NHS Security Management

1. NHS Security Management John Mytton Area Security Management Specialist 20.03.15 Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

2. Crime Against the NHS • Violence • Counter terrorism and emergency preparedness • Criminal damage • Theft • Fraud • Bribery; corruption • Unlawful action (market fixing etc) Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

3. Violence • 2003 NAO estimate: • Work- related health and safety risk incidents, including • incidents caused by exposure to physical and non- • physical violence and aggression, cost the NHS £173 • million per year. • Subsequent report, NAO estimated 40% of this • cost (£69 million) was attributable to physical and non- • physical violence and aggression. Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

4. Violence 2013-2014 Total NHS Staff = 1,141,140 Assaults Involving Medical Factors = 53,484 Assaults Not Involving Medical Factors = 15,199 Total Declared Sanctions =1,649 Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

5. Counter terrorism and emergency preparedness Glasgow Hospital Terrorist Attack Medical Doctor & a PHD Student Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

6. Counter terrorism and emergency preparedness • THREAT LEVEL = SEVERE • AL-Qaeda • Boko Haram • ISIS • IRA • ALF Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

7. Criminal Damage Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

8. Theft Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

9. Theft The great hospital robbery: Defibrillators, baby heart monitors, even beds - thieves are walking out of NHS wards with vital equipment An Estimated £13 - £15 Million worth of equipment every year Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

10. Fraud Fraud = £5bn Financial Error = £2bn Overall Cost to NHS £7bn (Includes £150,000,000 Prescription Fraud) Jim GEE Former head of CFS Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

11. Fraud • Fraud in the NHS is not a victimless crime: • Dishonest payroll and expenses claims • Requisition and ordering fraud such as accepting • bribes from suppliers • Ordering goods and services for personal use, or • falsifying deliveries Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

12. Fraud • Staff using forged or stolen documents to obtain • employment • Patients using false personal details to obtain free • NHS treatment to which they are not entitled • Overseas patients failing to pay for NHS treatment • before they leave the UK. Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

13. Fraud A recruitment consultant who beefed up the CVs and references of applicants without their knowledge, securing them NHS medical locum positions all over the UK, was sentenced today following an investigation by NHS Protect (Isleworth Crown Court, London, 26 February 2015). Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

14. Fraud A Birmingham practice manager who accepted money to register "patients" at a health centre has been sentenced to two years’ imprisonment, suspended for 12 months, at Birmingham Crown Court (19th December 2014). Two NHS managers who masterminded a 5-year procurement fraud worth £229,000 against a health authority in the North West, were jailed for over five years in total at Manchester Crown Court (27th November 2014). Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

15. Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

16. Security Management • NHS Protect Security Management Strategy • Secretary of States Directions • NHS Standard Contract • Health and Safety Executive • Care Quality Commission • ACPO • CPS Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

17. Security Management • NHS Protect Security Management Strategy Inform and Involve those who work for or use the NHS about crime and how to tackle it. NHS staff and the public should be informed and involved with a view to increasing understanding of the impact of crime against the NHS. Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

18. Security Management • NHS Protect Security Management Strategy Prevent and Deter crime in the NHS to take away the opportunity for crime to occur or to re-occur and discourage those individuals who may be tempted to commit crime. Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

19. Security Management • NHS Protect Security Management Strategy Hold to account those who have committed crime against the NHS. Crimes must be detected and investigated, suspects prosecuted where appropriate, and redress sought where possible. Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

20. Security Management Under the NHS Standard Contract for 2015-2016 (currently in draft), all organisations providing NHS services (providers) must put in place and maintain appropriate anti-crime arrangements. Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

21. Security Management • Organisation Crime Profile • Must be submitted within one month of the service • starting. • Provider will be assigned to a category. • Must meet the standards set by NHS Protect in relation • to its identified level of risk. • Copy sent to lead Commissioner Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

22. Security Management Self review tool (SRT) The self review tool (SRT) enables providers to produce a summary of the anti-fraud, bribery and corruption work and of the security management work they conducted over the previous financial year. Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

23. Security Management • Quality Assurance Process • Full Assessment • Focussed Assessment • Thematic Assessment Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

24. Security Management • Full Assessment • Concerns – Internal High Risk Report (HRR) • Mutual Agreement Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

25. Security Management • Full Assessment • Concerns – External High Risk Report (HRR) • HSE • CQC Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

26. Security Management Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

27. Security Management • LSMS Responsibilities • Physical security buildings & Assets • Personal security of staff • CRT • Lone Worker arrangements • Security of medicines • Security of maternity wards • Security of patients property • Reporting security incidents • Liaising with Police/ CDRPs/MAPS Groups Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

28. Security Management • Commissioners should review providers’ • arrangements to make sure they meet the requirements • under the contract. • Commissioners also need to ensure that they have • appropriate anti-crime arrangements in place themselves. • (Currently under review) Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

29. Security Management Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.

30. Questions? Report NHS fraud online at www.reportnhsfraud.nhs.uk NHS Protect is the operating name of the NHS Counter Fraud and Security Management Service which is provided by the NHS Business Services Authority.