Sector: Health – NHS
Offence Type: Fraud by false representation (Fraud Act 2006, s2)
Outcome: Guilty plea, compensation order, repayment plan via the courts
A senior interim HR professional was engaged by an NHS Foundation Trust in late 2023 in a Band 8C role. In April 2024, the individual moved onto a six-month fixed-term contract at the same senior level, with an annual salary in excess of £81,000.
During their notice period, the individual reported sickness absence and informed the Trust that they were dealing with the recent death of their mother, including providing details of a funeral. As a result, they were absent from work and submitted a series of medical fit notes covering their notice period.
Initial Concerns and Referral
In May 2024, concerns were escalated to the NHS Counter Fraud Service following intelligence received during a reference check suggesting the individual had commenced a new role while still employed by the Trust.
Investigation Findings
Enquiries carried out by TIAA to investigate the case, established that the individual had started a full-time role with a local authority while claiming sick leave. Further checks confirmed that the claim regarding a family bereavement was false.
The individual later made full admissions to providing false information and working elsewhere while signed off sick.
Financial Impact
The investigation identified a salary overpayment of £2,258.25.
Criminal Proceedings and Outcome
The individual pleaded guilty to three offences of fraud by false representation. The court ordered repayment of £2,008.25 and investigation costs of £4,949.00, totalling £6,948.25, to be repaid via the courts.
Why This Matters
Fraud against public services diverts vital resources away from frontline delivery. This case demonstrates how false claims of sickness and personal bereavement can amount to criminal fraud, even after an individual has left employment.
It reinforces that fraud will be investigated regardless of seniority and that public funds can be recovered through criminal proceedings.
How TIAA Can Help
TIAA supports public sector organisations to prevent, detect, and respond to fraud and financial crime. Our specialist counter fraud teams provide end-to-end support, helping to protect public funds and uphold trust and integrity.
If you would like to find out more about how to help protect your organization from fraud contact our specialist fraud team.