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Referrals are received from a variety of sources. Where possible all referrals are processed via `fraudinvestigations'. The number of referrals received, their source and the percentage leading to fraud being proven, is monitored.

An Officer may decide to investigate as a result of data matching - no risk assessment is completed. Fraud flag & intervention are put onto IWorld - see Intervention work instruction.

All investigations must be carried out in accordance with the requirements of the Police and criminal Evidence Act (PACE). This is very important particularly where cases may result in prosecution. Surveillance will be carried out in accordance with the corporate RIPA procedure.

Adjudication result received
overpayment entered on FDMS

Report findings to Benefit Officer
and/or DWP for adjudication

Refer back to FO?

Yes

OUTPUT

Processed as normal VF visit on FDMS

VF visit completed

`Additional Info tab' VF visit date completed

No

INPUT
Referral received via `fraudinvestigations' email

Carry out investigations in accordance with CPIA, PACE , HRA etc requirements

Case status set to `allocated for VF visit'

Additional info tab updated
Referral feedback completed

Case status set to `closed not investigated'
Referral feedback completed

No

Yes

VF Visit?

Case status set to `allocated to investigator'

`Additional Info tab' completed
Referral feedback completed
IWorld updated (Fraud Flag & Intervention)

Yes

OUTPUT
Case closed
IWorld updated
Claimant notified

No

Risk assessment completed

`Additional Info tab' referral completed date completed

Case set up on FDMS

Referral imported into FDMS

`Additional Info tab' referral date completed

Status set to `allocated for risk assessment'

Referral for Investigation?

Yes

Fraud found

?

INPUT
Data Matching (HBMS/NFI)

OUTPUT

Sanction?

(See Sanction Procedurs)

No