bfi plymouth01-2002
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Rep ort by the
Benefit Fraud Inspec tora te
Plymouth City Counc il
December 2001
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Highlighted parts of this rep ort are omitted from the pub lished version a s they ma y
assist fraudsters, contain confidential information or unnecessarily identifyindividuals.
PA BFI 555/ 02
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Co pies of BFI reports a re a va ilab le from :
The DWP Library
Roo m 114
The Ad elphi
1 11 John Adam Street
London
WC2N 6HT
Tel: 020 7962 8176
Fax: 020 7962 8491
You c an a lso e -ma il req uests to
BFI reports are also available from the internet under
Rep orts and Pub lica tionsa t http://www.bfi.gov.uk
Crown c op yright, Dec embe r 2001
mailto:[email protected]://www.bfi.gov.uk/http://www.bfi.gov.uk/mailto:[email protected] -
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Contents
Contents
Conclusions 7
Rec ommendations 15
Findings 27
Introduction 27Getting it right 33
Cla im fo rm........................................................................................................37Verifica tion wo rk..............................................................................................38
Dea ling with homeless pe op le .....................................................................52Rent Officer refe rra ls.......................................................................................54
Payments on account ....................................................................................58
Speed of p roc essing .......................................................................................61
Liaison with other agenc ies...........................................................................67
Keeping it right 69
Renewal c laims ...............................................................................................69
Changes of c ircumsta nc es...........................................................................70Not ices of determina tion ...............................................................................73
Risk assessing c laims........................................................................................73
Benefit periods.................................................................................................74Targe te d checks.............................................................................................75
Reviews and compla ints................................................................................76Dealing with landlords....................................................................................80
Liaison with the Housing Dep artme nt ..........................................................81
Inte rna l security and controls........................................................................82
Sta ff ve tt ing ......................................................................................................84
Post opening ....................................................................................................85
Payment and accounting methods............................................................86
Training and guidanc e...................................................................................88Liaison with BA on changes of circumstances...........................................89
Liaison w ith ES on c hanges of c ircumsta nc es............................................90
Putting it right 91
Overpayments.................................................................................................91
Fraud ...............................................................................................................106Sanc tions........................................................................................................125
Making sure the strategy works 137
Co rpo rate polic ies and strategy ................................................................137
Planning ..........................................................................................................138
Best Va lue .......................................................................................................139
Perfo rma nc e mon itoring a nd a ssurance ..................................................141
Orga nisation ..................................................................................................142Inte rna l Aud it .................................................................................................143
External Audit .................................................................................................146
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Contents
Me mbers invo lvem ent ................................................................................148
App endix A: Methodology 153
Appendix B: Claim form 159
Append ix C: IT sec urity 167
Append ix D: Post op ening 175
Abbreviations 177
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Conclusions
BFI inspec tion: Plymouth City Co unc il pag e 7
1.1
1.2
1.3
1.4
Conclusions
IntroductionLoc a l authorities (LAs) pay over 13.7 billion to 4.5 million peo p le on
Housing Benefit (HB) a nd Co unc il Tax Benefit (CTB). La testestimates,
pub lished in the Nationa l Housing Bene fit Ac curacy Review 1997/ 98,
suggest tha t 840 million is lost each yea r throug h fraud and error.
The g ove rnme nt is com mitted to e nsuring the right mo ney g oe s to
the right p erson. A ne w c ontrac t fo r welfare: SAFEGUARDING SOC IAL
SECURITYset out the go vernment s stra teg y for ac hieving this. It c a lledfor sustained and detailed effort across 4 fronts:
ge tting it right be nefit p aym ents should b e c orrec t from da y one
kee ping it right ensuring payments a re a d justed as c ircumsta nc es
change
putting it right de tec ting w hen pa yments go wrong and taking
promp t ac tion to c orrec t them with app rop riate pe nalties to p revent
a rec urrenc e, and
ma king sure the strateg y wo rks by monitoring progress, evaluating
the streng th of d efenc es and ad justing them in the light ofexperience.
The Benefit Fraud Inspec tora te (BFI) is an integra l pa rt o f this
stra teg y. Throug h our rep orts on LAs and the age nc ies of the
Departme nt fo r Work and Pensions (the Dep artme nt), forme rly known a s
the Departme nt of Soc ia l Sec urity, we a im to :
identify area s where improvements can be m ade to b enefit
administra tion to ra ise ove ra ll standa rds
ma ke rec om menda tions to a ddress we aknesses, and
identify and sp rea d go od p rac tices am ong ad ministrato rs.
In our inspec tion, we loo ked a t the administra tion o f HB and CTB
and the proc esses and proc ed ures Plymouth City Counc il (Plymouth)
had in plac e to p revent, dete c t and investiga te fraud in the benefit
system.
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Conclusions
pa ge 8 BFI inspec tion: Plymouth City Co unc il
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12
Ma in c onc lusions and rec om menda tionsPlymouth wa s go ing through a ma jor period of c hang e a t the time
of our inspec tion. The benefits servic e:
had been restruc tured during 1999/ 2000
had introd uce d do cument ima ge processing (DIP) in Novemb er2000, 4 months befo re o ur on-site inspec tion
implemented the Verification Framework (VF) during our on-site
inspection.
Plymouth showe d a com mitment to mode rnising and imp roving its
service b y introduc ing these c hanges. How eve r, at the t ime of our on-
site inspec tion it wa s too ea rly to judg e whether these c ha nges wo uld
deliver the improve ments req uired .
The introd uc tion of DIP led to an initial dec line in p rod uc tivity and
an increa se in b acklog s, caused by IT prob lem s and sta ff ad justing tothe new system . The rise in the backlog coinc ided with the
imp lem enta tion o f VF.
We were p leased tha t while w e w ere on site, Plymouth d rew up a
ba c klog c lea ranc e strate gy to d ea l with a short-term backlog prob lem.
Plymouth ha d p oo r standards of verifica tion prior to the introd uc tion
of VF. This me ans its c urrent c aseloa d is likely to have a d isprop ortiona te
numb er of fraud ulent and errone ous claims. Plymouth has taken the first
step to addressing this by imp leme nting VF.
The on-site inspec tion c ame a t a d iffic ult t ime for Plymouth, as itcoincided with problems follow ing the introd uc tion of DIP and the
imp lem enta tion of VF. In a dd ition, the trad e un ions we re taking industria l
ac tion at the t ime o f our on-site inspec tion, inc lud ing som e one-day
strikes. How eve r, Plymouth a pproa ched the inspec tion in a p ositive w ay
and v iew ed it as an op portunity to review its op erations to improve .
We were enc ourag ed that Plymouth had taken a ma nag er off line
9 months befo re the inspec tion to review previous BFI rep orts and the
Good Prac tic e G uideto ide ntify areas of be nefit a nd fraud investiga tion
which nee ded to b e a ddressed and upd a ted . This resulted in p olic y and
proc ed ura l c hang es, which can be d eveloped further, to imp rove thesec urity and efficienc y of the system .
Getting it right
Plymouth is taking step s to sec ure the ga tew ay to bene fit by
introd uc ing VF. This wa s being imp leme nte d whilst we w ere on-site. Our
samp ling of the sma ll numb er of cases which Plymo uth wa s about to
assess using VF guidelines showed that Plymouth was verifying these
cases to a muc h highe r standa rd of verific ation tha n b efore VF
implementation.
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Conclusions
BFI inspec tion: Plymouth City Co unc il pag e 9
1.13
1.14
The ma jority o f the c ases we samp led we re assessed befo re VF
wa s imp lem ente d . The o verall sta ndard of verifica tion of c la ims wa s
poo r, pa rticularly on renew al c la ims. Plymouth ha d tem po rarily low ered
its norma l standards of verifica tion on renew a ls during the period
samp led to c lear outstand ing w ork befo re the introd uc tion of DIP. New
c la ims we re ve rified to a higher sta ndard , but still failed to m ee t the
minimum req uirem ents of VF. Plymo uth w as failing to c om ply with the
req uirem ents of sec tion 1(1A) and 1(1B) of the Soc ial Sec urity
Ad ministration Ac t 1992 (SSAA 1992) in most o f the renew al cla ims
sampled.
Befo re VF, Plymouth ha d sep a ra te c la im forms for ea c h tenure
type and a shortened renewa l form. All the fo rms had seve re
we aknesses, which impa ired sound verifica tion. Plymouth introd uc ed a
new c laim fo rm shortly be fore o ur inspec tion. This is a ma jor
improvem ent on the p rev ious forms in terms of design, user friend liness
and data c ap tured , but has some we aknesses XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Plymouth a gree d to amend the
c la im fo rm in line w ith our rec om mendations, whic h should help
Plymo uth imp rove its sta nda rds of ve rifica tion in future.
1.15
1.16
1.17
1.18
1.19
The b acklog that ha d d eveloped follow ing the introd uc tion o f DIP
resulted in leng thy d elays in p roc essing c la ims and an increa se in c a llers
to rec ep tion. As a result, Plymouth s performa nc e for p roc essing c la ims
and see ing customers wa s dec lining a nd failed to m ee t its ta rge ts.
Plymouth has som e in-bu ilt ineffic ienc ies in its p roc ed ures for
ma king refe rra ls to the Rent Office r (RO) w hich c ont ribute to delays and
the nec essity to ma ke la rge numbers of p ayments on a cc ount (POAs).Plymouth fa ils to meet the leg a l req uirem ent und er HB Reg ulation 12A(3)
and (4) to m ake RO refe rra ls in releva nt c ases within 3 days, or as soo n
as prac tic ab le thereafter.
Plymouth ha s introd uced a system of m ana ge ment chec ks which
is a we lcom e step in imp roving the a c c urac y and sec urity of the
bene fits system . How eve r, we found flaws in the selec tion and c onte nt
of the c hecks wh ich limit the ir effe c tivene ss. This need s to be a dd ressed
to e nsure Plymouth gets the full bene fit o f its ma na ge ment c hec ks.
Plymo uth has Service Level Ag ree me nts (SLAs) with b oth the loc a l
Benefits Ag enc y (BA) a nd Emp loyme nt Service (ES) offices and they
me et reg ularly. How ever, Plymo uth s mo nitoring of the SLAs is restric ted
to c hec king the d ate of rec eipt o f NHB1s.
Imp lem ent ing our rec om menda tions will imp rove sec urity,
ac c uracy and de livery of bene fits by:
imp roving the da ta g a thered from the c la im form
red ucing the b ac klog
ensuring Plymouth a nd BA a nd ES wo rk more e ffec tively tog ethe r to
sec ure the g a tew ay to b ene fits.
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Conclusions
pa ge 10 BFI inspec tion: Plymouth City Co unc il
1.20
1.21
1.22
1.23
1.24
1.25
1.26
Kee p ing it right
Plymouth a ims to keep pa yments right throug hout the pe riod of
the c laim by:
inviting c la ima nts to rec laim a t the app rop riate time
pub lic ising c laimants d uties to no tify cha nges
using com pute r-ge nera ted rep orts to identify cha nge s
visiting c ases whe re renewa ls have not bee n returned
send ing no tices of d etermination tha t c om ply with leg al
requirements.
How ever, it c ould d o m ore to keep payme nts right b y:
inc luding p ublic ity on rep orting chang es on its c heq ues
ta rget ing its visiting ac tivity m ore c losely to risk
ta iloring bene fit p eriod s to ind ividua l circumstanc es, in p articular bya ligning b enef it pe riods to Working Families Tax Cred it (WFTC).
Plymouth ta kes prom pt ac tion to stop or suspend bene fit whe re a
chang e ha s oc curred . Althoug h this is com menda b le in preventing o r
red uc ing ove rpayments, Plymouth need s to ensure it:
app lies the reg ulat ions reg ard ing suspensions prop erly
takes ap propriate follow -up ac tion p rom ptly to ensure c la ima nts a re
pa id the c orrec t be nefit.
Plymouth does not identify requests for reviews correctly and fails
to dea l with the se w ithin the sta tutory timesca les. It a lso misses thetimesc a les it sets for respond ing to com pla ints and doe s not mo nitor
these. As a result, it is missing an opportunity to improve its service to
customers.
We found Plymouth ha d granted inap p rop riate acc ess levels to IT
users and nee ds to review and upda te the se to ensure the sec urity and
integ rity o f the benefits system.
Plymouth dem onstrates a strong com mitment to training a nd
deve lop ing its sta ff throug h the w ork of its service d eve lop me nt tea m.
The te am has produced c lea r wo rking proc ed ures and an informa tive
newslette r for all sta ff.
Plymouth has regular meetings with private landlords. However it
need s to d o mo re to tac kle land lord fraud , inc luding a pplying the fit
and prope r person test, developing a sched ule o f pa yments and using
its pow ers to d ed uc t ove rpayments from land lords in ap prop ria te
c ircumsta nc es. Similarly, a lthoug h it mee ts reg ularly w ith the Housing
Depa rtment (HD), working a rrang em ents could b e improved by p utting
the relationship on a more forma l basis, throug h the de velopm ent o f a n
SLA.
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Conclusions
BFI inspec tion: Plymouth City Co unc il pa ge 11
1.27
1.28
1.29
1.30
1.31
1.32
1.33
Imp lem enting our rec om mend ations will imp rove the sa fegua rds
for keep ing payme nts right during the lifetime of a c laim b y:
rem ind ing c la ima nts and land lords of the ir duties to report cha nges
quickly and acc ura tely to Plymouth
tailoring benefit periods more appropriately to individual
c ircumstances, thereb y red uc ing ove rpa yments
improv ing IT sec urity a nd c ontrols.
Putt ing it right
Plymouth s ma nag em ent a nd c ontrol of ove rpa yments is po or.
Plymouth fa ils to use a ll ava ilable method s of rec ove ry for ove rpayment.
We found a gene ral failure to ac c ount for the volume, value a nd a ge of
deb ts in the bene fit system .
Plymouth's assessment staff are responsible for recovering Rent
Allow ance (RA) overpa yments by:
ma king d ed uc tions from o ngo ing b enefit where the claimant
continues to claim
invoicing de bts where b enefit has c ea sed .
At the time of our on-site inspec tion, an income office r and
temp orary mem be r of sta ff were unde rtaking an exerc ise to rec over
overpa yments that had be en invoic ed in respe c t of som e 90 ca ses.
Although this spec ific exerc ise is being und ertaken, there is no
ove rpayment tea m o r office r spec ific a lly responsib le fo r rec ove ry of
ove rpayments from invoices. Plymouth is fa iling to p rote c t the pub lic
purse e ffec tive ly. This raises c onc erns over the loss of revenue .
Plymo uth, a lso a t the time o f our site visit, submitte d a rep ort to
co mmittee to e xpa nd its rec overy op tions and introd uce a de dica ted
overpa yment te am. Subseq uent to our visit w e were told the rep ort ha d
been app roved.
In respec t o f Rent Reb a te (RR) cases, all overpayme nts, inc luding
those where there is ong oing b ene fit, are transferred to a sub a c count
on the housing rent system. It is the responsibility of the individua l esta te
ma na gers to rec over the overpayme nt. This is no t a p riority as the
em pha sis for esta te ma na gers is to red uc e rent a rrea rs in the firstinstance.
Bene fit sta ff told us tha t no p erforma nc e ta rgets have b een set
and that no m ana ge ment c hec ks are performed on overpayments.
Without the se c hec ks, Plymouth c annot b e c onfident tha t the work in
this a rea is effe c tive.
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Conclusions
pa ge 12 BFI inspec tion: Plymouth City Co unc il
1.34
1.35
1.36
Plymouth ha s a system to ensure tha t o verpa yments a re ident ified
prom ptly by stopp ing bene fit payments as soo n as information is
rec eived. Whilst this red uces the a mount of o verpa yment c rea ted and
limits the a mo unt identified as LA error, we we re c onc erned tha t this wa s
ac hieved without providing a correc t and timely notifica tion to the
c laima nt. This req uirem ent is in reg ulat ion 96A(4) of the Housing Benefit
(Genera l) Reg ulat ion 1987 (HB Reg ulat ions).
At the time o f our on-site inspec tion, Plymouth ha d set up an
exerc ise to instiga te rec ove ry ac tion in respec t of a spec ific numb er of
ove rpayment c ases. The o b jec tive of the exerc ise w as to inc rea se its
effec tivene ss in the rec ove ry of o verpa id HB.
Plymouth ha s a c lea r com mitment to imp rove pe rforma nce in
fra ud investiga tion, XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
1.37
1.38
We identified som e a spec ts of Plymo uth s wo rk on which we we re
ab le to c omm ent fa vourably. These included :
moveme nt tow ards prosec utions
c lose w orking with Benefit Fraud Inve stiga tion Servic e (BFIS)
review of p roc ed ures nec essa ry to p rovide sta ff with instruc tions and
guida nce on how to ta ke forward aspe c ts of fraud work.
How ever, desp ite the introduc tion of va rious polic ies and
guida nce a nd a n extensive training p rog ram me a imed a t imp roving the
qua lity of w ork, the b ulk of investiga tions und ertaken w ere sha llow and
did no t produce successful outc ome s. We w ere co ncerned that to o
much time wa s spent focused on Weekly Benefit Savings (WBS) by wa y
of residenc y che c ks and not enoug h a ttention wa s pa id to investiga ting
fraud.Plymouth rec og nised these w ea knesses and told us tha t theintrod uc tion of various polic ies and g uida nc e a nd a n extensive training
prog ramm e d uring late 2000 and e arly 2001 wa s a imed a t imp roving the
qua lity of fraud wo rk.
1.39 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX in most typ es of f raud and
visiting work. This mainly surrounds: XXXXXXXX
XXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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Conclusions
BFI inspec tion: Plymouth City Co unc il pa ge 13
1.40
1.41
1.42
We also c om me nt adversely on the fa ilure to fully co nsolida te the
tra ining p rovide d to a ll investiga tion sta ff. Plymo uth to ld us tha t it had
tried to a ddress this by alloc a ting fraud cases on a b ility and tea ming
new er sta ff with more experienc ed investiga tors. In add ition we found
that:
limited m ana ge ment controls a re no t identifying a nd c orrec tingweaknesses and deficiencies
ta rgets a imed solely at a c hieving WBS do little to p rovide a
ba lanc ed mea surement o f performa nce .
Although the performa nc e ta rgets set fo r the investiga tion sta ff are
entirely ba sed on ac hieving WBS ta rgets, we ra ised c onc erns about the
qua lity of investiga tion ta ken to support WBS c laims in over 40% of the
cases we samp led . External Aud it (EA) a lso q uestioned the va lid ity of
WBS c laims when exam ining the 1999/2000 sub sidy c laim, resulting in a
red uc tion o f 10% in c laims to WBS for tha t yea r.
We a lso noted that the lac k of an effective c ase ma nag ement
system seve rely limits the amo unt o f da ta ava ilab le a nd subseq uent ly
restric ts any useful ana lysis of performa nc e and identific a tion o f future
risks to benefits.Plymouth to ld us tha t it has now purchased anestablished fraud case management system.
1.43 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Plymouth recognised
tha t it must ra ise the standa rd of its fraud wo rk if it is to be a b le to m ee t
leg a l req uirem ents, imp ose sanc tions, and provide assuranc es tha t a ny
subsidy claim c an withstand sc rutiny and c ha lleng e.1.44
1.45
1.46
1.47
Implementing our recommendations will:
imp rove the rec overy rate of overpa yments
enc ourage b ette r ta rge ting, planning a nd c ontrol of fraud
investiga tions and visits
provide grea ter assuranc e on the q ua lity of fraud investiga tion work
be ing undertaken.
Ma king sure the strate gy wo rks
Plymouth a pproved a c orporate a nti-fraud strate gy in Novemb er2000. This is und erpinned by som e op erationa l guide lines includ ing:
guida nce on p rosec ution, administra tive p ena lties and c autions
a sta ff de c la ra tion of interest form.
How ever, Plymouth ne ed s to deve lop further gu idelines to fully
support the stra teg y, inc lud ing a c od e o f co nduc t for visiting sta ff.
The d eferment of VF meant tha t VF wa s imp lem ented a t a d ifficult
time whe n the servic e wa s enc ountering m ajor ba c klog s but Plymouth
nee ds to review and build on its current p lanning p roc esses.
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Conclusions
pa ge 14 BFI inspec tion: Plymouth City Co unc il
1.48
1.49
1.50
1.51
1.52
1.53
Plymouth ha s not yet d eve lop ed its DIP system to p rod uc e
mea ningful ma nag ement informa tion a nd de velop an effective
pe rforma nce mo nitoring a nd m anag em ent reg ime . Plymouth told us
tha t this wa s due to p rob lem s with system func tiona lity. It now nee ds to
ta c kle this as a p riority to ensure the service ma kes the nec essary
imp roveme nts, ma ximising DIP to its full potential.
DIP and VF have introd uced new wa ys of w orking fo r sta ff and we
support Plymouth s p lans to review the imp ac t of the se on the
orga nisa tion to ensure the restruc ture is helping it m ake the mo st
effec tive use o f sta ff.
We w ere disapp ointed tha t Plymouth ha d failed to implement a
series of Interna l Aud it (IA) and EA recom me ndations tha t wo uld ha ve
helped it sec ure the system e arlier.
We c onsider that Plymo uth ha s set itself a c ha lleng ing p rog ramm e
of c hang e. It will need to improve its ma nag eme nt informa tion a nd
cont rol signific antly to deliver and ma inta in improvements.
Implementing our recommendations will:
imp rove ma nag em ent information ava ilab le from DIP
imp rove pe rforma nce and effic ienc y
provide grea ter assuranc e on the sec urity and integ rity of the
system.
On b eha lf of the inspe c tion te am , I thank the Chief Exec utive,
senior officers and sta ff of Plymouth fo r their support and co-op eration
during this inspec tion.
Susan Lingwood
BFI Programm e Ma nager
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Rec omm enda tions
BFI inspec tion: Plymouth City Co unc il pa ge 15
Rec ommendations
Getting it right recommendations
We rec omm end that: Paragraph
Plymouth ensures that it regularly gathers sufficient managementinformation on:
the typ e o f callers (HB or CT)
the length of time taken on rec ep tion
waiting times for rec ep tion and private interviews
the rea son for the call to the office and by phone.
2.56
Plymouth:
revises its c laim fo rm to ensure it is consistent with BFIs GoodPractice Guideand the mode l claim form
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2.65
Plymouth ensures that c ases where the c laimant has not rep lied toreq uests for further informa tion are c losed down and the c laimant
notified ap propriately.
2.86
Plymouth ensures its standards of verification are improved to m eet a tleast the minimum requirements of VF.
2.130
Plymouth:
introd uces guida nce and proc edures for HPU to ensureverifica tion is effic ient and thorough, ensuring accurate and
timely verifica tion of home less c laimants prov ides imm ed iate VF training to HPU staff
shares information in respect of potentially violent persons andunsafe addresses to safeguard po tentia l risks to m em be rs of staff.
2.139
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Rec omm enda tions
pa ge 16 BFI inspec tion: Plymouth City Co unc il
Getting it right recommendations
We rec omm end that: Paragraph
Plymouth:
ensures it has proced ures in place to send referra ls to the ROimmed iately on rec eipt of the c laim
tra ins those staff responsible for mak ing the ap prop riate ROreferrals
ensures previous records of RO referra ls are chec ked to p reventunnecessary referrals
ensures a ll returned RO referrals are ac tioned p romp tly.
2.151
Plymouth de velop s and pub lishes proce dures for staff that include therequirement to refer appropriate HA cases to the RO.
2.155
Plymouth:
signs an SLA with the RS. This should contain agreed fo rmal targetsand provide a mec hanism for monitoring pe rforma nce ag ainstthese targets
provides fraud awareness training a nd introduc es proc edures forthe RO to follow whe n ma king a referral.
2.158
Plymouth implem ents a control to ensure a final determination is ma depromp tly when the RO d ec ision is rec eived in POA c ases.
2.162
Plymouth reviews its system of ma nag ement c hec ks to e nsure tha tthey:
inc lude cases selec ted from the HBIS system
cover all areas including a ccurac y of inputs and pa yments
are reco rded, ana lysed a nd used to feedba ck errors to staff anddeve lop training.
2.170
Plymouth provides training for manag ers respo nsible for manag em entchecks to ensure that the checks are comp leted ac curately and
consistently.
sam ples of checks are re-p erformed to assure their qua lity.
Plymouth:
analyses the rea sons for de lays in c laims processing
identifies bloc kages and ways to ensure it red uces the end -to-end p rocessing time and ac hieves its 14-day ta rget
reviews the working prac tices of the c laims verifica tion team a nduse o f manag em ent informa tion ava ilable from DIP to ensure theeffic iency of proc esses and improve speed of processing.
2.184
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Rec omm enda tions
BFI inspec tion: Plymouth City Co unc il pa ge 17
Getting it right recommendations
We rec omm end that: Paragraph
to clea r the bac klog a nd p revent future bac klogs building up,Plymouth:
nominates an o ffice r with responsibility for ma nag ing the ba cklog
ring fences the b ac klog
deals with new inco ming work on a da ily b asis to p revent futurebac klogs developing
c losely mo nitors the pe rformance of its plan ag ainst key targe tda tes and milestones
ensures c laims are qua lity checked to ma ke sure that ac curac y isnot c omp romised by spee d of proce ssing
reviews the staffing leve ls and p roduc tivity of all sec tions to ensurethey a re a dequa tely resourced to meet the needs of VF and DIP.
2.196
Plymouth builds upon its existing p rog ram me of exchang e visits toensure a ll staff have the op po rtunity to visit co lleagues in BA.
2.200
Plymouth:
ma kes its staff awa re o f the detailed content o f the SLA a nd theirrespo nsibilities to achieve the ta rge ts
ag rees a forma l monitoring p rocess for the SLA with BA tha tincludes some testing of achievement against all areas in the SLA
targets throug h the ye ar.
2.204
Plymouth a nd ES at the first meeting discuss and a gree methods offormally testing the SLA ag ainst its stated targe ts.
2.209
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Rec omm enda tions
pa ge 18 BFI inspec tion: Plymouth City Co unc il
Keeping it right recommendations
We rec omm end that: Paragraph
Plymouth ensures that a ny c hang es in policy or proc edures are
effec tively co mm unic ated to staff and checks are put in plac e toensure that new proc edures are followe d.
2.218
Plymouth adopts the rec omm enda tion ma de by IA and nego tiates achang e of design of its cheques to include a statement ab out reporting
changes of circumstance s.
2.222
Plymouth:
reviews its proc ed ures for suspending c laims to ensure c laimantsare notified c orrec tly
identifies an effec tive wa y o f mana ging the throughp ut ofchanges of c ircumstanc es using DIP to ensure that further ac tionand reassessments are com pleted promptly.
2.227
Plymouth a ligns all awards of bene fit to the p eriod of award of WFTC,and on e xpiry of HB takes into ac count any c hang es to WFTC.
2.231
Plymouth ensures that staff are no longe r applying the toleranc e ruleby identifying incoming post that would result in a sma ll reduc tion in HB
and trac king it to ensure that the appropriate c hange is comp leted.
2.237
Plymouth considers including reference to its com pla int proce dures inthe notices of determination or inc ludes its leaflet on c om pla ints with all
determinations.
2.241
Plymouth continues to m onitor closely the c ases in Group A to ensurethat they receive a visit before the case is c losed .
2.246
Plymouth sets up p rocedures to ensure benefit periods are tailored toindividual circumstanc es, suc h as WFTC pe riod s, where appropriate.
2.252
Plymouth applies a m ore stringent test to the c lassification of cases that
require a c tion b y g iving c learer guidance to the staff who a reundertaking the indexing of incoming reviews and ap pea ls post.
2.261
Plymouth ensures that it has system s in place tha t will imp rove on itscurrent method s and pe rformance in hand ling c ases under the new
ap pea ls regime .
2.264
Plymouth:
formally ana lyses a ll HB/ CTB com plaints that it receives and usesthis information to improve the service that it p rovides to itscustomers
mo nitors and regularly reviews the e ffec tiveness of HB/ CTBcomp laint handling procedures on the service d evelopm ent teamto ensure all co rporate targe ts are met.
2.273
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Rec omm enda tions
BFI inspec tion: Plymouth City Co unc il pa ge 19
Keeping it right recommendations
We rec omm end that: Paragraph
Plymouth uses its existing information to apply the 'fit and properpe rson' test to land lords where a pp ropriate.
2.284
the effec tiveness of the relationship b etwe en Bene fits and Housingco uld be improved by:
introd uc ing a forma l SLA with stated pe rforma nce a ims andreg ular m onitoring
nominating a senior office r to ensure b oth departments work mo reeffectively together.
2.290
Plymouth ame nds its IT sec urity policy to c ove r:
proc edures for rep orting security b reac hes
upd ating user ac cess levels
monitoring standards to ensure c om plianc e with the strateg y.
2.295
to reduce the risk of internal fraud and error Plymouth:
carries out a risk a ssessme nt of its data ba se of users to e nsureac cess levels are a pp rop riate to users duties, deleting a ndam ending ac cess where nec essary
upd ates its user da tabase on a reg ular basis
devises procedures to ensure user permissions are reviewed when
staff leave or transfer
rewrites the user form to ensure each form only a llows access forone user.
2.300
Plymouth amend s its staff dec larations to me et AC rec om menda tions. 2.304
Plymouth introduces procedures to ensure post opening is consistentwith BFIs Good Prac tice Guide.
2.310
Plymouth provide s ap propriate fac ilities to sec urely pa y HB to thosewithout bank ac counts.
2.313
Plymouth improves its reco rd keeping of landlords and introd ucesschedule pa yments for landlo rds with more than one tenant.
2.315
Plymouth ad op ts a forma l appraisal system that will allow ma nag ers toidentify the training need s of their staff, monitor and eva luate
ac hievement of training ob jec tives.
2.328
Plymouth monitors the ac hievem ent of the service d eve lopm ent teamag ainst stated aims and ob jec tives for 2000/ 01.
2.329
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Rec omm enda tions
pa ge 20 BFI inspec tion: Plymouth City Co unc il
Keeping it right recommendations
We rec omm end that: Paragraph
as a m inimum , RAT chec ks are c ompleted w hen a ny a ssessment isdone on an IS/ JSA c ase and that where an indica tor is not c orrec tly set
BA is notified to m ake the nec essary am endment.
2.334
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Rec omm enda tions
BFI inspec tion: Plymouth City Co unc il pa ge 21
Putting it right rec ommenda tions
We rec omm end that: Paragraph
Plymouth designates an officer to be fully respo nsible for debt rec overy
and debt mana ge ment to ensure full priority is given to the rigo rouscollection of outstanding overpayments.
2.351
Plymouth:
monitors the ac curac y o f classification to p rovide managementinformation on the reason for overpayments and providesap prop riate training to staff
monitors and takes ap prop riate a c tion on reports identifyingreassessments by creating appropriate credits or debits to ensureoverpayments are c lassified c orrec tly.
2.360
Plymouth:
immediately implements section 75(5) and (6) to enable recoveryto be ma de from land lords from HB rece ived in respec t of otherclaimants
pursues ove rpa yments effec tively and effic iently b y using allrec overy methods availab le.
2.378
Plymouth:
ma kes deduc tions from ongoing benefit for all RR cases where thec laimant is in rec eip t of HB and stops transferring overpaym ents to
the sub a ccount of the rent ac count in these c ases
sets app rop riate targets in respec t of RR overpa yment rec overy.
2.395
Plymouth:
learns lessons from Operation Rec laim and ensures it sets upeffective p roc edures to rec ove r of all HB overpa yment debtseffec tively b y Decemb er 2001
regularly monitors cases on the d eb t system aga inst HB c laims toensure o pp ortunities are no t missed to rec over from ongo ingbenefit
uses all methods of rec ove ry to m axim ise the opp ortunity torec over outstanding d ebt.
2.408
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Rec omm enda tions
pa ge 22 BFI inspec tion: Plymouth City Co unc il
Putting it right rec ommenda tions
We rec omm end that: Paragraph
Plymouth introduces:
manageme nt chec ks of at least 10% of the weekly overpaymentcaseload to provide a ssuranc e of the ac curac y of ca lculation and
c lassifica tion and ensure staff work c onsistently and com ply with thewritten proce dural guidanc e
a d ed icated team responsible for the recove ry of overpaymentsto ensure consistenc y, effec tiveness and ownership rec overingoverpayments
mea ningful and ac hievable recovery performance targets toallow ac curate assessment of its pe rformance
monitoring and ana lysis to ensure tha t the most ap propriate a ndeffective recove ry me thod is used .
2.416
Plymouth:
provides staff involved in the c laiming, ma nageme nt check ingand validation of WBS with at lea st the releva nt pa rts of theSubsidy Order and guida nc e to ensure with this is followedcorrectly
drafts and implements a code o f conduc t which a dd resses thestandards expec ted of investigation a nd visiting staff in theirdea lings with the p ublic and other bodies.
2.429
Plymouth reviews its pe rforma nce ind ica tors so tha t it ca n p rovidemore balanced targets and measures on, at the very lea st:
file holdings
outputs of work
qua lity and e ffec tiveness of performa nce
use o f ava ilab le sanc tions.
2.433
Plymouth adopts a wide r risk-b ased ap proach to c laims selec ted forproactive visiting. It should also analyse the results and effectiveness of
pa st visiting ac tivity to ensure future fraud w ork:
concentrates on those category of c laim a nd postal d istrictsfound to p rovide the highest risks to Plymouth and whensuccessfully investigated will lead to a grea ter deterrent
provides a balanc ed a pp roac h between fraud investiga tionac tivity and non-residenc y visiting.
2.447
Plymouth introd uces proced ures that will:
ensure p romp t ac tion on rec eip t of an HBMS referra l to co nfirmvalidity of matc h
introd uce p riority of ca ses to be investigated or overloaded
ensure that HBMS is notified of the results from all cases, whateverthe outcom es.
2.456
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Rec omm enda tions
BFI inspec tion: Plymouth City Co unc il pa ge 23
Putting it right rec ommenda tions
We rec omm end that: Paragraph
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2.460
Plymouth maximises publicity to ensure tha t memb ers of the p ublic areencouraged to report suspic ions of fraud and are ma de awa re o f the
telephone number availab le to do so.
2.463
Plymouth raises master files on a ll proac tive fraud drives which can bec ross-referenc ed aga inst ind ividua l investiga tion files. These control
files should contain:
reasons for suspe c ting fraud a c tivity
da te and deta ils of initial app roach to emp loyee o r land lord
rec ord of emp loyee or land lord respo nse
full list of emp loye es or tenants
numb er of investigations unde rtake n and outc omes on WBS andfraud overpayments.
2.475
Plymouth undertakes a review of its proc ess for selec ting c ases for visit.This review should ensure that future ac tivity conc entrates on mak ing
the most effec tive use o f resources by identifying cases that:
can be investiga ted without undue delay
are within a high risk c ateg ory.
2.494
Plymouth ensures that:
all investigation files contain a c om plete a udit trail by inc ludinginformation showing:
reason for commencement of investigation
evidenc e ob tained in support of the a llega tion
full rec ord of all ac tions take n and reasons
comp lete c losure repo rt
staff involved in the investigation o f fraud ha ve full regard to andcomp ly with the CPIA cod e of prac tice.
2.494
to ensure und isputed evidenc e is ob tained during an investigation,Plymouth fraud office rs must:
ask open questions of c laimants and land lords about the reasonsfor not dec laring a change of circumstance s
prove fraudulent intent, based on the b alanc e o f probab ility, by ac laimant or land lord.
2.501
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Rec omm enda tions
pa ge 24 BFI inspec tion: Plymouth City Co unc il
Putting it right rec ommenda tions
We rec omm end that: Paragraph
all staff involved in interviewing suspec ted fraud ulent c laimants whilstunde r caution m ust have full reg ard to the requirements of PACE cod e
of p rac tice and RIPA.
2.509
Plymouth ensures that any de lays in taking forward investigation workare kept to a minimum. If delays do oc cur, reasons must be fully
documented.
2.509
Plymouth reviews its ma nag em ent c hec ks to ensure they provide :
qua lity assuranc e on all areas and aspec ts of fraud work
future g uidanc e a nd feedbac k to staff on the e ffec tiveness ofinvestigative work unde rtake n.
2.539
the outcome o f an investiga tion and feedb ac k from m anag eme ntchec ks is provided in writing. This allows for:
identification of pa tterns
feed ing of outcom es into training p lans
assisting on the ongoing monitoring o f work.
2.539
Plymouth reviews its process for the a llocation of fraud rela ted work tothose staff who have be en trained to undertake fraud work. Plymouth
must ensure tha t a ll staff are:
given a b alanc e of fraud and non fraud work
provided with the opportunity to consolidate training receivedand ga in experience in a wide range of fraud investiga tionactivity.
2.547
Plymouth:
and BFIS ap po int nominated liaison o ffice rs in ac cordance withthe SLA
ensures that a ll approp riate staff know how to access the SLA and
are aware o f its core requirements
introduces ma nagement checks to ensure the ag reed targets arebeing achieved.
2.553
Plymouth urgently imp lements the SLA1 p roced ures to ensure that BFISis notified at the ea rliest opportunity of those investiga tions raised
where there is a BA interest.
2.555
Plymouth conduc ts an urgent ove rhaul of proc ed ures for the rece ipt,completion a nd return of form QB64 and QB65 to ensure c omplianc e
with the 10-da y turnaround targe t ag reed in the 2000/ 01 SLA w ith BFIS.
2.564
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Rec omm enda tions
BFI inspec tion: Plymouth City Co unc il pa ge 25
Making sure the strategy works recommendations
We rec omm end that: Paragraph
Plymouth introd uces a c ode o f conduc t for visiting staff. 2.576
Plymouth:
ma ximises use o f its DIP system to p rovide meaningful informationon workflow, c learance rates and the breakdown of any bac klogs
sets individual pe rformanc e ta rge ts on the speed , ac curac y a ndqua lity of work
monitors ac hievem ents and com municates these regularly tostaff.
2.592
Plymouth Revenues reviews its working prac tices and organisation by
Dec em be r 2001 to take ac count of DIP and VF and to ensure it isworking effectively.
2.597
Plymouth:
reconsiders the num ber of IA da ys tha t it a llocates to HB and CTBwork and estab lishes an a pp rop riate a nnual minimum, includingaud its of c ounter fraud
sets up proc edures to ensure tha t IA rec om menda tions areproperly considered a nd imp lemented, and progress is reportedto the Chief Exec utive and Mem be rs.
2.607
bo th DA and Plymouth agree and introduce effec tive monitoringproc ed ures that ensure that rec om menda tions ma de a re prog ressed ,
and any d elays to implem enta tion are rep orted to the Chief Exec utive
and Memb ers.
2.617
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 27
2.1
2.2
2.3
2.4
2.5
Findings
IntroductionInformation required for this inspec tion, a nd p resented in th is rep ort,
wa s ga thered from a rang e of source s, inc lud ing :
Plymouth
the Depa rtment
ES
loca l BA a t Durley House a nd ES a t Devo np ort
the Rent Service (RS)
EA.
Althoug h key informa tion wa s c ollec ted ea rlier, muc h o f the
de tailed da ta wa s ga thered during the on-site p hase o f the inspec tion
from 5 March 2001 to
30 Ma rc h 2001, during which time we inte rview ed sta ff and samp led the
following cases:
67 new c la ims assessed betw een Novem ber 2000 to January 200167 rene wa l cla ims assessed betw ee n Nove mb er 2000 to Janua ry
2001
15 new and rene wa l cases which Plymouth were about to a ssess
using VF guidanc e during Ma rch 2001
68 ove rpa yment c ases
68 fraud c ases.
All samp les were rand om ly selec ted , except for 7 of the 68 fraud
cases, which Plymouth selec ted and asked us to e xamine to g ive
ad vic e a nd g uida nce on its performa nce follow ing fraud training for
visiting officers (VOs).
Plymouth is loc a ted in south west Eng land . The autho rity b ec ame
unita ry in 1998 and it has a pop ulat ion of 250,000.
Plymo uth is ranked as the 81st most d ep rived autho rity in Eng land
(source Departme nt o f Emp loyment, Transport and the Reg ions Indices
of Deprivation 2000). This figure d isguises severe p oc kets of depriva tion
within its a rea . Four wa rds in Plymo uth a re amo ng st the wo rst 10% in
England.
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Findings
pa ge 28 BFI inspec tion: Plymouth City Co unc il
Benefit expend iture a ndcaseload2.6
2.7
2.8
2.9
2.10
2.11
Fig. 2.1: HB and CTB expenditure
In 2000/ 01 Plymouth pa id out 61.8 million in
HB and CTB. This rep resented 15% of its gross
revenue expend iture o f 406.1 million . Plymouth is
the 52nd highest benefits spending LA in Great
Brita in. The brea kdown of b ene fit expend iture
over the last 3 years is detailed in Figure 2.1.
31.3 31.330.2
20.321.6 21.4
9.9 10.4 10.2
0
5
10
15
20
25
30
35
1998/99 1999/2000 2000/01
mil
lio
RAThis shows tha t HB and CTB expe nd iture ha s
dec rea sed by 2.3% ove r the last yea r, a fa ll of
1.5 million. The largest d ec rea se ha s bee n in RA
expe nd iture, w hic h ha s fallen by 3.5%, a fa ll of
1.1 million.
RR
CTB
The d ec rea se in expend iture is linked to a
red uc tion in Plymouth s HB and CTB caseloa d
which ha s fa llen sha rp ly over the last year, as
illustrated in Figure 2.2.Sourc e: Plymouth
Note: 2000/01 figures not audited Plymouth attributes this fall in caseload to:
an inc rea se in loc a l em ploym ent. For
examp le 3 telephone c aller centres have
op ened over the last year, c rea ting new jobsFig. 2.2: HB and CTB caselo ad
increa sed ta ke-up of WFTC w hich ha s ra ised
inco me s, resulting in som e c laima nts losing
ent itlement to HB and CTB
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
1998/99 1999/2000 2000/01
a fa ll in c la ims follow ing the introd uc tion of
more stringent evidence requirements
introduced during 1999/2000 in prep ara tion
for the introd uc tion of VFRA
RR
CTB only a rise in backlog s.
Plymo uth introd uc ed a DIP system in
Bene fits in Novemb er 2000 and expe rienc ed a
fall in p rod uc tivity and a rise in ba c klog , ca used
by:
increased co mp uter downtime
Sourc e: Plymouth sta ff lea rning to use the new DIP system.
Plymouth s caseloa d fell by 1,062 be twe en
Novem ber 2000 and Ma rch 2001. Plymouth e stimated 10,679cases
we re unp rocessed in the b ac klog in March 2001. We d iscuss this in more
deta il in Getting it righ t.
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 29
2.12
2.13
2.14
2.15
2.16
2.17
Organisa tion of the benefits servic ePlymo uth s benefit service is part o f the Revenues Division o f the
counc il s Financ e Department, responsible fo r Co unc il Tax (CT) as we ll
as HB and CTB administration . The service is c entralised , loc a ted in
Plymouths Civic Centre.
The servic e ha s und ergone c onsiderab le o rganisa tiona l and
proc ed ura l cha nge o ver the last 3 yea rs. These inc lude:
an o rganisa tiona l rev iew in 1998/99 resulting in a restructuring in
1999/2000
the introduc tion o f DIP in Nove mb er 2000
the imp lementa tion of VF in Ma rc h 2001.
At the t ime of o ur on-site wo rk, Plymouth w as imp lem enting
sub sta ntia l bud get cuts of 20 million. The benefits service wa s not
targete d for budge t c uts, but trad e unions were taking industrial a ct ionat the time o f our inspec tion, inc lud ing som e one -da y strikes.
The Reve nues Division undertoo k a ma jor review of its service s to
imp rove the service a nd p rep are it for future c hanges, inc lud ing Best
Value (BV) and VF. The review a imed to imp rove the service to:
pe rform c omp etitively, effic iently and effec tively
provide qua lity customer care services tha t a re a cc essib le a nd
responsive.
Befo re the review, the service w as orga nised into func tiona l tea ms
dea ling with b ene fits and reve nues. Follow ing the review, the servic e re-structured during 1999/ 2000 to form the fo llow ing 2 units:
Custome r Services dea ling with a ll frontlineenquiries, inc luding
pub lic c ontac t throug h visits, telep hone a nd p ersona l ca llers and
the c ash office team
Ac c ount Proc essing dea ling with ba ck offic eprocessing of
c ustome rs CT, Na tiona l Non-Dome stic Rates (NNDR) ac counts and
bene fit c la ims. The incom es tea m is a lso loc a ted here.
In addition, a servic e d evelopment t ea m p rovides supp ort to both
units with training, p roc ed ural g uidanc e, p ublic ity a nd c o-ordination ofa comp laints line . Figure 2.3 shows the o rganisa tiona l structure.
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Findings
pa ge 30 BFI inspec tion: Plymouth City Co unc il
Fig. 2.3: Revenues Division organisation structure
Admin
Assts
x 3
Visiting
Officers12.5
Senior CS Officers
x 2
CS Team Leader
Fraud and Visits
CS Team Leader (VF)
CS staff
x 34
Senior CS Officers
x 2
CS Team Leader
Counter + Phones
Customer Services Manager
Admin
Assistant
x 1
Training Officers
x 3
Service Development Co-0rdinator
Admin
Staffx 12
Senior Officers
x 2
Support Services
Team Leader
Processing
Staffx 28
Senior Officers
x 5
Accounts Processing
Team Leader
RR/CTB +
Verification Team
Accounts Processing
Team Leader Fraud
Action Plan
Admin
Staffx 12
Senior Officer
x 1
Accounts Processing
Team Leader
Admin
Processing
staffx 26
Senior Officer
x 4
Accounts Processing
Team Leader
RA
Account Processing Manager
Asst Head of Finance
Source : Plymouth
2.18
2.19
2.20
2.21
2.22
2.23
Custome r Service s sta ff dea l with both b enefits and CT wo rk.
Ac c ounts Proc essing sta ff a re ma inly organised into func tiona l
tea ms dea ling with the follow ing aspec ts of HB and CTB administra tion:
claims verification
RR/ CTB assessment
RA assessment.
Sep ara te tea ms wo rk on a ll aspec ts of CT and NNDR administration
from b illing to c ollec tion.
The following teams dea l with b oth HB/ CTB and CT:
sc anning and inde xing
support servic es (IT sup port, sub sidy, deb t c ollec tion).
The restructure wa s a ma jor cha nge fo r ma ny sta ff, in tha t they
we re required to w ork on ne w a nd , in ma ny cases wide r a rea s of work.
Of the existing sta ff, 40% we re interview ed for posts in the new structure
which is an indica tion o f the e xtent to which sta ff had to lea rn new
areas of w ork. Interviews took plac e be tween O c tob er 1999 and Ap ril
2000. The servic e d eve lop ment tea m p rovide d a wide -rang ing t ra ining
prog ramm e fo r sta ff working in new area s.
Afte r the restruc ture, the Revenues Division introd uc ed a DIP
system, sup p lied by Co mino. The DIP system w ent live in CT from
Oc tob er 2000 and wa s rolled out to Bene fits from Novemb er 2000.
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 31
2.24
2.25
2.26
2.27
Plymouth w as imp lem enting VF a t the time o f our on-site
inspec tion. It imp lemented VF from 26 Ma rch 2001, the last w eek of our
on-site inspec tion.
Implementation of VF was originally scheduled for early 2000, but
wa s defe rred bec ause o f IT c onstra ints, cha nges to the sc hem e a nd
sta ffing prob lem s. Plymouth c onsidered it nee ded to imp lem ent DIP andgive sta ff time to be com e p rofic ient a nd confide nt on this system be fore
imp leme nting VF fully.
We tested Plymouth s imp lem enta tion of VF on c la ims tha t we re
due to be p a id from 26 March 2001, and assessed the a uthority s
p lanning for these m ajor cha ng es during our inspec tion. This is c overed
in Getting it rightand Ma king sure the strateg y wo rks.
Orga nisa tion of counter fraud sta ffThe visiting team, p a rt o f the custome r services unit, carries out
Plymouths counter fraud operations. Figure 2.4 shows the organisationalstructure of the visiting team.
Fig. 2.4: Plym outh visiting team
3 customer service assistants
6 visiting officers
Senior customer service officer
VF visiting officer
5.5 visiting officers
Senior customer service officer
Customer service team leader
Customer service manager
Source : Plymouth
2.28
VOs perform a wide range o f gene ra l visiting func tions for the
d ivision. Fraud visits and investiga tions a re c ond uc ted a long with o ther
visiting requirements, such as:
welfare need s
property inspec tions for CT purposes
new c laim verific ation
visits to p remises c lassified fo r NNDR
ba iliff du ties. Plymouth d ec ided to outsource ba iliff wo rk from Ap ril
2001.
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Findings
pa ge 32 BFI inspec tion: Plymouth City Co unc il
2.29
2.30
2.31
2.32
2.33
Plymouth ha s rec eived fund ing from c entral government fo r 1.5
visiting p osts as part o f VF c om plianc e. These sta ff have bee n rec ruited ,
but ha ve still to b e t ra ined on VF duties. At the time o f our on-site wo rk,
Plymouth ha d sec ond ed to its visiting tea m a memb er of the VF
impleme nta tion tea m, who is to initially p ilo t a ll VF visiting duties. VF
tra ining w ill be rolled out to other sta ff onc e the results of the p ilot have
be en e valuated . The review will form p art of a wider review of c ustom er
servic es due in June 2001.
We found tha t, althoug h the structure sta tes a ll sta ff should c arry
out b ene fits fraud w ork and sta ff had und ergone a n intensive training
prog ramm e from Janua ry to Feb rua ry 2001 to fac ilita te this, in p rac tice
most b enefit fraud work was ca rried out b y staff w ho ha d previous
expe rienc e in this a rea . Plymouth to ld us tha t it alloc a ted fraud cases on
ab ility w ith new er sta ff wo rking with more e xperienc ed investiga tors. We
com ment on th is in Putting it right.
Due to the relative infanc y of the fraud sec tion, the inexperienc eof fraud sta ff and prob lem s with the c urrent system supporting the new
inc entive schem e, Plymouth ha s op ted to rem ain w ith the existing WBS
scheme for 2001/02.
Plymouth ha s only limited da ta on the numb er of investiga tions
undertaken or the ir outc om es so is unab le to a pp ly any in-depth
assessme nt o f risk to HB or CTB. There ha s bee n no a tte mp t m ade to
estimate the stoc k of fraud within the Plymo uth a rea .
In p repa rat ion for BFI's visit, Plymouth ha d
rev iewe d prev ious BFI rep orts and Goo d Prac tice
Guideto identify areas of b enefit work need ing to
be upd a ted . We c ove r this in more d eta il in
Putting it right.
In p reparation for BFI's visit,
Plymouth had reviewed previous
BFI reports and Good Prac tic e
Guideto identify areas of benefit
work needing to be updated.
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 33
2.34
2.35
2.36
2.37
2.38
2.39
2.40
2.41
Getting it rightGetting it righ tmea ns be nefit p aym ents should be c orrec t from the
sta rt. This me ans tha t:
there m ust b e a sec ure g a tew ay to the b enefit system
c laimants should no t ha ve to dea l with unnec essa ry red tape
the o rganisa tion provides a m od ern, integrated , high qua lity service.
Benefit servic e a c c essib ility and awarenessSec tion 123(3)(a) o f the Soc ial Sec urity Co ntributions and Benefits
Ac t 1992 (SSCBA 1992) sta tes tha t every authority g ranting HB:
sha ll ta ke suc h step s as appea r to them approp ria te fo r the
purpose o f sec uring t ha t p ersons who ma y be entitled to housing
be nefit from the a uthority bec ome aw are that they may be
ent itled to it..Req uirem ents in respec t o f CTB are in sec tion 123(4)(a) of the same
Act.
LAs c an p romo te the leg itima te ta ke-up o f benefit b y, for examp le:
advertising t he HB and CTB sc hem e th roug h the loc a l me d ia and
throug hout c ounc il offices
wo rking with o the r organisa tions, suc h as BA, we lfare groups and
landlords
inc lud ing informa tion whe n c orrespond ing with a ll LA c ustom ers.
We found tha t the bene fits servic e m ee ts reg ula rly with we lfa re
groups and land lords to p rom ote the ta ke-up of b enefit. Plymouth
atte nd s me et ings of the Plymo uth Welfa re Rights Forum e very 2 mo nths.
This is cha ired by the Welfa re Rights Sup port Unit (WRSU) b ased in the
Citizens Ad vice Bureau (CAB).
This forum ha s a wide range of pa rticipants includ ing C AB, BA, ES,
Housing Assoc iat ions (HAs), as well as vo lunta ry groups add ressing
spec ific groups suc h as rough sleep ers and lone p arents. In a ll the re a re
over 20 participating members.
The bene fits servic e has not orga nised any rec ent take-up
camp a igns itself. How ever, it ha s worked in pa rtne rship w ith the WRSU
and othe r age nc ies in
take-up work, including a successful over-60s campaign in 1999/2000
which sec ured 650,000 ad d itiona l benefit payments for pe nsione rs.
It is imp ortant tha t, having enc ourag ed take-up, the LA provide s a
modern accessib le and responsive servic e. Plymouth told us tha t:
70% of c a llers c onta c t the servic e b y ca lling into its pub lic rec ep tion
30% of c a llers c ontac t the service b y telephone.
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Findings
pa ge 34 BFI inspec tion: Plymouth City Co unc il
2.42 Figure 2.5 gives deta ils of ca ller and phone tra ffic ove r the last
year.
Fig. 2.5: Weekly customer servic e c onta c ts Ap ril 2000 Feb ruary 2001
Averag e Lowest Highe st
Callers at rec eption (to 29 Octob er
2000 only)
1,005 608 1,321
Interviews 318 99* 388
Telephone c allers (to 29 Oc tober
2000 only)
441 328 580
Source : Plymouth
Note: * Christmas week
2.43
2.44
2.45
The p ublic rec ep tion p oint dea ls with bo th be nefit a nd C T
enquiries, with enquiries on benefits comprising the overwhelming
ma jority, an e stimated 75% of c a llers. The p ub lic rec ep tion and bene fits
proc essing o ffic es are loc a ted a t the C ivic Centre, which is next to the
ma in shopp ing c entre in the c ity. This a ffords ea sy ac cess for Plymouth's
custom ers. In a dd ition, 10 Neighbourhood Housing Offices loc a ted
throug hout the a rea provide ge neral ad vice on b enefits.
During 2000/01, Plymouth set the following targets for dealing with
persona l ca llers a t the Civic Centre:
98% of c ustome rs to be see n within 10 minute s of joining rec ep tion
queue78% of c ustom ers wa iting for an interview in a p riva te c ub ic le to b e
see n w ithin 30 minutes.
Figure 2.6 show s how Plymouth found it ha d performed aga inst its
stated targets for 2000/01.
Fig. 2.6: Custome r service pe rformance indicators 2000/01
Month(2000/01)
% customers seen within 10
minutes of joining rec ep tion
queue(Targe t 98)
% of custome rsinterviewed within 30
minutes(Targe t 78)
April Not me asured 81
Ma y 91 76
June 74 70
July 72 66
August 66 47
September Not me asured 48
October Not me asured 50
November 78 46
December Not me asured 66
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 35
Month
(2000/01)% customers seen within 10
minutes of joining rec ep tion
queue
(Targe t 98)
% of custome rs
interviewed within 30
minutes(Targe t 78)
January 20 41
February Not me asured 33
March Not me asured 36
Source : Plymouth
2.46
2.47
2.48
2.49
2.50
2.51
This show s a poo r and dete riorating performa nc e aga inst its ow n
ta rgets ove r the last yea r. Plymouth only ac hieve d its ta rget fo r one of
these m ea sures in Ap ril 2000. Since the n it has fa iled ea c h mo nth to
ac hieve either target. Performanc e ha s deteriorated to a low level by
2001.
Our own o bservations during the o n-site inspec tion confirmed tha tthe p ublic had leng thy waiting times a t the rec ep tion c ounter. We w ere
told tha t the num ber of ca llers had inc rea sed bec ause o f the rise in
bene fits backlog and the d ispatc h of a nnua l CT b ills. We m onitored
wa iting times and found c ustom ers had to w ait on a verage 35 minutes
to be seen b y rec ep tion.
From Sep tem ber 2000, Plymo uth dec ided to reduc e m onitoring the
numb er of ca llers see n within 10 minutes to one day every othe r mo nth,
as it co nsidered the mo nitoring resource intensive. As a result, any
ma nage ment informat ion derived from this measure is insuffic ient to
allow comprehensive monitoring of actual performance. Plymouth alsostop pe d c ounting the numb er of pe rsona l and telepho ne c a llers from
Sep tem ber 2000. To imp rove its und ersta nd ing and informa tion of
pe rsona l ca llers Plymouth plans to imp leme nt a Q ueue Ma nag eme nt
System by June 2001.
Plymouth ha s rec og nised its fa ilure to m ee t its ta rgets and in
response ha s lowered its ta rgets for the fo llowing yea r. The prop osed
ta rgets for 2001/02 are:
75% of c ustome rs to be see n w ithin 10 minutes of joining the
rec ep tion q ueue
65% of c ustom ers wa iting for an interview in a p riva te c ub ic le to b e
seen within 30 minutes.
Whilst we a cknow ledge th is ma kes its ta rgets mo re rea listic a nd
hop efully, ac hievab le, it is d isappointing tha t Plymouth ha s respond ed
to failure by lowe ring ta rge ts, ra ther than imp roving its service.
Plymouth has a complement of 34 front line staff (25 full-time
eq uivalent) emp loyed on custome r service d uties. This dem onstrates its
com mitment to c ustom er servic e. All sta ff dut ies a re rota ted throug h a ll
aspec ts of c ustom er service to ensure they a re a b le to dea l with the full
range of enq uiries.
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Findings
pa ge 36 BFI inspec tion: Plymouth City Co unc il
2.52
2.53
2.54
2.55
2.56
Plymouth ha s not set a performa nc e mea sure fo r dea ling w ith
telep hone c a llers. All c a lls from c la ima nts a re routed through to the
customer services sec tion to a llow ac counts p roc essors to dete rmine
c laims without interrup tion. Sta ff to ld us tha t c a llers often b ypass this
route to spea k direc t to p rocessing sta ff. This is mo re likely to ha ppen
when there a re proc essing ba cklog s and when the p hone lines a re
engaged.
During 2000, Plymouth dec ided to introd uc e c a ll cent re
tec hnolog y to imp rove its c ustom er servic e a nd o b ta in reliab le
ma nage ment informa tion. The system w ent live fo r CT in Dec em ber
2000. Plymouth to ld us tha t it intend ed to introd uc e it to the b ene fits
service by the end of April 2001 to a llow sta ff to fa milia rise themselves
with the new te chno log y and lea rn any lessons.
We c onc lude tha t the custom er servic e te am is we ll sta ffed, b ut
do es have to d ea l with large vo lumes of c a ller and pho ne tra ffic , as
shown in Figure 2.5. Unsurprisingly, the vo lume of c a llers to the office andby pho ne is d irec tly linked to the a mount of wo rk outstand ing.
We were c onc erned that Plymouth is failing to collec t impo rtant
ma nage ment informa tion on the rea sons for ca lls and response t imes.
We consider that w ithout this informa tion Plymo uth c annot m ake
informed de c isions abo ut how it c an provide the c ustom er servic e that
it a sp ires to and see k alternatives whe re the c urrent p rac tices are no t
working.
Early identification of this as an issue, through the collection and
ana lysis of d ata , co uld have given Plymouth ea rly wa rning of prob lems
with delays, and the o pp ortunity to rectify them be fore they
de teriorated to form a ba c klog.
We rec ommend that Plymouth ensures that it regularly gathers
sufficient manag em ent informa tion on:
the typ e o f ca llers (HB or CT)
the length of time taken o n rec ep tion
waiting times for reception a nd p rivate interviews
the reason for the c all to the office and by phone.
These m easures should b e introduced imme dia tely, before the
que ue m ana ge ment system if necessary, and used to a ssess the
effec tiveness of the service as well as help improve customer
services.
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 37
Claim form2.57
2.58
2.59
2.60
2.61
2.62
2.63
Reg ulation 72(1) of the HB Reg ulations sta tes tha t:
Every claim sha ll be in writing a nd ma de o n a p rop erly
c omp leted c laim form
There is an ide ntic a l prov ision fo r CTB in reg ulation 62(1) of the
Co unc il Tax Benefit (Ge neral) Regulations 1992 (CTB Regulations).
A g oo d c la im fo rm p lays a vita l pa rt in ensuring administra tive
efficienc y, sec uring g a tew ays into the b ene fit system and providing a
better qua lity service to c la ima nts.
Plymouth introd uced a new c laim form from 29 Janua ry 2001. This
wa s a ma jor imp rove ment o n its p revious c la im forms. How eve r,
bec ause the fo rm w as so rec ent, very few cases had bee n a ssessed
using the new form. All of the c ases we samp led random ly were
assessed on the previous c la im fo rms and this cont ributed to poo rverifica tion standa rds in most o f the c ases we samp led. In co ntrast the
15 cases tha t Plymo uth a sked us to exam ine to test its c om plianc e w ith
VF used the new form. We found a muc h highe r standa rd of c om pletion
and evidenc e p rovided in these c ases com pa red to the p revious c la im
forms.
We c om pa red Plymouth s new c la im fo rm a ga inst the at tribute s of
a goo d c laim fo rm, as spec ified in BFI'sGoo d Prac tice Guide, VF and
the mo del c laim form tha t was issued to a ll LAs during our on-site
inspection.
We found the new form a ma jor
imp rove me nt on the fo rms it rep lac ed . In
particular it:
is we ll set out a nd sign-posted
g ives c lear, comp rehe nsive d eta ils of the
evidenc e required
not ifies the c la ima nt of the requirem ent to
rep ort cha nge s.
We found the new form a
ma jor improvement on the
forms it rep lac ed .
We ident ified seve ra l area s in the new c la im fo rm tha t requirerevision. Full deta ils a re a t Append ix B. These includ e:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
the q uestion relating to t he c om mon trave l a rea should b e update d
as the current phrasing does not meet the leg a l req uirem ents
ea c h upd a te o f the form should be read ily ide ntifiab le.
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Findings
pa ge 38 BFI inspec tion: Plymouth City Co unc il
2.64
2.65
Plymouth told us that the new form ha d be en p rinted on the w rong
thickness of p aper, which c aused d ifficulties for sc anning a nd inc urred
ad ditiona l postage costs. It told us that it p lanned to ma ke an ea rly
rep rint of the form and wo uld incorporate the c hang es we identified .
Plymouth were a iming to com plete a full rep rint, with all releva nt
amendme nts, in Sep tem ber 2001.
We supp ort the introd uc tion o f the new form a nd we sugg est tha t
with the a mend ments, the c la im fo rm w ill p lay a n important pa rt in the
suc cessful imp leme nta tion o f VF for Plymo uth.
We recomm end tha t Plymouth:
revises its c laim fo rm to ensure it is consistent with BFIs Good
Prac tice Guideand the mo del c laim form
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX
2.66
2.67
2.68
2.69
Befo re it introd uc ed the new c la im fo rm Plymouth was using 6d ifferent forms dep end ing o n the type o f claim. These include d
sep ara te forms for RR, RA a nd CTB and shortened renew al forms for
c la ima nts rec eiving Inc om e Support (IS) o r co ntribution-ba sed
Job see ker s Allow anc e (JSA(cont )). We found these forms we re poo rly
de signe d and c ontribute d to its po or performa nc e in the verific ation of
new and rep ea t c la ims samp led. The weaknesses of the 6 forms
included:
verifica tion wa s not req uested
the shortened renewa l form wa s ta ilored to know n c ircumsta nc es,
reducing the likelihood of claimants reporting other circumstances
there was no space o r req uirem ent fo r the Na tiona l Insuranc e
numb er (NINO)
the re w as no sign-posting
there w as not enough spa c e for earned income to be filled in
the wrong form co uld b e used .
The BFI's Goo d Prac tic e G uiderec om me nds tha t an LA shou ld use
one c om bined HB and CTB c laim form. We supp ort the w ork do ne b y
Plymouth to withdraw these forms from use.
Verification workReg ulation 73(1) of the HB Reg ulations req uires tha t:
a p erson w ho ma kes a c laim sha ll furnish suc h c ertifica tes,
doc uments, informa tion a nd evid enc e in c onnec tion with the
c laimas ma y be rea sona bly req uired by the app rop riate
authority in order to d ete rmine tha t person s ent itlement
There is an identica l provision in regulat ion 63(1) of the CTB
Regulations.
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 39
2.70
2.71
2.72
2.73
2.74
The Dep artment ha s a lso develop ed VF. This sets out the m inimum
sta nd ard of ve rifica tion tha t LAs should a pp ly when p roc essing HB/ CTB
c la ims and has been de signe d to he lp p revent fraud and error entering
the system a t the c la im sta ge .
We conc lude tha t the o verall standa rds of verifica tion in Plymouth
we re p oo r. We found errors in both o ur new and rene wa l c la im samp les,but the stand ard o n renew a l cla ims wa s worse tha n tha t on new c laims.
We co nsider that the re a re a numb er of significant fac tors tha t
have affec ted the stand a rds a ttained by Plymouth. These include:
po orly d esigne d c laim fo rms
inad eq uate recording of a ction taken
temporary easements introduced to speed claim processing
inadeq uate ma nagement c hecking.
Plymouth rea lised tha t it had to imp rove its standa rd of ve rifica tionto b e fully VF c om pliant from 26 Ma rc h 2001. To Plymo uth s c red it,
befo re we visited it ha d ta ken a c tion to address a ll these issues.
Whilst on site, we too k the opportunity to test a further 15 new and
rene wa l c la ims tha t Plymouth c onsidered to b e fully VF c om pliant.
Plymo uth wa s keen fo r us to advise o n these cases befo re it assessed
them , to chec k its standard of verific a tion. Although verific a tion wa s of
a m uc h higher sta nda rd than the o ther samp led c ases we still found
some areas in need of improvement, including:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2.75
2.76
XXXXXXXXXXX
In the follow ing p aragrap hs we loo k in de ta il a t how Plymouth
verifies c la ims and the e xtent to w hich lega l req uirem ents and minimum
verific a tion standa rds are m et. We considered :
VF imp lem enta tion
the g eneral arrang em ents for ga thering a nd c hec king informa tion
and evidenc e nec essary to p roc ess c la ims
how pa rticular elem ents we re verified befo re VF wa s imp lem ente d
verifica tion o f cases und er VF.
Verific a tion framew orkPlymouth to ok the dec ision in 1999 to imp leme nt VF. The o riginal
imp lementa tion d a te o f Janua ry 2000 was postp one d a s IT support wa s
conc entra ted on Year 2000 work. A revised date of Ma y 2000 wa s
chosen to avoid yea r-end a c tivity, but this wa s not a c hieved bec ause
of absenc e through sic kness of the VF imp lem enta tion projec t ma nager.
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Findings
pa ge 40 BFI inspec tion: Plymouth City Co unc il
2.77
2.78
2.79
2.80
2.81
2.82
The p rojec t wa s re-app ra ised in July 2000. Following advice from
other VF c om pliant LAs tha t a DIP system w as nec essa ry to c ontrol and
ma nag e the extra pa pe rwork, a revised imp lementa tion d ate be tween
Janua ry and Ma rc h 2001 wa s dec ided . This flexib le period wa s c hosen
to a llow DIP to bed in. The DIP system w ent live in Novemb er 2000 and
Plymouth imp lem ente d VF during our last w eek of the on-site inspec tion,
from 26 Ma rch 2001.
The DIP system conta ins softwa re tha t req uires Plymouth to rec ord
the evidenc e tha t has be en p rovided to verify the d ifferent a spe c ts of
the c la im. This p rovide s a go od c hec klist for the sta ff and evide nc e fo r
ma nag ers when c om pleting ma nag em ent c hec ks. In our sam ples from
be fore the introd uct ion o f VF, we found little e videnc e o f rec ording
verification a c tion, excep t in som e ne w c la ims when a stand a rd
checklist was used in verifying the NINO and identity.
Collec ting and rec ord ing informa tion a ndevidence
The VF spec ifies how information a nd evide nc e should be
rec orded . In p articular it sta tes tha t:
whe re p ossib le orig ina l docume nts should be seen
sta ff responsible fo r sc rutinising a nd ta king deta ils from suc h
doc uments should ha ve rece ived app rop riate training
all evide nce co llec ted and che cks ma de must be clearly and
ac c urately rec orde d.
An LA tha t fa iled to follow these b asic req uirem ents will have noaud it trail ava ilab le to show tha t a ll nec essary steps in the verific a tion
proc ess have be en c arried out.
We found from observations and discussions
with sta ff tha t Plymo uth sc rutinised orig inal
doc uments tho roughly. The sta ff responsible for
c hecking a nd c op ying d oc uments have rec eived
deta iled tra ining from the Immigration Servic e on
identifying fraudulent d oc ume nts. They refer to
c hec klists and have conta c ted the Imm igration
Service for ad vic e on suspec t do c uments. Plymouth had p urchasedultraviolet (UV) sc anners and illuminat ing ma gnifying g lasses, and sta ff
use them to chec k original doc uments.
All the d oc ume nts we exam ined in our samp ling w ere
photo co pied, signed and stamp ed orig ina ls seen, other than o ne c ase
in which p hotoc op ies we re sent in by the HD.
Plymouth sc rutinised origina l
doc uments thoroughly.
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 41
2.83
Ga thering evidenc eTo he lp us com me nt on Plymouth s performa nc e in respec t of
p roc essing c la ims, we samp led 67 new and 67 rene wa l claims. A
brea kdo wn of the sta tus of the se c laims is shown in Figure 2.7.
Fig. 2.7: Breakd own o f sam pled c laims
Type of c laim Awa iting
evidence/no
t de termined
Entitled Not entitled Tota l
New RA 6 21 1 28
New RR 4 14 0 18
New CTB only 13 7 1 21
Renewal RA 0 23 0 23
Renewal RR 0 26 0 26
Renewa l CTB only 0 18 0 18
Total 23 109 2 134
Source: BFI analysis
2.84
2.85
2.86
The entire renewa l samp le ha d be en d etermined and b enefit
renew ed . We ha ve c onc erns abo ut the lac k of sc rutiny and verification
app lied to the se c la ims as deta iled la ter in the repo rt.
Verific a tion on new c la ims wa s gene ra lly of a highe r standa rd .
Plymouth ha d not dete rmined 23 (34%) of the new c laims. These we re
cases where the c laimant had not respo nded to reque sts for evidenc e.
All these c ases we re log ged on the Housing Benefit Info rma tion System
(HBIS), but ma ny ap pea red to b e inac tive a s there w as no c urrent
ac tion. The a ge of these c ases rang ed from being 2 months to 7 mo nths
old a t the time of our on-site inspec tion.
These c ases should b e fo rma lly c losed as the y are ta king up
unne c essa ry space on the HBIS and DIP systems and ma y p ose a risk of
internal fraud wh ile they are still op en. Plymo uth s lette rs sta te tha t theLA w ill assume c laima nts no longer wish to pursue the ir c laim if they d o
not rep ly to req uests within 4 weeks. This a llows the LA to trea t the c laim
as c losed . How eve r, Plymouth had not c losed these c ases on the HBIS
system.
We rec om mend that Plymouth ensures that c ases where the
claimant has not replied to requests for further information are
c losed down and the c laimant notified ap propriately.
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Findings
pa ge 42 BFI inspec tion: Plymouth City Co unc il
2.87
2.88
2.89
The p eriod of o ur samp ling of c ases pa rtly coinc ided with the use
of tem pora ry easeme nts in the standa rd o f evide nce g a thering b y
Plymouth. The e asem ents we re introd uc ed from 4 Oc tob er to 4
Dec em ber 2000 to a ssist it in clea ring bac klog s of wo rk in p rep ara tion for
the introd uc tion o f the DIP system.
Written instructions on ea sem ents were issued to sta ff includ ing thefollowing:
relaxed som e o f the p roo fs/ evide nc e w e no rma lly req uirein
some circumstances working without files.
Figure 2.8 shows some examples from the extensive list of the
ea seme nts that we re introd uced from Oc tob er 2000.
Fig. 2.8: XXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXXX
X
XXXXXXXXX XXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXX
XXXXXXXX XXXXXXXXXXXXXXXXXXXX
XXXXXXXX
XXXXXXXXXXXX XXXXXXXXXXXX
XXXXXXXX XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXX
XXXXXXXXXXXXXXX XXXXXXXXXXXXXXXX
XXXXXXXXXXXXX
XXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX
XXXXXXX XXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
XXXX
XXXXXXXXXXXXXXXXX
XXXXXX
XXXXXXXXXXXXXXXXX
XXXXXX
XXXXXXX XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX
XXXXXXXXX
XXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXX
XXXXXXX
XXXXXXXXXXXXXXXXX
XXXXXXX
XXXXXXXXXXXXXXXXX
XXXXXXX
XXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX
XXXXXXXXXXXXXXXX
2.90 Figure 2.8 illustrate s tha t the ea sem ents we re m ainly foc used on
rene wa l c la ims. This wo uld explain the poo r standards of verifica tion
seen in our rene wa l samp le.
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Findings
BFI inspec tion: Plymouth City Co unc il pa ge 43
2.91 We a re c onc erned tha t in bo th new and renew a l c laims sta ff were
not fo llow ing the instruc tions tha t we re a va ilab le to return to the more
stringent, norma l p roc ed ures from 4 Dec em ber. For exam ple, of the 14
cases from our rene wa l samp le returned to Plymouth where we
considered the re wa s an e rror, 9 ca ses (64%) were a ssessed a fte r 4
December.
2.92 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXX
2.93 Figure 2.9 shows an overall summary of the verification obtained
on new and renew al cases in our samp le tha t we re entitled to b enefit.
Som e o f the c laims in our new samp le still had outstand ing ac tion or
were a wa iting evide nc e from the c la ima nt or BA. Our samp ling a na lysistakes acc ount of this and only inc ludes c la ims tha t ha ve b ee n a ssessed
and pa id.
Fig . 2.9:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXX XXXXXX
XXXXXXXX
XXXXXXXX
XXXXXXX
XXXXXX
XXXXXXXX
XXXXXXXX
X
XXXXXX
XXXXXXXXX
XXXXXXXX
XXXXXXXXX
XXXXXXXXX
XXXXXXXXXXXXXXXX XX XX XX
XXXXXXXXXXXXXXXXXX XX XX XX
XXXXXXXXXXXXXXXXXXXXXXX XX XX XX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XX X XX
XXXXXXXXXXXXXXXXX XX XX XXX
XXXXXXXXXXXXXXXXXXXX XX X XX
XXXXXXXXXXXXXXXX X X XX
XXXXXXXXXXXXXXXXXX XX X XX
XXXXXXXXXXXXXX XX X XX
XXXXXXXXXXXXXXXXXX XX XX XX
XXXXXXXXXXXXXXXXXXXXXXXX
XX XX XXX
XXXXXXXXXXXXXXXXXXXXXXX XX X XX
XXXXXXXXXXXXXX
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Findings
pa ge 44 BFI inspec tion: Plymouth City Co unc il
2.94
Figure 2.9 shows that Plymouth:
verified IS and inco me -ba sed Jobsee ker's Allow anc e (JSA(IB))
entitlem ent a nd rent liab ility in a ll new c laims
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Verifying NINOs and identity2.95
2.96
2.97
2.98
2