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Anti-Fraud and Corruption

The Clinical Commissioning Group has an Anti-Fraud Team you can contact if you suspect NHS Services are subject to fraud or corruption.

How to Report Fraud

There are a number of ways that you can report any concerns you have concerning the Clinical Commissioning Group. You can report your concerns directly to the Anti-Fraud Team or to the Nominated Anti-Fraud Lead for the Clinical Commissioning Group:

Anti-Fraud Team Contact Details:
Telephone: 02476 536880
Email: antifraudteam@cwaudit.org.uk

Nominated Anti-Fraud Lead for the Clinical Commissioning Group Contact Details:
Telephone: 07774 332 914
Email: caine.black@cwaudit.org.uk or caine.black@nhs.net (secure)

Alternately you can report your concerns to the NHS Counter Fraud Authority, (the National Body responsible for combating fraud and economic crime across the NHS):

Telephone: 0800 028 40 60 (24 hours).
Alternately you can complete the online anonymous reporting form: https://cfa.nhs.uk/reportfraud.

When You Report Your Concerns:

  • All reported concerns will be treated sensitively and in the strictest of confidence.
  • You can report your concerns anonymously.
  • All concerns will be investigated, and where appropriate, the offenders prosecuted. It may be necessary to involve the police in any investigation.
  • Fraud and corruption in the NHS reduces the resources available and can affect the services provided to patients and the quality of care.

Anti-Fraud and Corruption FAQs

What is Fraud?
For an offence to have occurred, the person must have acted dishonestly with the intent of making a gain for themselves or for anyone else, or inflicting a loss (or risk of loss) on another. In January 2007 The Fraud Act came into force and introduced three main fraud offences:

  • False representation
  • Failure to disclose information
  • Fraud by abuse of position

Offences proven under the Fraud Act carry strong sentences on Summary conviction; (Magistrates Court) imprisonment up to a maximum of 12 months or an indictment (Crown Court) imprisonment up to a maximum of 10 years. Fines can also be imposed by either court. When investigating offences against the Clinical Commissioning Group, the Anti-Fraud Team will also rely on other legislation including, the Theft Act 1968, Computer Misuse Act 1990, Criminal Procedure and Investigation Act 1996, and the Police and Criminal Evidence Act 1984, when establishing if an offence has occurred.

What is Bribery?
The Bribery Act reforms the criminal law of bribery, making it easier to tackle this offence proactively in the public and private sectors. In July 2011 The Bribery Act came into force and introduced three main bribery offences:

  • Offering, promising or giving a bribe to another person
  • Requesting, agreeing to receive or accepting a bribe
  • Failure of a commercial organisation to prevent bribery (Corporate Offence)

Corporate Offence is a strict liability offence and an organisation and its senior management can be found guilty of attempted or actual bribery on the organisation’s behalf, if the organisation fails to have in place proper procedures to prevent bribery taking place. Like the Fraud Act the Bribery Act also imposes strong sentences on conviction. The first case has been heard by the Court, and for receiving a £500 bribe the defendant was sentenced to 6 years in prison.

NHS Counter Fraud Authority
The NHS Counter Fraud Authority is a special health authority charged with identifying, investigating and preventing fraud and other economic crime cross the NHS in England. The NHS Counter Fraud Authority is focused entirely on counter fraud work, and is independent from other NHS bodies and directly accountable to the Department of Health. The purpose of the NHS Counter Fraud Authority is to lead the NHS in protecting its resources by using intelligence to understand the nature of fraud risks, investigate serious and complex fraud, reduce its impact and drive improvements. You can find out more about the NHS Counter Fraud Authority by visiting their website.

What should you do if you suspect an offence is taking place?
If you suspect a fraud you must:

  • Make a note of your concerns in as much detail as possible.
  • Note all relevant details, such as what was said, the date and time, names of all parties involved, or a description of individuals involved.
  • If legal to do so, keep a record or copy any documentation that arouses your suspicion.
  • Report your concerns immediately as any delay might cause the Clinical Commissioning Group to suffer further financial loss.

You can report your concerns directly to the Anti-Fraud Team or alternately you can report your concerns to the NHS Counter Fraud Authority (the National Body responsible for combating fraud and economic crime across the NHS in England).

Do not:

  • Investigate it yourself as all evidence must be gathered in a legally admissible manner
  • Confront the individual
  • Convey your suspicions to anyone other than those with proper authority to investigate
  • Do nothing!

What are the types of fraud?

Managers and Staff:

  • Alteration of timesheets or travel expenses
  • Abuse of Trust equipment
  • Working elsewhere whilst sick
  • Misappropriation of funds
  • Making false statements on application forms and references

Professionals:

  • Alterations of records
  • False claims for work
  • Creating ghost patients
  • Private work on NHS time
  • Working elsewhere whilst sick

Patient Fraud:

  • Prescription fraud (altering of prescriptions, wrongfully claiming exemption from fees)
  • Multi registration patients
  • False travel expense claims
  • Overseas visitors claiming to be eligible for NHS services

Contractors and Suppliers:

  • Submission of bogus invoices
  • Price fixing

Compliments, Complaints and Feedback

Coronavirus (COVID-19) including queries about vaccinations

We are receiving a significant number of queries relating to the Coronavirus vaccination programme. Whilst it is appreciated that people are keen to find out more about when and where they can have the vaccine the national advice continues to be:

Wait to be contacted

The NHS will let you know when it's your turn to have the vaccine. It's important not to contact the NHS for a vaccination before then.

www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/coronavirus-vaccine/

We are supporting and directing people to specific local information about the COVID-19 Vaccination which is on the Shrewsbury and Telford Hospital NHS Trust website. 


Complaints

All of our staff work hard to get things right, but sometimes things don’t go as well as we would like them to. We can learn from you to improve services and prevent any future issues.We would also love to hear from you if things went well and if you have any feedback or compliments relating to our services. Please contact us using the details listed below.

Who to complain to?

Where possible, complaints should be raised directly with the organisation which provided your care (the ‘provider’).  They are best placed to investigate and address your concerns and will have access to information such as your medical records. If you do not wish to complain directly to the provider, however, you can choose to raise your complaint with the commissioner of the service.

NHS Shropshire Clinical Commissioning Group is the commissioner for services such as the local hospital trusts, the mental health trust and the community trust.

NHS England is the commissioner of primary care services, including GP services, dental services, optometrists (opticians) and pharmacists.

Information about these services can be found on the Local Services page of this website.

Contact details for the CCG and NHS England complaints teams are listed below. If you are in any doubt about who to contact, please do not worry as you will be re-directed to the right place if necessary.

How do I make a complaint?

NHS England Complaints - contact details

NHS England – for complaints about primary care services, including GP services, dental services, optometrists (opticians) and pharmacists, and prison services.

NHS Shropshire Clinical Commissioning Group Complaints - contact details

For complaints about hospital services, mental health services, community services, please contact us via any of the methods below and we will be happy to help.

  • By post: NHS Shropshire Clinical Commissioning Group, William Farr House, Mytton Oak Road, Shrewsbury, SY3 8XL
  • Telephone: 01952 580407
  • Email: SHRCCG.CustomerCare@nhs.net

Will I be treated fairly?

We understand that some people worry that their treatment might be adversely affected because they have raised a complaint. Please do not worry about this. We also appreciate that those using the services we commission have different needs and we want to make sure that you do not face any unnecessary barriers to raising a complaint. Staff will be happy to discuss this with you to ensure that you are not disadvantaged in any way.

When should I make a complaint?

You should raise your complaint as soon as possible and within 12 months of you becoming aware of an issue. We appreciate that this is not always possible. Therefore, if this time period has passed, we would still like you to speak to us.

How will you deal with my complaint?

We will contact you within three working days of getting your complaint. We will then agree with you how we will look into your complaint and what you can expect. We will also propose a timescale for the completion of the investigation and resolution. After your complaint has been thoroughly investigated, we will send you a full written response from our Clinical Accountable Officer.

I need help to make my complaint, who do I contact?

If you would like help making your complaint including help with writing your letter, you can contact the Independent Health Complaints Advocacy Service. This service is provided by Healthwatch Shropshire and offers free, independent, confidential and professional advice about the NHS complaints process:

What if I am unhappy with the way in which the NHS has handled my complaint?

You can ask the Parliamentary and Health Service Ombudsman to consider it further:

Any information you give us will be treated as strictly confidential. We may need to collect personal information from you in order to provide the best possible service. However, we will not give your personal details to anyone without your consent.

Freedom of Information

The Freedom of Information (FOI) Act 2000 gives people a general right of access to information held by or on behalf of public authorities.

Anyone has the right to ask Shropshire CCG for any information, although there are some exemptions that may prevent it being released.

To make a Freedom of Information request please e-mail: MLCSU.foiteam@nhs.net

You can expect a response within 20 working days.

Further information is available on the Freedom of Information Act - Advice for Organisations - ICO website.

Postal address:
Freedom of Information Officer
NHS Shropshire Clinical Commissioning Group
William Farr House
Mytton Oak Road
Shrewsbury SY3 8XL

General enquiries

Coronavirus (COVID-19) including queries about vaccinations

We are receiving a significant number of queries relating to the Coronavirus vaccination programme. Whilst it is appreciated that people are keen to find out more about when and where they can have the vaccine the national advice continues to be:

Wait to be contacted

The NHS will let you know when it's your turn to have the vaccine. It's important not to contact the NHS for a vaccination before then.

www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/coronavirus-vaccine/

We are supporting and directing people to specific local information about the COVID-19 Vaccination which is on the Shrewsbury and Telford Hospital NHS Trust website. 


NHS Shropshire Clinical Commissioning Group
William Farr House
Mytton Oak Road
Shrewsbury SY3 8XL

Tel: 01743 277500 (main switchboard)

Email: SHRCCG.ShropshireCCG@nhs.net

Please make the topic of your enquiry clear and your email will be directed to the correct place.

Please do NOT send personal information to this mailbox.

GP practices

A list of all GP practices in the Shropshire area is available here: GP practices

Patient Advice and Liaison Service (PALS)

Coronavirus (COVID-19) including queries about vaccinations

We are receiving a significant number of queries relating to the Coronavirus vaccination programme. Whilst it is appreciated that people are keen to find out more about when and where they can have the vaccine the national advice continues to be:

Wait to be contacted

The NHS will let you know when it's your turn to have the vaccine. It's important not to contact the NHS for a vaccination before then.

www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/coronavirus-vaccine/

We are supporting and directing people to specific local information about the COVID-19 Vaccination which is on the Shrewsbury and Telford Hospital NHS Trust website. 


PALS is a free, informal, confidential help and advice service for patients, carers and their families.  It is there to help you when you need advice, have concerns or don’t know where to turn.

All NHS trusts (for example hospitals, community services, mental health trusts) have their own PALS department.  However you can also contact PALS at the CCG with queries relating to any of the above services and you will be offered advice or signposted to the appropriate place.

PALS enquiries relating to primary care services (GP services, dentists, optometrists and pharmacists) should be directed to NHS England.

PALS will:

  • Help you get the information you need about the NHS
  • Listen and respond to your concerns, suggestions or queries
  • Sort out problems quickly on your behalf in an informal and friendly manner
  • Use your feedback to help improve the services that we deliver

How to contact PALS

You can access contact details for local PALS teams as follows:

NHS Shropshire CCG

Address:
NHS Shropshire Clinical Commissioning Group
William Farr House Site
Mytton Oak Road
Shrewsbury 
Shropshire
SY3 8XL

NHS England (for PALS enquiries relating to primary care services): 

Address:

NHS England
PO Box 16738
Redditch
B97 9PT


Any information you give us will be treated as strictly confidential. We may need to collect personal information from you in order to provide the best possible service.  However, we will not give your personal details to anyone without your consent.


 

Press Office

If you are a member of the media and have an enquiry about NHS Shropshire Clinical Commissioning Group please contact the Communications and Engagement Team in the first instance so your query can be directed through quickly to the most appropriate person.

Please note that our Team is currently working remotely so contact us by email on shrccg.communicationsteam@nhs.net

If you have an urgent media call outside normal office hours contact our out of hours communications service on 0333 150 1602.

 

 

Local Health Contacts

Healthwatch Shropshire

Healthwatch is the independent consumer champion created to gather and represent the views of the public in relation to health and social care.  They listen to the local community, hearing about their experiences across Telford & Wrekin and use this feedback to help improve services for everybody.

Shropshire Carer Links

Shropshire Carer Links offers emotional and practical support, advice, information and guidance and a wealth of social and leisure opportunities to ensure carers cope well with their caring role. We support carers of all ages, including young carers, caring for someone resident in Shropshire county.

Shropshire Mind

Shropshire Mind was established in 1974 and provides a wide range of quality services across the county for the one in four people and their families, who are affected by mental and emotional distress. We help to bridge the gap between being unwell and full independence for the people who use our service. Some people need support in many areas of their lives, whilst others in just a few. Some people need support for long periods of time and others for only a short while.

Shropshire Together

Shropshire Together are a collection of partners working to improve the health and wellbeing of people living and working in Shropshire.  Partners include; Shropshire Council, the NHS and other health organisations, the voluntary and community sector, businesses, young people and our communities.

Shropshire Council Adult Social Care

For more information about Adult Social Care, please click here

Powys Mind

Mid and North Powys Mind provides information, support, activities and training to anyone in Mid and North Powys with an interest in mental health and well being.

Powys Association of Voluntary Organisations (PAVO)

PAVO Health and Wellbeing Network

PAVO Health and Wellbeing Network provides a means for voluntary sector organisations and community groups to be better informed and play a more active role in the decision making processes around Health and Social Care in Powys.

PAVO Children & Families Network

PAVO Children & Families network connects third sector organisations with each other, makes links with strategic planning and processes of Children & Young People's Partnership.

Powys Patients’ Council

Powys Patients' Council advocates on behalf of patients on psychiatric wards. It does not take up personal advocacy. The council is an open forum for patients to discuss issues that concern them about their stay in hospital and their aftercare. Call Owen Griffkin on 01597 822191 or email: owen.griffkin(at)pavo.org.uk

Powys Independent Mental Heath Advocacy Service

The Powys Independent Mental Health Advocacy Service provides a free, confidential and independent advocacy service for people with mental health difficulties. It will help you to make sure that your voice is heard in whatever context is appropriate for you, offering support at informal or formal meetings, hearings, assessments, and reviews. Advocates are also trained as Independent Mental Capacity Advocates (IMCAs) to support people who lack the capacity to make certain decisions, according to the Mental Capacity Act 2005.

Rekindle Small Steps Project

Rekindle Small Steps Project works with younger people aged 16 to 25 to offer early intervention for those at risk of mental health problems or those already suffering mental distress such as depression, anxiety or who are self-harming.

Zero Suicide Alliance

The Zero Suicide Alliance (ZSA) is a collaboration of National Health Service trusts, charities, businesses and individuals who are all committed to suicide prevention in the UK and beyond. We are an alliance of people and organisations coming together around one basic principle: Suicide is preventable 


Local Health Providers:

Shropshire Clinical Commissioning Group (CCG) works with many providers of healthcare. Locally they include:

The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust (RJAH) is a leading orthopaedic centre. 

The Shrewsbury and Telford Hospital NHS Trust (SATH) is the main provider of hospital services for nearly half a million people in Shropshire, Telford & Wrekin and mid Wales. This is delivered predominantly at the Princess Royal Hospital and the Royal Shrewsbury Hospital.

Shropshire Community NHS Trust (Shropcom) provides a range of community-based health services for adults and children in Shropshire and Telford & Wrekin. Services range from district nursing and health visiting, to physiotherapy and specialist community clinics.

Midland Partnership Foundation Trust provides mental health, learning disability and specialist children's services across South Staffordshire and mental health and learning disability services in Shropshire, Telford & Wrekin and Powys.

The Royal Wolverhampton NHS Trust is one of the largest acute and community providers in the West Midlands. The trust provides it services from West Park Hospital, New Cross Hospital and Cannock Chase Hospital.

West Midlands Ambulance Service NHS Trust (WMAS) is the regions emergency ambulance service. 

We also work closely with Shropshire Council on health and social care issues.


Other Organisations

This is not an exhaustive list and if you would like your local health organisation included please e-mail the full name of your organisation and a few lines about its role, along with its address and full contact details to: shrccg.communicationsteam@nhs.net.