Counter-Fraud
Prison pharmacy services — medicines lifecycle
- Sector
- NHS / offender healthcare
- Scale
- ~4,000 staff, multi-site custodial
- Role
- Engagement lead
- Reporting
- Audit & Risk Committee
Led a counter-fraud engagement assessing the end-to-end medicines lifecycle — prescribing, dispensing, transport and controlled-drug custody — within secure custodial environments, a high-risk asset category with direct financial exposure. Managed the full delivery lifecycle, including stakeholder engagement, site-access coordination, testing strategy and Audit Committee reporting, with on-site walkthroughs across multiple prisons engaging the Chief Pharmacist and regional and site-level pharmacy leads.
Key financial findings. Manual, paper-based registers materially reduced auditability and enabled concealment of stock losses; there was no financial thresholding for discrepancy investigation; and weak access and recertification controls increased fraud risk, with gaps in controlled-drug custody creating direct diversion risk.
Value lens. Inventory shrinkage and weak governance within a regulated, high-value supply chain — equivalent to product-leakage risk in a private distribution business. Recommendations focused on digitisation, financial thresholding and control automation, improving cost control, fraud detection and working-capital integrity.