Measuring the creation of an anti-fraud culture: the NHS approach

Nolan, Patrick A. T. (2007) Measuring the creation of an anti-fraud culture: the NHS approach. BSc dissertation, University of Portsmouth.

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    The National Health Service (NHS) budget for 2007/08 is £104 billion (HM Treasury, 2007: 15). Although currently unable to confirm the amount of spending which is definitely at risk to fraud recent estimates suggest that annual losses could be anywhere between £76.35 million (Hall, 2006) and £118 million (NAO, 2003b). Preventative, detective and enforcement measures designed to enhance a deterrent effect all feature within the NHS response to the fraud problem yet there is little research which has been conducted that explains how these activities lead to measurable success in creating an anti-fraud culture. The Counter Fraud and Security Management Service (CFSMS) is an independent division of the NHS Business Services Authority (BSA) with the Counter Fraud Service (CFS) responsible for the direction given to the NHS counter fraud effort. This research examines the perception of CFS employees as to how best the organisation might measure any success in creating an anti-fraud culture, with the research methodology consisting of questions put to those who are collectively responsible for delivering counter fraud work throughout England and Wales. The research analysis and discussion are located within the strategic approach of the CFS which is at the heart of all anti-fraud activity conducted by the NHS. Themes within the research findings are examined against the strategy and it is argued that relevant observations can be made to inform a developing hypothesis that, due to numerous difficulties in measuring culture change, alternative measurement exercises based on clear aims and objectives might best indicate whether an anti-fraud culture is being created.

    Item Type: Dissertation
    Departments/Research Groups: Faculty of Humanities and Social Sciences > Institute of Criminal Justice Studies
    Depositing User: Jane Polwin
    Date Deposited: 20 Jan 2011 12:47
    Last Modified: 28 Jan 2015 11:13

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