Local Counter Fraud and Corruption Policy

Local Counter Fraud and Corruption Policy Version: 3 Status: Revised April 2015 Title of originator/author: Name of responsible director: Developed/revised by group/committee and Date: Approved by group/committee and Date: Sandra Bell, Senior Local Counter Fraud Specialist Deputy Chief Executive / Executive Director of Finance Policy Review Alignment Group 27 April 2015 Joint Negotiating Consultative Committee 27 April 2015 Policy Review Alignment Group 27 April 2015 Joint Negotiating Consultative Committee 27 April 2015 Effective date of issue: 28 April 2015 Next annual review date: April 2018 Date Equality Impact Assessment Completed Regulatory Requirement: 10 April 2015 NHS Protect Standards for Providers NHS Standard Contract

Trust Policy Foreword South Western Ambulance Service NHS Foundation Trust (SWASFT) has a number of specific corporate responsibilities and obligations relating to patient safety and staff wellbeing. All Trust policies need to appropriately include these. Health and Safety - SWASFT will, so far as is reasonably practicable, act in accordance with the Health and Safety at Work etc. Act 1974, the Management of Health and Safety at Work Regulations 1999 and associated legislation and approved codes of practice. It will provide and maintain, so far as is reasonable, a working environment for employees which is safe, without risks to health, with adequate facilities and arrangements for health at work. SWASFT employees are expected to observe Trust policy and support the maintenance of a safe and healthy workplace. Risk Management - SWASFT will maintain good risk management arrangements by all managers and staff by encouraging the active identification of risks, and eliminating those risks or reducing them to the lowest level that is reasonably practicable through appropriate control mechanisms. This is to ensure harm, damage and potential losses are avoided or minimized, and the continuing provision of high quality services to patients, stakeholders, employees and the public. SWASFT employees are expected to support the identification of risk by reporting adverse incidents or near misses through the Trust webbased incident reporting system. Equality Act 2010 and the Public Sector Equality Duty - SWASFT will act in accordance with the Equality Act 2010, which bans unfair treatment and helps achieve equal opportunities in the workplace. The Equality Duty has three aims, requiring public bodies to have due regard to: eliminating unlawful discrimination, harassment, victimization and any other conduct prohibited by the Act; advancing equality of opportunity between people who share a protected characteristic and people who do not share it; and fostering good relations between people who share a protected characteristic and people who do not share it. SWASFT employees are expected to observe Trust policy and the maintenance of a fair and equitable workplace. NHS Constitution - SWASFT will adhere to the principles within the NHS Constitution including: the rights to which patients, public and staff are entitled; the pledges which the NHS is committed to uphold; and the duties which public, patients and staff owe to one another to ensure the NHS operates fairly and effectively. SWASFT employees are expected to understand and uphold the duties set out in the Constitution. Code of Conduct and Conflict of Interest Policy - The Trust Code of Conduct for Staff and its Conflict of Interest and Anti-Bribery policies set out the expectations of the Trust in respect of staff behavior. SWASFT employees are expected to observe the principles of the Code of Conduct and these policies by declaring any gifts received or potential conflicts of interest in a timely manner, and upholding the Trust zero-tolerance to bribery. Information Governance - SWASFT recognises that its records and information must managed, handled and protected in accordance with the requirements of the Data Protection Act 1998 and other legislation, not only to serve its business needs, but also to support the provision of highest quality patient care and ensure individual s rights in respect of their personal data are observed. SWASFT employees are expected to respect their contact with personal or sensitive information and protect it in line with Trust policy. Page 1 of 19

CONTENTS 1. INTRODUCTION...3 2. SCOPE...3 3. REGULATORY BACKGROUND...4 4. CODES OF CONDUCT...5 5. ROLES AND RESPONSIBILITIES...5 6. THE RESPONSE PLAN...10 7. RECOVERY OF LOSSES DUE TO FRAUD AND CORRUPTION...13 8. REPORTING THE RESULTS OF THE INVESTIGATION...13 9. MONITORING COMPLIANCE AND EFFECTIVENESS...13 10. ASSOCIATED DOCUMENTS...14 APPENDIX A CONTACT DETAILS...15 APPENDIX B - FORM 1...16 APPENDIX C FORM 2...18 APPENDIX D - VERSION CONTROL SHEET...18 Page 2 of 19

Preface South Western Ambulance Service NHS Foundation Trust is committed to reducing the level of fraud and corruption within the NHS to an absolute minimum and keeping it at that level, freeing up resources for better patient care. This policy has been produced by the Senior Local Counter Fraud Specialist Sandra Bell and is intended as a guide for all employees on anti-fraud, bribery and corruption work within the NHS. All genuine suspicions of fraud, bribery or corruption can be reported to the Trust s nominated LCFS, through the NHS Fraud and Corruption Reporting Line (FCRL) on Free phone 0800 028 40 60 or via the online reporting portal at www.reportnhsfraud.nhs.uk. 1. Introduction 1.1 One of the basic principles of public sector organisations is the proper use of public funds. The majority of people who work in the NHS are honest and professional and they find that fraud committed by a minority is wholly unacceptable as it ultimately leads to a reduction in the resources available for patient care. 1.2. NHS Protect is part of the NHS Business Services Authority. NHS Protect leads on work to identify and tackle crime across the health service. The aim is to protect NHS staff and resources from activities that would otherwise undermine their effectiveness and their ability to meet the needs of patients and professionals. Ultimately, this helps to ensure the proper use of valuable NHS resources and a safer, more secure environment in which to deliver and receive care. 1.3. South Western Ambulance Service NHS Foundation Trust does not tolerate fraud, bribery or corruption within the NHS. The aim is to eliminate all NHS fraud, bribery and corruption as far as possible. To meet its objectives, it has adopted the operational framework developed by NHS Protect: Strategic Governance - that supports a zero tolerance approach to wrongdoing; makes this clear to all staff; and monitors, at the very top of the organisation, the effectiveness of the arrangements in place. The Trust will appoint a qualified Local Counter Fraud Specialist (LCFS) to support this commitment. Inform and Involve - through setting clear policies and a code of conduct for all staff; raising awareness of the risks; and liaising with other organisations to develop a shared resistance to wrongdoing Prevent and Deter - through focused assessment of risks in existing systems and processes; audit and review of records; proactive checks of new employees and new service suppliers Hold to Account - through audit of known higher risk areas; investigating allegations and indications of wrongdoing; and seeking maximum punishment and reparation if wrongdoing is shown. 2. Scope 2.1. This policy relates to all forms of fraud, bribery and corruption and is intended to Page 3 of 19

Page 4 of 19 provide direction and help to employees who may identify suspected fraud. It provides a framework for responding to suspicions of fraud, advice and information on various aspects of fraud and implications of an investigation. It is not intended to provide a comprehensive approach to preventing and detecting fraud, bribery and corruption. The overall aims of this policy are to: 2.1.1. Improve the knowledge and understanding of all employees in South Western Ambulance Service NHS Foundation Trust, irrespective of their position, about the risk of fraud, bribery and corruption within the organisation and its unacceptability. 2.1.2. Assist in promoting a climate of opened and a culture and environment where staff feel able to raise concerns sensibly and responsibly. 2.1.3. Ensure the appropriate sanctions are considered following an investigation, which may include any or all of the following: criminal prosecution, civil prosecution or internal/external disciplinary action. 2.1.4. This policy applies to all employees of South Western Ambulance Service NHS Foundation Trust, regardless of position held, as well as consultants, vendors, contractors, and/or any other parties who have a business relationship with South Western Ambulance Service NHS Foundation Trust. It will be brought to the attention of all employees and form part of the induction process for new staff. 3. Regulatory Background 3.1. This policy sets out the Trust s Strategy for dealing with detected or suspected fraud. The Trust endorses the NHS Counter Fraud Strategy as set out in the NHS Commissioning Board s NHS Standard Contract General Conditions currently 2015/2016). 3.2. The Fraud Act 2006 represents an entirely new way of investigating fraud. It is no longer necessary to prove that a person has been deceived. The focus is now on the dishonest behaviour of the suspect and their intent to make a gain or cause a loss. 3.3. The offence of fraud can be committed in three ways: 3.3.1. Fraud by false representation (section 2) lying about something using any means, e.g. by words or actions. 3.3.2. Fraud by failing to disclose (section 3) not saying something when you have a legal duty to do so. 3.3.3. Fraud by abuse of a position of trust (section 4) abusing a position Where there is an expectation to safeguard another person or organisation. 3.4. It should be noted that all offences under the Fraud Act 2006 occur where the act and omission is committed dishonestly and with intent to cause gain or loss. The gain or loss does not have to succeed, so long as the intent is there.

3.5. The Bribery Act received assent in 2010 and repealed previous anti bribery/corruption legislation. It covers the public and private sector. The purpose of the legislation is to simplify the law on bribery and to allow a more effective response to bribery offences that occur either in the UK or abroad. 3.6. The main offences covered by the Act are: 3.6.1. An offence of active bribery (i.e. giving, promising or offering a bribe), which applies in the public or private sector. 3.6.2. An offence of passive bribery (i.e. requesting, agreeing to receive or accepting a bribe), which applies in the public or private sector. 3.6.3. A specific offence of bribing a foreign public official. 3.6.4. A new corporate offence which applies where a corporate or partnership fails to prevent persons performing services on their behalf from paying bribes. 4. Codes of Conduct 4.1. The three fundamental public service values underpinning the NHS and all public service sector work specified by the NHS Code of Conduct are; Accountability: Everything done by those who work in the organisation must be able to withstand public and parliamentary scrutiny; Probity: Absolute honesty and integrity should be exercised in dealing with NHS patients, assets, staff, supplies and customers; Openness: The organisation s activities should be sufficiently public and transparent to promote confidence between the organisation and its patients, staff and the public. 4.2 Duty of Candour: Candour is defined by Robert Francis QC, in the 2013 Mid Staffordshire NHS Foundation Trust Public Inquiry report as: The volunteering of all relevant information to persons who have or may have been harmed by the provision of services, whether or not the information has been requested and whether or not a complaint or a report about that provision has been made. These standards of openness will apply to non-clinical issues unless doing so would breach the Trust s obligations of confidentiality. 4.3. All those who work in the organisation should be aware of, and act in accordance with, these values. 5. Roles and Responsibilities 5.1. South Western Ambulance Service NHS Foundation Trust will take all necessary steps to counter fraud, bribery and corruption in accordance with this policy, the NHS Counter Fraud and Corruption Manual, the policy statement Applying Page 5 of 19

Page 6 of 19 Appropriate Sanctions Consistently published by NHS Protect and any other relevant guidance or advice issued by NHS Protect. 5.2. The Trust Board is responsible for gaining assurance that: 5.2.1 The Trust has adopted and is operating adequate procedures and controls to deter and prevent wrongdoing from occurring, in compliance with the Secretary of State s directions to NHS bodies on counter fraud measures; 5.2.2 Adequate arrangements are in place to ensure that all staff are aware of The standards of personal and professional behaviour expected of them; and that all staff have access to this policy. 5.3. The Audit Committee is responsible for gaining assurance that: 5.3.1 The Trust has appointed a qualified Local Counter Fraud Specialist (LCFS) to lead the drive to maintain and improve the standards and processes for deterring, detecting and investigating wrongdoings; and seek prosecution where wrongdoing is discovered; 5.3.2 The annual counter fraud work-plan is adequate and provides a reasonable balance between raising fraud awareness across the Trust and evaluating the effectiveness of the Trust s counter-fraud systems and controls; 5.3.3 It receives periodical reports from the LCFS on the progress against the Workplan and update of the progress of any investigations; 5.3.4. It receives a formal annual report of the Trust s compliance with the standards set by NHS Protect. 5.4. The Deputy Chief Executive/Executive Director of Finance is the lead for all anti-fraud, bribery and corruption work in the Trust, monitors and ensures compliance with SC24 of the NHS Standard Commissioning Contract and is responsible for: 5.4.1 Ensuring that an annual risk assessment is carried out by the Trust, using the tools provided by NHS Protect; 5.4.2 Managing the continuity of appointment of a qualified LCFS to the Trust; and ensuring that the counter-fraud service continues to be delivered in the event of the departure, or long term absence of the appointed LCFS; 5.4.3 Overseeing the delivery of services from the LCFS; 5.4.4 Providing the relevant required support to the LCFS in any investigations that they carry out. 5.4.5 Depending on the outcome of investigations (whether on an interim/ongoing or concluding basis) and/or the potential significance of suspicions that have been raised, inform appropriate senior management accordingly.

Page 7 of 19 5.4.6 The Deputy Chief Executive/ Executive Director of Finance will inform and consult the Chief Executive in cases where the loss may be above the agreed limit or where the incident may lead to adverse publicity. 5.5. The Head of Procurement will ensure that special regard is paid to the requirements of the Bribery Act, 2010: that all organisations from which services are procured have proportionate controls and checks on their staff to deter and prevent all forms of wrongdoing, including bribery in favour of the Trust and bribery that does not benefit the Trust. 5.6. Individual members of staff are required to: 5.6.1. Act in accordance with the standards laid down by their professional institutes, where applicable, and have a personal responsibility to ensure that they are familiar with them. 5.6.2. Have a duty to protect the assets of South Western Ambulance Service NHS Foundation Trust, including information, goodwill and property. 5.6.3. Comply with all applicable laws and regulations relating to ethical business behaviour, procurement, personal expenses, conflicts of interest, confidentiality and the acceptance of gifts and hospitality. 5.6.4. Avoid acting in any way that might cause others to allege or suspect them of dishonesty. 5.6.5. Behave in a way that would not give cause for others to doubt that South Western Ambulance Service NHS Foundation Trust s employees deal fairly and impartially with official matters 5.6.6. Be alert to the possibility that others might be attempting to deceive. 5.6.7. Ensure that public funds are safeguarded, whether or not they are involved with cash or payment systems, receipts or dealing with contractors or suppliers. 5.6.8. If an employee suspects that there has been fraud or corruption, or has seen any suspicious acts or events, they must report the matter to the nominated LCFS. 5.7. Managers at all levels have a responsibility to ensure that an adequate system of internal control exists within their areas of responsibility and that controls operate effectively. The responsibility for the prevention and detection of fraud, bribery and corruption therefore primarily rests with Managers but requires the co-operation of all employees. As part of their responsibility, Managers need to 5.7.1. Ensuring that procedures to guard against fraud and corruption are followed. They should be alert to the possibility that unusual events or transactions could be symptoms of fraud, bribery and corruption. If they have any doubts, they must seek advice from the nominated LCFS.

5.7.2. Managers must instil and encourage an anti-fraud, anti-bribery and anticorruption culture within their team and ensure that information on procedures is made available to all employees. The LCFS will proactively assist the encouragement of an anti-fraud culture by undertaking work that will raise fraud awareness. 5.7.3. All instances of actual or suspected fraud or corruption which come to the attention of a Manager must be reported immediately. It is appreciated that some employees will initially raise concerns with their Manager. However, in such cases, managers must not attempt to investigate the allegation themselves; they have the clear responsibility to refer the concerns to the LCFS as soon as possible. 5.7.4. Inform staff of South Western Ambulance Service NHS Foundation Trust s code of business conduct and counter fraud, bribery and corruption policy as part of their induction process, paying particular attention to the need for accurate completion of personal records and form. 5.7.5. Ensure that all employees for whom they are accountable are made aware of the requirements of the policy. 5.7.6. Assess the types of risk involved in the operations for which they are responsible. 5.7.7. Ensure that adequate control measures are put in place to minimise the risks. This must include clear roles and responsibilities, supervisory checks, staff rotation (particularly in key posts), separation of duties wherever possible so that control of a key function is not invested in one individual, and regular reviews, reconciliations and test checks to ensure that control measures continue to operate effectively. 5.7.8. Ensure that any use of computers by employees is linked to the performance of their duties within South Western Ambulance Service NHS Foundation Trust. 5.7.9. Be aware of South Western Ambulance Service NHS Foundation Trust s Counter Fraud policy and the rules and guidance covering the control of specific items of expenditure and receipts. 5.7.10.Identify financially sensitive posts. 5.7.11.Ensure that controls are being complied with. 5.7.12.Contribute to their Director s assessment of the risks and controls within their business area, which feeds into South Western Ambulance Service NHS Foundation Trust s and the Department of Health Accounting Officer s overall statements of accountability and internal control. Page 8 of 19

5.8. Local Counter Fraud Specialist (LCFS) 5.9. The NHS Standard Contract for Providers, Service Condition 24, states that the Provider is required to have appropriate Counter Fraud and Security Management arrangements in place. It is a requirement of the NHS Standard Contract that each Health Body has a nominated and accredited Local Counter Fraud Specialist (LCFS). NHS Protect provides the NHS Counter Fraud Manual to both LCFS and Directors of Finance. This details how counter fraud work should be delivered in order to comply with the requirements of the NHS Standard Contract. The LCFS is required to; Page 9 of 19 5.9.1. Regularly report to the on the progress of the investigation and when/if referral to the police is required. 5.9.2. Ensure that the Deputy Chief Executive/Executive Director of Finance is informed about all referrals/cases. 5.9.3. Be responsible for the day-to-day implementation of the NHS Protect operational framework, in particular, the investigation of all suspicions of fraud. 5.9.4. In consultation with the Deputy Chief Executive/Executive Director of Finance; report any case to the police or NHS Protect as agreed and in accordance with the NHS Counter Fraud and Corruption Manual. 5.9.5. Report any case and the outcome of the investigation through NHS Protect s national case management system, FIRST. 5.9.6. Ensure that other relevant parties are informed where necessary, e.g. Human Resources (HR) will be informed if an employee is the subject of a referral. 5.9.7. Ensure that South Western Ambulance Service NHS Foundation Trust s incident and losses reporting systems are followed. 5.9.8. Ensure that any system weaknesses identified as part of an investigation are followed up with management and reported to internal audit. 5.9.9. Adhere to the Counter Fraud Professional Accreditation Board (CFPAB s) Principles of Professional Conduct as set out in the NHS Counter Fraud and Corruption Manual. 5.9.10.Not have responsibility for or be in any way engaged in the management of security for any NHS body. 5.9.11 Ensure that the Deputy Chief Executive/Executive Director of Finance is informed of NHS Protect investigations, including progress updates. 5.9.12.Report any case and the outcome of the investigation to the Risk Manager for inclusion on the Serious Untoward Incident (SUI) register and presentation at the Trust s Serious Untoward Incident Panel.

Page 10 of 19 5.9.13.Liaise on a regular basis with the Risk Management department. 5.9.14.The LCFS shall be responsible, in discussion with the Deputy Chief Executive/ Executive Director of Finance, for informing third parties such as external audit or the police at the earliest opportunity, as circumstances dictate. 5.9.15.The LCFS will not conduct a disciplinary investigation, but the employee may be the subject of a separate investigation by HR. 5.10. Area Anti-Fraud Managers. Each regional Area Anti-Fraud Manager works as part of the NHS Protect operations directorate, whose key objective is to combat fraud, bribery and corruption in the National Health Service. 5.11. Internal and external audit. Any incident or suspicion that comes to internal or external audit s attention will be passed immediately to the nominated LCFS. The outcome of the investigation may necessitate further work by internal or external audit to review systems. 5.12. Human Resources will liaise closely with managers and the LCFS from the outset if an employee is suspected of being involved in fraud, bribery or corruption, in accordance with agreed liaison protocols. HR staff are responsible for ensuring the appropriate use of South Western Ambulance Service NHS Foundation Trust s Disciplinary Policy and procedure. 5.13. The HR department will advise those involved in the investigation on matters of employment law and other procedural matters, such as disciplinary and complaints procedures, as requested. Close liaison between the LCFS and HR will be essential to ensure that any parallel sanctions (i.e. criminal, civil and disciplinary sanctions) are applied effectively and in a coordinated manner. 5.14. HR will take steps at the recruitment stage to establish, as far as possible, the previous record of potential employees, as well as the veracity of required qualifications and memberships of professional bodies, in terms of their propriety and integrity. In this regard, temporary and fixed-term contract employees are treated in the same manner as permanent employees. 5.15. Information Management and Technology - The head of Information Security (or equivalent) will contact the LCFS immediately in all cases where there is suspicion that IT is being used for fraudulent purposes. HR will also be informed if there is a suspicion that an employee is involved. 6. The Response Plan 6.1 If an employee has any of the concerns mentioned in this document, they must inform the nominated LCFS or South Western Ambulance Service NHS Foundation Trust s Deputy Chief Executive/ Executive Director of Finance immediately, unless the Deputy Chief Executive/ Executive Director of Finance or LCFS is implicated. If that is the case, they should report it to the Chair or Chief Executive, who will decide on the action to be taken.

6.2. Form 1, Desktop Guide provides a reminder of the key contacts and a checklist of the actions to follow if fraud and corruption, or other illegal acts, are discovered or suspected. Managers are encouraged to copy this to staff and to place it on staff notice boards in their department. 6.3. Employees can also call the NHS Fraud and Corruption Reporting Line on Freephone 0800 028 40 60. This provides an easily accessible route for the reporting of genuine suspicions of fraud within or affecting the NHS. It allows NHS staff, who are unsure of internal reporting procedures, to report their concerns in the strictest confidence. All calls are dealt with by experienced trained staff and any caller who wishes to remain anonymous may do so. 6.4. Additionally, members of staff are able to report suspicions of fraud, bribery or corruption via the NHS Protect online reporting facility at www.reportnhsfraud.nhs.uk 6.5. Anonymous letters, telephone calls, etc are occasionally received from individuals who wish to raise matters of concern, but not through official channels. While the suspicions may be erroneous or unsubstantiated, they may also reflect a genuine cause for concern and will always be taken seriously. 6.6. The LCFS will make sufficient enquiries to establish whether or not there is any foundation to the suspicion that has been raised. If the allegations are found to be malicious, they will also be considered for further investigation to establish their source. 6.7. Staff should always be encouraged to report reasonably held suspicions directly to the LCFS. You can do this by filling in the NHS Fraud and Corruption Referral Form, Form 2 or by contacting the LCFS by telephone or email using the contact details supplied on Form 1. 6.8. South Western Ambulance Service NHS Foundation Trust wants all employees to feel confident that they can expose any wrongdoing without any risk to themselves. In accordance with the provisions of the Public Interest Disclosure Act 1999, South Western Ambulance Service NHS Foundation Trust has produced a whistle blowing policy, known as Speak Up, Speak Out. This policy is intended to complement South Western Ambulance Service NHS Foundation Trust s counter fraud, bribery and corruption policy and code of business conduct and ensures there is full provision for staff to raise any concerns with others if they do not feel able to raise them with their line manager/management chain. It can be found on the intranet. 6.9. Disciplinary action 6.10. The disciplinary procedures of South Western Ambulance Service NHS Foundation Trust must be followed if an employee is suspected of being involved in a fraudulent or otherwise illegal act. 6.11. It should be noted, however, that the duty to follow disciplinary procedures will not override the need for legal action to be taken (e.g. consideration of criminal Page 11 of 19

Page 12 of 19 action). In the event of doubt, legal statute will prevail. 6.12. Police involvement 6.13. In accordance with the NHS Protect Counter Fraud and Corruption Manual, the Deputy Chief Executive/ Executive Director of Finance, in conjunction with the LCFS, will decide whether or not a case should be referred to the police. Any referral to the police will not prohibit action being taken under the local disciplinary procedures of South Western Ambulance NHS Foundation Trust. 6.14. Managing the investigation 6.15. The LCFS, in consultation with South Western Ambulance Service NHS Foundation Trust s Deputy Chief Executive/ Executive Director of Finance, will investigate an allegation in accordance with procedures documented in the NHS Protect Counter Fraud and Corruption Manual. 6.16. The LCFS must be aware that staff under an investigation that could lead to disciplinary action have the right to be represented at all stages. In certain circumstances, evidence may best be protected by the LCFS recommending to South Western Ambulance Service NHS Foundation Trust that the staff member is suspended from duty. South Western Ambulance Service NHS Foundation Trust will make a decision based on HR advice on the disciplinary options, which include suspension. 6.17. South Western Ambulance NHS Foundation Trust will follow its disciplinary procedure if there is evidence that an employee has committed an act of fraud, bribery or corruption. 6.18. Gathering Evidence 6.19. The LCFS will take control of any physical evidence, and record this in accordance with the procedures outlined in the NHS Counter Fraud and Corruption Manual. If evidence consists of several items, such as many documents, LCFS s should record each one with a separate reference number corresponding to the written record. Note that in criminal actions, evidence on or obtained from electronic media needs a document confirming its accuracy. 6.20. Interviews under caution or to gather evidence will only be carried out by the LCFS, if appropriate, or the investigating police officer in accordance with the Police and Criminal Evidence Act 1984 (PACE). The LCFS will take written statements where necessary. 6.21. All employees have a right to be represented at internal disciplinary interviews by a trade union representative or accompanied by a friend, colleague or any other person of their choice, not acting in a legal capacity in connection with the case. 6.22. The application of the Counter Fraud, Bribery and Corruption Policy will at all times be in tandem with all other appropriate South Western Ambulance Service NHS Foundation Trust policies, e.g. Standing Financial Instructions (SFIs) and Standing Orders (SOs).

7. Recovery of Losses Due to Fraud and Corruption 7.1. The seeking of financial redress or recovery of losses should always be considered in cases of fraud or corruption that are investigated by either the LCFS or NHS Protect where a loss is identified. As a general rule, recovery of the loss caused by the perpetrator should always be sought. The decisions must be taken in light of the particular circumstances of each case. 7.2. Redress allows resources that are lost to fraud and corruption to be returned to the NHS for use as intended, for provision of high-quality patient care and services. 8. Reporting the Results of the Investigation 8.1. The investigation process requires the LCFS to review the systems in operation to determine whether there are any inherent weaknesses. Any such weaknesses identified should be corrected immediately. 8.2. If fraud, bribery or corruption is found to have occurred, the LCFS should prepare a report for the Deputy Chief Executive/ Executive Director of Finance and the next South Western Ambulance Service NHS Foundation Trust Audit Committee meeting, setting out the following details: The circumstances; The investigation process; The estimated loss; The steps taken to prevent a recurrence; The steps taken to recover the loss. 8.3. This report should also be available to South Western Ambulance Service NHS Foundation Trust s Board. 9. Monitoring Compliance and Effectiveness 9.1. The Deputy Chief Executive/Executive Director of Finance and the LCFS will agree annual and specific measures of the effectiveness of this policy. 9.2. As a minimum, the LCFS will report annually on the number and nature of instances of suspected wrongdoing reported. This report will include details of outcomes and consequences to the individuals involved. 9.3. The Deputy Chief Executive/Executive Director of Finance will commission the LCFS to carry out a review, annually at least, of the levels of awareness of this policy and its contents amongst staff. 9.4. The LCFS will, through the annual programme of work, determine the effectiveness of the Trust s controls and other efforts to prevent and deter wrongdoing. 9.5. The results of these audits will be reported in the LCFS annual report to the Page 13 of 19

Audit Committee. Delivery of actions agreed to address weaknesses and lapses identified in the implementation of the policy will be monitored by the Audit Committee. 10. Associated Documents Standing Orders and Scheme of Delegation Standing Financial Instructions Code of Conduct Conflict of Interest Policy Information Governance Policy Disciplinary Policy Speak Up, Speak Out (Whistle blowing) Policy Page 14 of 19

Appendix A Contact Details The Trust s qualified LCFS - Sandra Bell. Audit South-West. Email sandrabell5@nhs.net Telephone 07798 953101 The Deputy Chief Executive/Executive Director of Finance - Jennie Kingston Email Jennie.kingston@swast.nhs.uk Telephone 01392 261503 NHS Protect national fraud free phone hotline Telephone - 0800 028 4060 NHS Protect website - http://www.nhsbsa.nhs.uk/protect.aspx Page 15 of 19

Appendix B Form 1 NHS Fraud and Corruption: Dos and Don ts A desktop guide for South Western Ambulance NHS FOUNDATION Trust FRAUD is the dishonest intent to obtain a financial gain from, or cause a financial loss to, a person or party through false representation, failing to disclose information or abuse of position. CORRUPTION is the deliberate use of bribery or payment of benefit-in-kind to influence an individual to use their position in an unreasonable way to help gain advantage for another. DO note your concerns Record details such as your concerns, names, dates, times, details of conversations and possible witnesses. Time, date and sign your notes. retain evidence Retain any evidence that may be destroyed, or make a note and advise your LCFS. report your suspicion Confidentiality will be respected delays may lead to further financial loss. Complete a fraud report and submit in a sealed envelope marked Restricted Management and Confidential for the personal attention of the LCFS. If you suspect that fraud against the NHS has taken place, you must report it immediately, by: directly contacting the Local Counter Fraud Specialist, or telephoning the Freephone or contacting the Deputy Chief Executive/Executive Director of Finance. DO NOT confront the suspect or convey concerns to anyone other than those authorised, as listed below Never attempt to question a suspect yourself; this could alert a fraudster or accuse an innocent person. try to investigate, or contact the police directly Never attempt to gather evidence yourself unless it is about to be destroyed; gathering evidence must take into account legal procedures in order for it to be useful. Your LCFS can conduct an investigation in accordance with legislation. be afraid of raising your concerns The Public Interest Disclosure Act 1998 protects employees who have reasonable concerns. You will not suffer discrimination or victimisation by following the correct procedures. Do nothing! Do you have concerns about a fraud taking place in the NHS? If so, any information can be passed to the NHS Fraud and Corruption Reporting Line: 0800 028 40 60 All calls will be treated in confidence and investigated by professionally trained staff Your nominated Local Counter Fraud Specialist is SANDRA BELL, who can be contacted by telephoning 07795 953101, or emailing sandra.bell5@nhs.net Page If 16 you of 19 would like further information about the NHS Counter Fraud Service, please visit http://www.nhsbsa.nhs.uk/protect.aspx Protecting your NHS

Appendix C Form 2 NHS Fraud and Corruption referral form All referrals will be treated in confidence and investigated by professionally trained staff Note: Anonymous applications are accepted but may delay any investigation. 1. Date 2. Anonymous application Yes (If Yes go to section 6) or No (If No complete sections 3 5) 3. Your name 4. Your organisation/profession 5. Your contact details 6. Suspicion 7. Please provide details including the name, address and date of birth (if known) of the person to whom the allegation relates. 8. Possible useful contacts 9. Please attach any available additional information. Submit the completed form (in a sealed envelope marked Restricted Management and Confidential ) to Sandra Bell, Senior Local Counter Fraud Specialist Audit South West Counter Fraud Services Level 3c Whitefriars Lewins Mead Bristol BS1 2NT Under no circumstances should this report, which contains personal details, be transmitted electronically. Page 17 of 19

Appendix D Version Control Sheet Version Date Author Summary of Changes 3 12/04/15 Sandra Bell Senior Local Counter Fraud Specialist Policy amended and updated to reflect NHS Protect revised Anti Fraud Strategy and Contact details updated Page 18 of 19