healthcare fraud
a coordinated approach to prevention and claims
Your challenges
Fraud costs the UK an estimated £52bn annually. A recent report by BDO suggests that annual NHS losses could be around £7bn. Official statistics show £229m losses from false financial claims by patients and dentists alone. Areas such as payroll and procurement are particularly vulnerable to fraud.
Even with fraud policies and the support of organisations like NHS Protect to prevent opportunistic or systemic fraud, more can be done to reduce its impact.
In a resource-constrained environment we can help you achieve your objectives and balance the sensitivities of the environment you work in, minimise financial loss, reputational damage and prevent resources from being diverted from patient care .
£7bn / Estimated annual cost offraud and mistakes in the NHS
Health sector focused approach
We advise on high value and complex fraud detection, investigation and resolution across the health sector, for both the public and the independent sector.
With over 200 lawyers working for health sector clients, we offer real sector expertise, along with specialists in fraud and related areas including litigation, regulatory enforcement, list management and employment.
This means you get coordinated and commercial advice relevant to your sector, whether you are seeking proactive advice on fraud prevention, need the best result in a high value dispute or regulatory or disciplinary matters.
Issues we can help with
Fraudulent diversion of EU Funding / Misrepresentation and passing off
Theft of intellectual property and data / Employee and insider fraud
Procurement fraud / Mandate fraud
How we help you
Fraud prevention strategy and training to minimise risk of fraud and identify it when it does occur.
Fraud Investigation to help you understand any issues at your organisation.
Seeking resolution through civil litigation – whether that be injunctions, freezing orders, search orders or simply getting your money back – and other measures such as employee disciplinary proceedings, list management and regulatory enforcement.
Managing links with outside parties – be they investigators, forensic experts, police or NHS Protect.
Scale and expertise
This sector expertise, combined with the ability of our litigation team to obtain urgent injunctive relief and our employment team to provide urgent advice on disciplinary proceedings, offers our clients a coordinated approach to prevention and claims.
www.mills-reeve.com T 0844 561 0011
Mills & Reeve LLP is a limited liability partnership authorised and regulated by the Solicitors Regulation Authority and registered in England and Wales with registered number OC326165. Its registered office is at Fountain House, 130 Fenchurch Street, London, EC3M 5DJ, which is the London office of Mills & Reeve LLP. A list of members may be inspected at any of the LLP’s offices.
The term “partner” is used to refer to a member of Mills & Reeve LLP.
Our lead experts on fraud/ Jonathan Nixon
Associate
T +44(0)121 456 8396
Jonathan qualified as a solicitor in 1999. He specialises in resolving complex commercial disputes involving fraud. His recent experience includes investigatinga high valueconspiracy to defraudcommitted bya senior employee and suppliers, spread over a number of years and involving fictitious invoices and secret profits. He also has extensive experience of fraudulent misrepresentation claims, obtaining interim remedies and claims involving directors/senior employees that have breached fiduciary duties/obligations of fidelity by diverting business opportunities,diverting grant monies, unauthorised use ofassets, stealingintellectual property and generally competing unlawfully with their employer.
Legal 500 praises my team’s “city-quality advice” and “credibility on complex disputes.” The independent directory says “Mills & Reeve has seen an increase in fraud investigative work with Jonathan Nixon noted for his fantastic eye for detail”.
/ Richard Dawson-Gerrard
Partner
T +(44)(0)161 234 8797
Richard specialises in resolving commercial disputes. His team excels at getting to grips with the issues quickly and working with its clients to identify the goals and the strategy to achieve them. Richard has extensive experience of dealing with significant fraud issues including:
o Investigation of £28million hole in accounts of brand name sportswear manufacturer
o Investigation of double invoicing fraud against major retail chain and recovery/conviction
o Investigation and settlement of £2million false invoicing fraud for employment agency
o Investigation of trade loading in major PLC
Richard has dealt with many other matters involving fraud from embezzlement to diversion of funds, theft and misuse of confidential information and has regularly both obtained and defended interim injunction applications, including obtaining and supervising search and seize orders. Richard also advises clients on risk strategies and awareness.
Legal 500 describes Richard as a “first rate commercial litigator".
“thoroughly professional and attentive national health team… provides advice specifically tailored to the sector”
Legal 500 2013 – Top tier for Health in London, East Anglia and the West Midlands.
Tier 2 in the North West in the first year since establishing a team in the region
www.mills-reeve.com T 0844 561 0011
Mills & Reeve LLP is a limited liability partnership authorised and regulated by the Solicitors Regulation Authority and registered in England and Wales with registered number OC326165. Its registered office is at Fountain House, 130 Fenchurch Street, London, EC3M 5DJ, which is the London office of Mills & Reeve LLP. A list of members may be inspected at any of the LLP’s offices.
The term “partner” is used to refer to a member of Mills & Reeve LLP.