MIAA has successfully conducted investigations that have resulted in positive outcomes, with Conditional Cautions being issued to two former NHS employees who admitted submitting fraudulent fit notes.

In June 2026, a former NHS Band 5 Assistant Reporting Accountant employed by a North West NHS Trust admitted to submitting fraudulent fit notes covering the period from 17 June 2024 to 7 October 2024. As a result, the Trust incurred a financial loss of £5,342.

The individual resigned while the Trust’s disciplinary investigation was ongoing. However, following full admissions during a subsequent NHS counter fraud investigation conducted by MIAA, they were issued with a Conditional Caution by their local police force in June 2026.

In a separate case, in July 2026, a former NHS Band 3 Administrator employed by a North West NHS Trust admitted to submitting fraudulent fit notes covering the periods 10 July 2024 to 22 July 2024 and 6 August 2024 to 2 September 2024. The offence resulted in a financial loss of £2,218 to the Trust.

The employee was dismissed following an investigation conducted by MIAA and was subsequently issued with a Conditional Caution by their local police force in July 2026.

Commenting on the cases, Paul McGrath, Anti-Fraud Manager (Investigations) at MIAA, said: “These cases demonstrate that fraud against the NHS will not be tolerated and that such offences carry serious consequences. NHS Counter Fraud investigators will continue to work closely with the police and partner agencies, where appropriate, to protect public funds and ensure those responsible are held to account.”