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Responses > Fraud / Irregularity Metrics

Freedom of Information request Fraud / Irregularity Metrics

Response published: 19 September 2025
Finance | Orgainisation

FOI Request

I am kindly requesting the information below, and If any element risks exceeding the FOI cost limit (£450), or contains disclosable personal data, please let me know which parts could be modified or removed to bring the request within the limit. I am happy to accept redacted or summarised information where necessary. For the years 2017-2022, please provide: i) Annual trust-level totals: 1. Referrals to the NHS Counter Fraud Authority (count) 2. Number of suspected fraud incidents 3. Number of proven fraud incidents (disciplinary or criminal) 4. £ value lost (total) 5. £ value recovered (total) Or: i) For each period (monthly is preferred; quarterly is acceptable), please provide: 1. Cases opened (count) 2. Cases closed (count) 3. Closure outcomes – counts by category: [No fraud/irregularity, Management/disciplinary action, Civil recovery pursued Referred for criminal investigation/prosecution, Criminal sanction obtained] 4. Referrals to the NHS Counter Fraud Authority (count) 5. Estimated financial loss/exposure recognised in the period (£) 5. £ value recovered (total) ii) Case-level details (each incident): 1. Date discovered (DD/MM/YY) 2. Discovery method (audit, whistle-blower, analytics, other) 3. Fraud type (procurement, payroll, patient, drug, cyber, other) 4. £ value lost / exposure 5. £ recovered to date iii) Payment practice signal Better Payment Practice Code: percentage of invoices paid later than 30 days, by month. I would be grateful if the information was supplied in CSV format with the organisational code and financial year.

FOI Response

Freedom of Information Request – Ref: FOI 237-2025

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

For the years 2017-2022, please provide:

i) Annual trust-level totals:

1. Referrals to the NHS Counter Fraud Authority (count)
2. Number of suspected fraud incidents
3. Number of proven fraud incidents (disciplinary or criminal)
4. £ value lost (total)
5. £ value recovered (total)

Or:

i) For each period (monthly is preferred; quarterly is acceptable), please provide:

1. Cases opened (count)
2. Cases closed (count)
3. Closure outcomes – counts by category:
[No fraud/irregularity, Management/disciplinary action, Civil recovery pursued Referred for criminal investigation/prosecution, Criminal sanction obtained] 4. Referrals to the NHS Counter Fraud Authority (count) 5. Estimated financial loss/exposure recognised in the period (£) 5. £ value recovered (total)

ii) Case-level details (each incident):

1. Date discovered (DD/MM/YY)
2. Discovery method (audit, whistle-blower, analytics, other) 3. Fraud type (procurement, payroll, patient, drug, cyber, other) 4. £ value lost / exposure 5. £ recovered to date

iii) Payment practice signal

Better Payment Practice Code: percentage of invoices paid later than 30 days, by month.

Our response:

The information you have requested is held by the NHS Counter Fraud Authority, please redirect your request to the following:

How to contact the NHSCFA | Find information on key departments, reporting fraud and general enquiries | NHS Counter Fraud Authority | NHSCFA

Next steps:

Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:

Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk

If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.