A critical exploration of local influences on the effectiveness of the NHS counter fraud strategy

Yates, Allan (2011) A critical exploration of local influences on the effectiveness of the NHS counter fraud strategy. MSc dissertation, University of Portsmouth.

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    Abstract

    The overall aim of this dissertation is to critically explore the nature and extent of influences on the local delivery of the National Health Service (NHS) counter fraud strategy. Despite the promotion of a robust and holistic strategy to counter fraud in the NHS, its delivery by Local Counter Fraud Specialists (LCFS) is largely fragmented, where appointment of their services to the array of authorities and trusts that make up the NHS, is subject to a number of stakeholder influences which ultimately, have the potential to hinder effective delivery of the strategy.

    This dissertation explores stakeholder views and practices regarding implementation of counter fraud initiatives locally and the extent that each impedes successful delivery of the strategy. Through a multi-method triangulation approach, this research combines available literature with empirical research, by integrating questionnaires issued to 268 LCFS across England and Wales, with interviews conducted with a range of stakeholders who each have a vested interest in managing, facilitating or delivering elements of the counter fraud strategy.

    This research identifies a number of significant factors; most notably, that a vast number of LCFS find themselves unable to effectively deliver all elements of the strategy and that the role itself is too wide. Additionally, the influence of Human Resources, Audit Committees and Directors of Finance are deemed to be significant, as well as the overarching body responsible for countering fraud – the Counter Fraud and Security Management Service.

    It is concluded that, in its current form, the infrastructure in place to counter fraud in the NHS fails to adequately address the significance and ability of such influences on the counter fraud strategy, and if allowed to continue without remedy, it is likely that the NHS will be continue to remain susceptible to fraud.

    Item Type: Dissertation
    Departments/Research Groups: Faculty of Humanities and Social Sciences > Institute of Criminal Justice Studies
    Depositing User: Jane Polwin
    Date Deposited: 19 Dec 2011 13:09
    Last Modified: 28 Jan 2015 11:50
    URI: http://eprints.port.ac.uk/id/eprint/5678

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