The Care Quality Commission’s remit focuses on the quality of care provided to people that use services. Its remit does not extend to identifying and tackling fraud against National Health Service providers. However, should it identify any fraudulent activity whether during an inspection, via wider monitoring of services, or via members of the public, it would notify the responsible organisation, including the NHS Counter Fraud Authority.
Where information is received by the NHS Counter Fraud Authority raising a suspicion of fraud committed by those providing contracted services to or on behalf of the NHS, where appropriate, a criminal investigation will be undertaken and prosecution of those suspected of committing fraud sought. Any abuse of systems to perpetrate fraud are reviewed by the NHS Counter Fraud Authority to inform the development of future prevention measures.