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Alex Rothwell – Fighting Fraud at the Heart of the NHS
Manage episode 492259070 series 3580268
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Join Thomas for a compelling conversation with Alex Rothwell, CEO of the NHS Counter Fraud Authority, as they delve into one of the UK’s most complex and emotive crime landscapes: fraud in the National Health Service.
From insider threats and procurement scams to multi-million-pound prescription fraud and criminal infiltration of NHS supply chains, Alex shares how his decades in policing and cybercrime now help him protect one of Britain’s most cherished institutions. With the NHS handling over £192 billion a year and employing millions, the scale of the fraud risk is staggering - and so are the strategies to combat it.
Together, they explore how prevention must outweigh prosecution, why many fraudsters don’t set out to offend, and how data, deterrence, and cultural change can help safeguard healthcare. Alex also reflects on the ethical tightrope of risk appetite in public services, and why the goal isn’t perfection, but resilience.
Whether you work in healthcare, law enforcement, or fraud prevention, this episode offers a rare, unfiltered look at how fraud really happens inside the NHS - and what it takes to stop it.
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