Written answers

Wednesday, 20 March 2013

Department of Social Protection

Social Welfare Fraud

Photo of Alan FarrellAlan Farrell (Dublin North, Fine Gael)
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To ask the Minister for Social Protection the number of social welfare inspectors carrying out investigations in each region in 2010, 2011 and 2012; if she will outline the resources allocated to the inspection of welfare fraud in 2010, 2011 and 2012; the number of fraudulent claims that have been identified per inspector during each of these years; and if she will make a statement on the matter. [13751/13]

Photo of Joan BurtonJoan Burton (Dublin West, Labour)
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Control is an integral part of the day-to-day operations of the Department and all staff involved in the administration of the various social welfare schemes are acutely aware of the need to implement appropriate controls at every stage of the process.

Control staffing resources have remained fairly constant over the period 2010 – 2012 and, currently, there are in the region of 650 staff whose work includes control activities. This figure includes approximately 400 Social Welfare and Special Investigation Unit Inspectors and the remainder of the staff are based in the Local Offices and Scheme Headquarters or other control units.

One of the major changes that has occurred over the period referred to by the Deputy arises from the transfer of some 1,700 Community Welfare Service (CWS) and FÁS staff to the Department. A more integrated approach to fraud control can, therefore, now be realised as a single customer view for control purposes is possible. The staff numbers above do not include the CWS or FÁS staff whose work would also include a control dimension.

Each major headquarter scheme section has a dedicated control unit which initiates, undertakes and co-ordinates all control activities within their respective areas. While some 'desk review' work is carried out at these units, the detailed investigations are sent to Inspectors, including the Special Investigation Unit (SIU) to carry out.

The SIU carry out a wide range of control activities and projects which include reviewing means-tested claims and entitlements, investigating fraud and abuse and carrying out employer inspections. The Unit also works jointly with Revenue staff in Joint Investigation Units and other inter-agency work is undertaken with NERA, Customs and the Gardaí.

In addition, it is worth noting that:

- Activation and Control Teams operate at local level. They provide a focal point for the management and co-ordination of all the activities and resources in relation to the control of schemes at local level. They augment general control activity with particular approaches based on local knowledge and circumstances; and

- Medical Assessors carry out medical review examinations and desk reviews/assessments of medical reports in order to provide a second medical opinion for the guidance of Deciding and Appeals Officers on all medical aspects of the illness schemes.

The table below illustrates the level of control activity and control related reviews that were recorded by the Department from 2010 to 2012:

Control Reviews
2010
929,383
2011
982,580
2012
1,196,180

Control reviews are proactive reviews on claims in payment. It is important to stress that not all of these will have been carried out by Inspectors. As outlined above, control activity is carried out in a number of ways by different staff and teams.

Finally, it should be noted that Social Welfare Inspectors are appointed under the Social Welfare Acts to investigate and report on claims and to carry out inspections at employer premises to ensure that there is compliance with the PRSI scheme. An Inspector’s report is then used to inform the Deciding Officer, who is also appointed under the Social Welfare Acts to make decisions on claims based on all the facts and evidence available. Therefore, the breakdown of the number of fraudulent claims that have been identified per inspector during each of these years is not available.

Photo of Alan FarrellAlan Farrell (Dublin North, Fine Gael)
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To ask the Minister for Social Protection if she will outline the State agencies that provide information or assistance to her Department in the investigation of social welfare fraud; and if she will make a statement on the matter. [13752/13]

Photo of Joan BurtonJoan Burton (Dublin West, Labour)
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The Department exchanges information with other Government Departments and agencies for the purpose of the control of schemes. My Department has an extensive legal structure to support the sharing of data for the purpose of controlling the entitlement and payment of benefits. These provisions are contained in section 261 of the Social Welfare Consolidation Act, 2005.

The Department undertakes a number of data matches with other Government Departments and agencies on a systematic basis, including the following:

- Revenue Commissioners;

- Irish Prison Service;

- Department of Education and Skills (Third Level Institutions);

- General Register Office (GRO);

- Commission on Taxi Regulation;

- Department of Work & Pensions UK;

- Health Services Executive; and

- Probate Office

Other matches which have been undertaken include:

- Personal Injuries Assessment Board;

- Private Residential Tenancies Board;

- The Private Security Authority; and

-The Department of Agriculture, Food and the Marine.

In addition, the Department’s Special Investigation Unit also conducts a wide range of control activities and projects to investigate social welfare fraud and abuse, some of which are carried out jointly with the Revenue Commissioner and with the National Employment and Rights Authority. This Unit also participates in operations with other agencies, including the Gardaí, Traffic Corps and the Taxi Regulator.

Data matching with other Government Department and Agencies is viewed as an efficient and effective mechanism to target control related activity. It is an important preventative and detection control measure and the Department continues to explore new data sources in this context.

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