Job summary
NHS organisations are required to have counter fraud arrangements in place to provide added value through the use of counter fraud specialists, LCFS work is primarily to deliver counter fraud investigations and value-added proactive work to a specified organisation which fall into three distinct categories.Work with senior LCFSs in the development of good governance frameworks to reduce the risk of fraud at organisations, detect fraud pursue relevant sanctions, respond to requests for information, specialist advice and guidance from senior managers and regulators.Undertake proactive work including educating NHS staff about fraud so that they are able to identify fraud and know how to respond correctly; undertake nationally directed proactive exercises and deliver local proactive exercises.Undertake criminal investigations complying with the requirements of criminal investigation legislation. Investigations range in complexity and whilst Band 6 LCFS are expected to be able to deal with less complex investigations, Band 7 LCFS may give instruction in respect of more complex issues. The Band 6 LCFS role may involve the preparation of prosecution files for the Crown Prosecution Service. Where appropriate, the post holder will liaise with multiple HR departments, regulators and other organisations where the case includes disciplinary and/or professional conduct matters.
Main duties of the job
Work with a Senior LCFS to ensure and assist in the development of appropriate governance frameworks in place to reduce the risk of fraud atorganisations to an absolute minimum; ensure that those frameworks provide significant opportunity to detect and be able to prosecute fraud that occurs. The post holder is also required to respond to requests for information, specialist advice and guidance from senior managers andregulators of the organisations.
Undertake proactive work including (but not limited to) educating staff at the organisations for which they are nominated about fraud so thatthey are able to identify fraud and know how to respond correctly; undertake nationally directed proactive exercises and deliver local risk based proactive exercises.
Undertake criminal investigations complying with the requirements of criminal investigation legislation (including but not exclusively, the Policeand Criminal Evidence Act 1984, the Fraud Act 2006, Theft Act 1968, Criminal Procedure and Investigations Act 1996 and the Regulation ofInvestigatory Powers Act 2000).
Support the Counter Fraud Manager in the team's development of fraud risk assessments and service metrics to meet the requirements of therecently issued NHS Counter Fraud Authority functional standards.
Support the team in the prevention, detection and investigation of fraud, corruption and bribery within the NHS and in the delivery of theCounter Fraud Service to ASW Assurance's clients.
About us
Royal Cornwall Hospitals NHS Trust is the biggest provider of healthcare services in Cornwall and the Isles of Scilly. Our three main sites are Royal Cornwall Hospital Truro, St Michael's Hospital Hayle and West Cornwall Hospital Penzance, our staff and services are available across the region.
The Trust employs 5,000+ staff, has a budget of £380 million and 750 beds. We work with health and social care organisations -including NHS Kernow and NHS England- to ensure local healthcare needs are met. We provide acute medical, surgical and specialist services to around 500,000- which can increase significantly during busy holiday periods.
The Trust has teaching hospitals status as part of the University of Exeter Medical School. Keeping at the forefront of medical advances, we continually develop clinical services and are committed to maximising the range of specialist care offered locally.
We can offer you a rewarding career in a supportive working environment. We have extensive educational links to help you realise your full potential and develop skills to provide outstanding healthcare to the local community.
Enjoy an outstanding quality of life in a place that offers surfing beaches and fishing harbours to beautiful countryside and historic towns. With clean air, plenty of opportunities for outdoor activities and excellent schools, colleges and universities (including adult education) it is the ideal place for families and for you to develop your own career.
Job description
Job responsibilities
Under the guidance of the Band 7 Senior LCFS, the Band 6 LCFS is responsible for the delivery of all aspects of the operational counter fraudservice to prevent, detect and investigate fraud, corruption and bribery in line with NHS Counter Fraud Authority (NHSCFA) requirements.
As a counter fraud specialist, promote and maintain effective counter fraud arrangements for specified clients in accordance with the NHSCounter Fraud initiative, with NHSCFA and the Police
To work in partnership with ASW Assurance audit colleagues and other external agencies in the key areas of counter fraud work as set out inGovernment Functional Standard 13 relating to Counter Fraud
Identify and provide solutions to fraud risks in line with the Government Counter Fraud Profession Fraud Risk Assessment Methodology.Escalate risks in the event of insufficient mitigation and proactively track progress of fraud risk mitigation implementation
Undertake the role of Officer in charge of investigations into less complex allegations and suspicions of fraud against client organisations.Complying at all times with relevant legislation including the Police and Criminal Evidence Act 1984, Criminal Procedure and Investigations Act1996 and the Regulation of Investigatory Powers Act 2000
Participate in relevant internal and external working groups and provide project advice, expertise and support where requested
Provide relevant and timely specialist advice and guidance on own portfolio of projects/function
Work collaboratively with the Counter Fraud team and wider ASW Assurance teams to deliver agreed plans
Job description
Job responsibilities
Under the guidance of the Band 7 Senior LCFS, the Band 6 LCFS is responsible for the delivery of all aspects of the operational counter fraudservice to prevent, detect and investigate fraud, corruption and bribery in line with NHS Counter Fraud Authority (NHSCFA) requirements.
As a counter fraud specialist, promote and maintain effective counter fraud arrangements for specified clients in accordance with the NHSCounter Fraud initiative, with NHSCFA and the Police
To work in partnership with ASW Assurance audit colleagues and other external agencies in the key areas of counter fraud work as set out inGovernment Functional Standard 13 relating to Counter Fraud
Identify and provide solutions to fraud risks in line with the Government Counter Fraud Profession Fraud Risk Assessment Methodology.Escalate risks in the event of insufficient mitigation and proactively track progress of fraud risk mitigation implementation
Undertake the role of Officer in charge of investigations into less complex allegations and suspicions of fraud against client organisations.Complying at all times with relevant legislation including the Police and Criminal Evidence Act 1984, Criminal Procedure and Investigations Act1996 and the Regulation of Investigatory Powers Act 2000
Participate in relevant internal and external working groups and provide project advice, expertise and support where requested
Provide relevant and timely specialist advice and guidance on own portfolio of projects/function
Work collaboratively with the Counter Fraud team and wider ASW Assurance teams to deliver agreed plans
Person Specification
Qualifications
Essential
- oAccredited Local Counter Fraud Specialist
Qualifications
Essential
- oEducated to Bachelors level in relevant subject (or working towards this) or equivalent level qualification or significant experience of working at a similar level in this specialist area
Qualifications
Essential
- oUse of a vehicle for business purposes and holder of a valid full UK driving licence with physical ability to lift and carry documents and equipment necessary for the job
Experience
Desirable
- oDemonstrated experience of delivering projects in complex and challenging environments
Experience
Desirable
- oExperience in using data analysis software and able to evidence its effective use
Person Specification
Qualifications
Essential
- oAccredited Local Counter Fraud Specialist
Qualifications
Essential
- oEducated to Bachelors level in relevant subject (or working towards this) or equivalent level qualification or significant experience of working at a similar level in this specialist area
Qualifications
Essential
- oUse of a vehicle for business purposes and holder of a valid full UK driving licence with physical ability to lift and carry documents and equipment necessary for the job
Experience
Desirable
- oDemonstrated experience of delivering projects in complex and challenging environments
Experience
Desirable
- oExperience in using data analysis software and able to evidence its effective use
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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