NHS Counter Fraud Authority
Watch the presentation below and discover how the NHS Counter Fraud Authority leverages Clue to combat the £1.3 billion annual fraud threat facing the national healthcare system.
The NHS Counter Fraud Authority (NHSCFA) operates within the vast and complex landscape of the NHS, which manages a budget of £170-200 billion in England. With an estimated £1.3 billion lost annually to fraud, their work is crucial in safeguarding resources for patient care.
To address this challenge, the NHSCFA coordinates 250-300 counter fraud specialists employed or contracted by individual NHS bodies, navigating a highly decentralised system. Clue plays a pivotal role by standardising how counter fraud activities are recorded across the NHS, ensuring the national team has a comprehensive view of investigations, proactive work, and outcomes.
“Clue is critical to what we do,” said Richard Rippin, Associate Director for Operational Services, NHS Counter Fraud Authority, at Clue Connect Live 2024. “We use Clue to capture every single allegation that is investigated across the NHS, every bit of proactive work that is done, and every single penny of NHS fraud that they detect, prevent and recover.”
This visibility allows the NHSCFA to ensure compliance, share best practice, address areas needing support, and measure financial outcomes – essential for demonstrating the value of counter fraud efforts in a financially stretched NHS. Moreover, the data captured in Clue powers strategic intelligence, helping to identify trends, threats, and weaknesses, and guiding local teams to target their efforts where they are most needed.
In short, Clue is indispensable in enabling the NHS Counter Fraud Authority to effectively combat fraud across the vast UK healthcare system.
“Our implementation of Clue is a significant success story for the NHS Counter Fraud community. We came together to achieve something that transcends our individual organisations, during a time typified by great insecurity.”
The impact of Clue for NHS Counter Fraud Authority
Enhanced fraud detection and investigation: Clue has enabled the recording of thousands of fraud incidents, leading to hundreds of new investigations and stronger support for active cases.
Data-driven intelligence: By surfacing and visualising connections within raw data, Clue provides actionable intelligence that informs investigations and reveals financial impacts amounting to millions of pounds.
Proactive counter-fraud strategies: Clue has advanced proactive counter-fraud efforts, helping organisations recognise warning signs earlier and adapt to evolving threats.
Centralised and secure collaboration: The platform unifies disconnected data across counter-fraud networks, fostering secure, centralised intelligence sharing and collaboration across regions.
Streamlined partnerships: Clue’s interoperability ensures seamless collaboration with external agencies, such as police and prosecution services, enhancing the ability to bring offenders to justice.
“Our strapline is: Spot it, report it, together we stop it. The Clue system embodies this and helps NHSCFA and the NHS counter fraud community identify fraud risks – it supports better reporting and, ultimately, helps us in our work to stop fraud.”
