East Sussex Counter Fraud Hub Fraud Strategy Contents Purpose of the Strategy 3 Aims and Objectives 3 Risks and Risk Management 4 Approach 6 Outcomes 8 Monitoring Performance 8 2 Purpose of the Strategy The purpose of the Fraud Strategy is to: 1. set out the aims and long term vision of the East Sussex Counter Fraud Hub (ESCFH) 2. outline the approach of the Hub; and 3. outline the expected outcomes along with a. how we intend to achieve this. b. how we intend to monitor this. The Strategy is supported by the ESCFH Policy Statement and ESCFH Work Plan. The document also sets out the current position with regards to areas of strength and opportunities for further development, as well as key external factors impacting on the risk of fraud occurring. It also identifies key fraud risk areas and the proposed direction and key areas of focus for the Hub Service over the coming five years. Aims and Objectives The overall aim of the ESCFH is to protect the participating Councils’ resources and have a shared approach to fraud across the District, Borough and County Councils. The Strategy sets out the core objectives for ESCFH. Its aim is to ensure the best use of resources for maximum gain, both in performance and in achieving value for money, to deliver a fairer future for all in East Sussex. This strategy also aligns to the National Fraud Authority’s Strategy1 for fighting fraud locally, the core principles of which are: • • • Acknowledge Prevent Pursue 1 The NFA Fraud Strategy – Fighting Fraud Locally Published 2012. Acknowledge Local government must acknowledge and understand its fraud risks if it is to tackle fraud effectively. Prevent • Assess current and future risks • Needs to be cultural change • An increase in fraud awareness • Annual fraud report and central collection of fraud data • Improved sharing of fraud threats, information and intelligence • Fraud proofing of policy and processes 3 Preventing fraud is the most efficient way to reduce fraud loss. Local government can do more to stop fraud happening. Pursue Not all fraud can be prevented. Where fraud does occur, local government must be better equipped to punish fraud and recover losses. • Prevention on application and verification of circumstances • Staff and supplier vetting • Sharing knowledge of known fraud • Better use of data and technology to prevent and detect fraud • Need a more consistent and supportive police response • Local Authorities must have the capacity and capability to investigate and prosecute fraud • Need a consistent and more effective response for dealing with fraud cases • Stronger powers for investigating and sanctioning fraud These principles have been focused towards key objectives for the ESCFH which are: • establish a hub drawing on the extant fraud teams in each of the partner authorities to share data and develop a joint work programme; • develop a comprehensive training programme to ensure appropriate expertise in new areas of work and leading to professional accreditation where not already held; • share software and hardware to enhance data analysis and data sharing; • develop a joint communication and publicity strategy, including internal and external fraud awareness campaigns; • establish links with other potential partners across the county and build on the work of the Sussex Tenancy Fraud Forum; • provide additional resources for authorities where necessary, within funding limitations. Risks and Risk Management Some of the key fraud risk areas2 across the public sector have been identified as follows: Council Tax fraud - The most prevalent occurrence in respect of Council Tax is in respect of fraudulent discounts and exemptions being obtained, 4 and income therefore being lost. The most frequently obtained are Single Person Discount (SPD), second home ownership, student occupancy, nonoccupancy, new builds and properties deemed unfit for habitation. Council Tax Reduction Fraud – This occurs when somebody makes a false statement on their claim form or has fails to report any changes in their circumstances Non Domestic Rate Fraud – Fraud is committed by a business when they falsely claim mandatory or discretionary rate relief or empty property exemptions. Or fail to declare occupancy of a property. Or falsely claim insolvency status to evade payments and do not disclose relevant information about the company to gain rate relief. Housing Tenancy fraud - Housing tenancy fraud is the use of social housing by an individual who is not, or is no longer entitled to it, including submission of a false housing application, unlawful sub-letting, right to buy fraud, assignment fraud and tenancy succession fraud. Abandonment of properties will be investigated. Procurement fraud – This area covers all aspects of the purchasing of goods and services, including the tender and contractor selection process, through to fraud occurring during the lifetime of the contract. This will also consider changes to bank details, as an emerging risk for the payment process. Grant fraud - A number of grants are paid to individuals, businesses, charities and not for profit organisations, as well as grant in aid to Non Departmental Public Bodies, with differing levels of risk associated with the types of organisation receiving funds. Blue Badge Fraud – There are two categories of fraud in this area Abuse of badges: This includes using a counterfeit badge, using a lost or stolen badge and using the badge of a deceased person. Misuse of genuine badges: This means using the badge when the holder is not present. Personal Budgets – Whilst recognising the benefits that may be realised from introducing packages tailored to the needs of the individual, there needs to be robust assessment and monitoring mechanisms in place to ensure that vulnerable individuals are not subject to fraud. Payroll and Recruitment fraud - Payroll frauds can include unauthorised changes to payroll systems, such as creation of false payroll records, changing bank details or overtime and allowances to be paid to an individual. Recruitment fraud occurs when an individual submits false information in order to gain employment, either through providing false 5 references, qualifications, employment history or right to work in the UK. New and emerging fraud risks are considered on an ongoing basis through liaison with operational management, Internal / External Audit within each organisation, relevant partner organisations and colleagues in other public sector organisations, as well as through reference to relevant publications. 2 Protecting the Public Purse 2014 Approach The approach undertaken by ESCFH will incorporate both proactive and reactive anti-fraud work. The key action areas as regards proactive and reactive work are set out below and elaborated in the table below: Proactive • • • • Reactive Culture Awareness Deterrence Prevention Area of Action Culture • • • • Approach • • • • • Awareness Detection Investigation Sanction Recovery • promote ethical behaviour and raise fraud awareness. promote a zero tolerance approach towards fraud which ensures dishonesty is dealt with firmly and consistently across the county. promote efficiencies through collaborative, partnership and regional partnership working to tackle fraud. ensure that staff have a safe and trusted environment in which to raise concerns with management. raise citizen awareness of the social and financial costs of fraud and encourage them to use reporting hotlines. share information and good practice between ESCFH, Proposed Outcome • increased reporting of cases. increased awareness of processes and procedures throughout the organisation. • increased levels of antifraud awareness. • 6 • • Deterrence • • • Prevention • • • Detection • • Investigation • Sanction • • within statutory guidelines, in the interest of preventing and detecting fraud. This will include continuing to undertake statutory data matching. develop a joint communication and publicity strategy, including internal and external fraud awareness campaigns communicate activities to promote anti-fraud awareness. publish that the Authorities within East Sussex will not tolerate Fraud and will work together to actively deter potential fraudsters. develop and deliver fraud awareness training to all employees of participating councils work together to create and implement robust pro-active and re-active fraud drives to mitigate opportunities for fraud and corruption on an ongoing basis introduce intelligence gathering and sharing across authorities undertake joint working and shared resources constantly keep under review key fraud risks so that fraud exposure is minimised. minimise fraud risk across the County through the effective provision of advice and support develop a comprehensive training programme conduct professional investigations in line with the changing statutory environment and requirements. share resources within Hub each authority to conduct • reduced elapsed time for identification of fraud. • reduction in fraud, error and corruption throughout the County. • reduced losses per case through the timely detection of instances of fraud. • successful use of sanctions and/or prosecution. • achievement of recovery 7 • Recovery • management reviews of each investigation to determine appropriate sanctions. ensure that each authority has access to the full range of sanctions available against fraudsters enhance the efficacy of the Hub through maximising and reinvesting losses recovered. • targets. Sanctions as a percentage of cases investigated. • recovery of fraud losses increased. • Fraud losses recorded with a percentage reinvested in the Hub where applicable. • Outcomes The Hub estimates the levels of financial savings as follows: (Based on Table 3: Protecting the Public Purse 2013 - Estimates annual loss to fraud in local government – Protecting the Public Purse 2013) Description of financial saving Estimated financial saving (£,000) 2015/16 2016/17 2017/18 2018/19 2019/20 Procurement fraud 500 1,000 750 750 500 Social Housing tenancy fraud 500 1,000 750 750 500 Right to Buy fraud 75 150 75 75 75 Council Tax Reduction fraud 50 100 75 75 50 Council Tax Discounts fraud 100 200 150 150 75 NNDR fraud 50 100 75 75 50 Grant fraud 5 10 7 7 5 Blue Badge fraud 10 20 15 15 10 Total financial savings 1,290 2,580 1,897 1,897 1,265 Monitoring Performance The work on this Strategy and overall performance of the ESCFH will be monitored against the outcomes set out. Reporting on performance will 8 be made to Senior Management and the Audit and Governance Committee within each Authority and DCLG. As part of continuous improvement programme, targets will be revised on an annual basis. An annual review of the strategy and work plan will be made. The Hub will then be able to spend more time proactively looking for fraud rather than working mainly on referrals. The Hub will also be able to work alongside the Internal Audit function to identify and remedy weaknesses in controls and processes. 9
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