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Revealed: Just 1 sanction against a contractor for fraud in 2 years

NHS CFA: Pharmacy owner fraud is estimated to cost the NHS £108m annually
NHS CFA: Pharmacy owner fraud is estimated to cost the NHS £108m annually

Only one pharmacy owner has been sanctioned for committing fraud in two years, C+D can exclusively reveal, undermining government claims about the scale of the issue.

Last year, the Department of Health and Social Care (DH) said it would crack down on alleged pharmacy contractor fraud, which it claimed was “impacting heavily” on the total fraud bill for the NHS.

The NHS Counter Fraud Authority (NHS CFA) estimated that £108 million is lost annually to this fraud, in its 2019 strategic intelligence assessment. However, this statistic should be “treated with low confidence”, it admitted at the time.

C+D sent freedom of information (FOI) requests to the NHS CFA, which revealed that 362 reports of contractor fraud in England and Wales were received by the organisation between January 1, 2017 and June 30, 2019.

However, of these 362 reports, just 34 – less than 10% – were ever “converted into cases”. Even more startlingly, only one of these 34 investigations has so far led to a “successful civil sanction”, which the NHS CFA said was settled outside of court.

In seven of the cases, no fraud was found or proven, and one case was dropped due to insufficient evidence. The remaining 26 are still under investigation.

What were the fraud reports about?

The majority (281) of the reports related to “inappropriate dispensing/enhancing services”, while 31 concerned “activities that contravene the terms of the contractual agreement”, 27 were for “inflation of fees, allowances and reimbursements claimed under the drug tariff” and nine for “market abuse”, which refers to behaviour intended to artificially manipulate the market for gain.

The remaining 14 reports were categorised by the NHS CFA as “other”.

C+D's discovery comes just a month after it reported that the NHS Business Services Authority (NHS BSA) is looking to pay a company £750,000 to combat alleged contractor fraud.

Pharmacy fraud allegations: a recent history

In June, the NHS’s Counter Fraud Authority (NHS CFA) told C+D of plans to step up investigations into fraudulent expenses claims by pharmacy contractors in England.

This followed the DH's 2018 “drive” to uncover pharmacies claiming payments for services they had not carried out.

It claimed at the time that “large-scale scams” by “a minority of pharmacists and dentists”, were “impacting heavily” on the total fraud bill in England.

However, a freedom of information request by C+D later revealed that the DH was unable to provide compelling evidence of large-scale fraud occurring in the sector.

Revealed: Just 1 sanction against a contractor for fraud in 2 years

Interleukin -2, Community pharmacist

Very exciting news! Welldone ! That bit about cervical screening would be something I would be careful about however

A.S. Singh, Community pharmacist

How can they make accusations, then treat with low confidence?

NHS using pharmacists as scapegoats. Someone trying to justify their job it looks like

Ben Merriman, Community pharmacist

Eliza, something I've probably told everyone at C&D before and now it's your turn: you can't confuse the situation with facts, NHS England don't like it.

david williams, Community pharmacist

What did Trump's advisor say "the truth isn't important, as long as you win the rhetoric"

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