On behalf of the Department of Social and Family Affairs, the Department of Justice Equality and Law Reform, the Department of Finance and the Office of the Revenue Commissioners, I thank the Chairman and members for their invitation to appear before the joint committee for a discussion on social welfare fraud.
In this presentation on behalf of the four bodies, I propose to provide the committee with background information on the Department of Social and Family Affairs's control strategy and our integrated approach in implementing it. I will outline the challenges facing the Department from a control perspective and our efforts to deal with them which include a number of cross-departmental initiatives.
To put in context the Department's control activities, it might help to outline the scale of business. The Department makes over 1.2 million payments each week and a further 500,000 on a monthly basis across more than 50 schemes. The Department processes in excess of 2 million claims per year and the budget for social welfare is €21.3 billion in the current year. The Department is very conscious of its obligation to safeguard this money and ensure it is administered in a manner that means the right people get paid the right amount at the right time.
A four-pronged control strategy has been adopted by the Department, namely, prevention of fraud and error at the initial claim stage, early detection through effective review of claims in payment, measures to deter fraud and the pursuit and recovery of overpayments.
Controls are exercised at initial determination of entitlement which is of critical importance in the deterrence of fraud and at subsequent stages during the claim life cycle. They include desk reviews of claim papers, home visits, the issue of certification letters/mail-shots to selected customers, database checking and medical reviews in the case of illness payments.
Key elements of the Department's control strategy include risk assessments, surveys of the levels of fraud and error within schemes, scheme specific review policies, data matching initiatives with both external and internal parties and investigation of anonymous reports. These control tools ensure that review activity is targeted in the most effective manner. In addition, a number of the Department's schemes have moved to a new computing platform which provides enhanced controls of claim management and processing with built-in validation and supports.
In regard to fraud and error surveys, the process involves inspectors reviewing a random sample of claims to assess the underlying levels of fraud and error and action being taken by scheme managers to address the fraud and error risks identified. Fraud and error surveys have been undertaken on the following schemes: 2003, jobseeker's and one-parent family payments; 2004, child benefit and family income supplement scheme; 2005, disability allowance; 2006, PPSN allocation process and the illness benefit scheme; 2007, State pension non-contributory scheme and one parent family payment; and 2008, State pension contributory scheme.
The level and types of fraud and error vary across schemes but customers typically incur fraud in situations such as failing to disclose their full means or increases in means; failing to disclose the true employment or residential status of their spouse, partner or dependants; claiming jobseeker's payments when they are working; absenting themselves or their dependants being absent from the State; and working while claiming to be incapable of work.
Review policies focus control activity on the high risk schemes and on claims that have been identified in fraud and error surveys and risk assessments as having a higher risk of fraud and abuse. In 2007, revised review policies were introduced for the jobseeker and one-parent family schemes. In 2008, the child benefit review policy was agreed. This year review polices have been finalised for disability allowance and carer's allowance. A policy for State pension non-contributory schemes is being finalised.
There has been a major increase in the number of reports of suspected fraudulent activity from members of the public. At the end of May 2009, 2,136 reports were received in control division in Carrick-on-Shannon compared with the end of May 2008 when 299 reports were received, a 714% increase. This figure does not include reports which were made to other areas or offices around the country. However, when investigated, a significant number of the reports do not lead to any savings as in many instances the individuals reported are correctly benefiting from exemptions and disregards under the appropriate schemes.
Data matching is a effective method of identifying high risk claims for review and is an example of good cross-departmental co-operation. Every month commencement of employment data from Revenue is matched against the Department's schemes and investigations are conducted where warranted. Earnings data supplied by the Revenue Commissioners is accessed by staff at both claim application and review stage. This year when the Department supplies Revenue with landlord data relating to rent supplement claims we will also be able to provide landlords' PPSNs.
Other examples of data-matching initiatives include the following. In the case of the Department of Justice, Equality and Law Reform, the Irish Prison Service, the Criminal Injuries Compensation Tribunal and the Courts Service all provide the Department with data for control purposes. The Department of Education and Science provides student data. The Department of Agriculture, Fisheries and Food provides data on grant payments. In the case of the Department of Transport, the Commission for Taxi Regulation provides data on taxi-hackney licences. In the case of the Department of Environment, Heritage and Local Government, the Private Residential Tenancies Board provides information on registered landlords which is matched against the Department's payments systems. Within the Department, the General Register Office provides life-event data on a constant basis.
The Department also has a programme of employer inspections, which are sometimes carried out in co-operation with inspectors of taxes from the Revenue Commissioners and the National Employment Rights Authority. The records of some 3,200 employers were inspected in 2008 to ensure compliance with the Department's regulations and in particular to prevent and detect abuses of the system.
Identity fraud and identity theft are issues with which public bodies are rightly concerned, both in terms of prevention and detection. The Department automatically issues a personal public service number, PPSN, in the case of children born in Ireland. In other cases application must be made in person at one of the Department's network of registration centres and a controlled allocation procedure is followed. There is a dedicated section in the Department, client identity service, CIS, dealing with identity fraud in PPSN allocations. The staff are trained in document fraud detection and the section operates a full-time help-desk facility for front-line staff and provides training and support to them in dealing with document fraud issues. CIS shares document examination expertise and copies of registration documentation with external agencies, in particular the Revenue Commissioners, the Garda, the RSA, local authorities and the Office of the Refugee Applications Commissioner. More recently, we have started to do the same for An Post as a result of the recent initiative that front-office staff must validate social welfare customer identity by requesting photo ID.
There are over 600 staff at local, regional and national level whose work involves some element of control activity. The Department works closely with the Garda National Immigration Bureau and two staff are on secondment to the bureau to assist both agencies in the pursuit of their respective remits, with particular emphasis on welfare fraud and breaches of immigration legislation.
Almost €476 million in social welfare payments was saved through fraud control measures in 2008, an increase of €29 million on the previous year. This year the target is over €600 million. Where overpayments occur the Department seeks to recover them and in cases of serious fraud, the Department will use all legal avenues open to it to recover the money defrauded and seek redress. Criminal prosecutions are taken against persons who defraud the social welfare payments system and employers who fail to carry out their statutory obligations. In 2008, 324 criminal cases were finalised in court, an increase of 86 on the previous year. A total of 354 criminal cases were referred to the Office of the Chief State Solicitor for the initiation of prosecution proceedings.
The activities and measures summarised above have ensured that the Department's control strategy is fully integrated into the administration of schemes. The strategy is monitored and reviewed to ensure it remains effective, and in particular addresses emerging and increasing risks.
The rapidly changing economic environment with large increases in the levels of unemployed poses challenges for the prevention and detection of fraud. The live register grew from some 175,000 in January 2008 to almost 397,000 at the end of May 2009, an increase of more than 125%, and the projected average live register figure for 2009 was raised to 440,000 in the supplementary budget. This unprecedented increase in the live register and in the volume of jobseekers assistance claims has meant that social welfare inspectors have been concentrating on means testing new applicants and have a reduced capacity to undertake reviews.
The Department's response to the challenges we face is a balanced approach that on the one hand, addresses service delivery issues through increased productivity, recruitment and training of staff, the introduction of process improvements and the establishment of back office supports for local offices and on the other hand, ensures control activity is being targeted at high risk categories of claimants. Examples of this targeted approach to control activity in response to emerging threats include the following. The special investigation unit is undertaking more regular interviews of jobseeker recipients. Residency checks are carried out on those in high risk categories and involve a number of home visits. The frequency of the visits is varied so as not to establish a predictable pattern.
Border regions have put an increased emphasis on controls on claims from applicants with a previous address in Northern Ireland. In addition, multi-agency vehicle checkpoints with officers from a range of public service agencies including the Garda Síochána, the Revenue Commissioners, the Department of Social and Family Affairs and local authorities are operational. The lead agency for these checks is the Garda Síochána.
One-parent family recipients with earnings are targeted for review. The frequency of issue of mail shots to validate continued entitlement to child benefit has increased to three monthly for all non-Irish nationals.
New data matches with additional external bodies have been initiated. As a preventative measure, in 2008 the option to receive payments by electronic fund transfer was removed for new claimants for jobseeker payments. They must attend in person at the post office each week thus confirming their continued residency in the country. Their claim is automatically suspended where two consecutive payments are not collected. This year stricter identity checks were introduced in post offices for people collecting social welfare payments.
The Department is committed to ensuring that social welfare payments are available to those who are entitled to them. We are also determined to ensure that abuse of the system is prevented and is dealt with effectively when detected.