensuring that the future needs of the Health Board are incorporated and actioned. Policy and Service Development Responsibility for the development and implementation of the Health Board and its clients Counter Fraud Policies and Response Plans. Review and development of all key Organisational Policies, Procedures and Protocols, ensuring that they adequately address the issue of potential fraud, bribery and corruption and are in line with the latest guidelines and best practice. These policies will be applied across the Health Board and client organisations and will apply to all staff. Ensuring that any national policy developments are accurately interpreted and applied locally. This will involve advising organisational executives on changes to legislation and advising on what action is required. Responsibility for representing the Health Board at all-Wales and national groups as required. Responsibilities for Financial and Physical Resources To manage a delegated budget for the counter fraud service, and to work to achieve financial balance and/or surplus within the function. Ensure that robust systems of governance (financial, staff, audit and information) and risk management are in place. To manage the redress element of all investigations undertaken, ensuring the maximum possible reimbursement is sought on behalf of the Health Board in a timely fashion. Responsibility for Human Resources To line manage the Counter Fraud function with responsibility for developing an effective system of performance management, ensuring that all staff within the Counter Fraud Team are working to competencies which are regularly assessed and appropriate to the service in line with Agenda for Change and the Knowledge and Skills Framework. This will include appraisal, personal development and succession / workforce planning. Responsible for the full range of day-to-day management duties including workload allocation, sickness absence, disciplinary and/or grievance matters, recruitment, training etc. as required. Ensure all staff are motivated to deliver high quality services to agreed objectives and are fully engaged in proactive personal development in order to reach their potential. Responsibility for Information Resources The post holder will be responsible for the development and maintenance of departmental information systems capable of facilitating the production of reports and presentations based on a range of information from a variety of sources. Responsible for the maintenance of departmental information systems, and ensuring that the capabilities and functions of the CLUE system are used to their fullest extent in support of the operational management of all investigations undertaken. Responsibility for R&D Responsible for conducting qualitative and quantitative audits and surveys designed to evaluate the impact of the service, and relevant research to inform future service improvements. Ensure an evidence-based approach to policy development and service redesign and consider the outcomes of relevant audit and/or evaluation work on all aspects of the role. Research and ensure that innovation and good practice is adopted within the Counter Fraud function.

Person Specification

Qualifications

Essential

* Accreditation as Counter Fraud Specialist. Equivalent Knowledge / Experience to Professional Accountancy or similar Qualifications or MSC level education

Desirable

Risk Management qualifications

Experience

Essential

Proven experience of managing a team Proven experience of managing risk Proven experience of managing performance, and leading, developing and motivating staff to ensure that targets and key indicators are met. Experience of working within the public sector/NHS showing an operational awareness across a wide range of NHS/Public sector functions procedures and practices

Specialist Knowledge

Essential

Highly developed specialist knowledge and experience of all legislation and procedures applicable to the successful management of criminal, civil and disciplinary investigations and a proven track record in this area Experience of planning and implementing long term strategy Experience of identifying, managing and reducing to a minimum the risks of fraud within a public sector setting

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