The Dodgy Doctor and His Invisible Patient

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0:00:02 > 0:00:07Theft of public money costs the UK taxpayer over £20 billion a year.

0:00:07 > 0:00:09This was one of the biggest cases we've ever had.

0:00:09 > 0:00:12It came into the region of about half a million pounds.

0:00:12 > 0:00:15It's money which should be going into the public pot

0:00:15 > 0:00:17to spend on essential services.

0:00:17 > 0:00:20The victims in this case are the public

0:00:20 > 0:00:24and the money could have been used to build schools or fund hospitals.

0:00:24 > 0:00:27And throughout the country there are specially trained

0:00:27 > 0:00:30investigators making sure that justice is served.

0:00:30 > 0:00:32The system cannot be beaten.

0:00:32 > 0:00:35They will be held to account at some point.

0:00:36 > 0:00:40In this series we meet the men and women across the UK committed

0:00:40 > 0:00:43to catching criminals who steal from you and me,

0:00:43 > 0:00:45the British taxpayer.

0:00:47 > 0:00:49But we also hear stories from people who genuinely need help

0:00:49 > 0:00:51from public money.

0:00:51 > 0:00:54I'd swap places tomorrow with him if it meant he could walk.

0:00:54 > 0:00:59I just thought I'm one of them lowlifes who's had an addiction.

0:00:59 > 0:01:03And sometimes they don't even realise they're entitled to it.

0:01:03 > 0:01:06I didn't know there was anything better out there

0:01:06 > 0:01:08until she started at the Institute.

0:01:12 > 0:01:16Coming up, a tip-off from a doctor's surgery uncovers a meticulous plan

0:01:16 > 0:01:20to rip off the NHS, putting patients' lives at risk.

0:01:20 > 0:01:24The most disturbing aspect of this case is that

0:01:24 > 0:01:28the doctor has been incredibly lucky that none of his patients have died

0:01:28 > 0:01:31as a result of his criminal acts.

0:01:31 > 0:01:33A benefits scrounger lives the high life

0:01:33 > 0:01:38when he claims £85,000 in disability allowance.

0:01:38 > 0:01:42I think it's particularly upsetting to see someone abusing

0:01:42 > 0:01:43the system in this way.

0:01:43 > 0:01:46And a devoted mum puts her own health in jeopardy,

0:01:46 > 0:01:50struggling to care for her mentally ill son.

0:01:50 > 0:01:52I was getting depressed and quite ill, really.

0:02:03 > 0:02:06The health and well-being of 63 million people in the UK

0:02:06 > 0:02:08is in the hands of the NHS.

0:02:08 > 0:02:13But when it's targeted by fraud, it doesn't just suffer financially.

0:02:13 > 0:02:17Fraud against the National Health Service

0:02:17 > 0:02:20directly impacts on their ability

0:02:20 > 0:02:23to care for patients and drains away money

0:02:23 > 0:02:26and resources from this important function.

0:02:26 > 0:02:30It's the work of a dedicated team of investigators from NHS Protect

0:02:30 > 0:02:32to defend it against attacks

0:02:32 > 0:02:35which can affect its reputation and budget.

0:02:35 > 0:02:39Sometimes those attacks can come from within.

0:02:40 > 0:02:43He was focused on achieving the maximum amount of money

0:02:43 > 0:02:44he could draw down.

0:02:44 > 0:02:47That preoccupied him more than anything else.

0:02:49 > 0:02:52Antifraud specialist, Pauline Smith,

0:02:52 > 0:02:56is one of the NHS's highly trained investigators.

0:02:56 > 0:03:00And one of her cases concerned a GP running a practice in Rochdale,

0:03:00 > 0:03:03a town with the highest density of adult unemployment

0:03:03 > 0:03:05in Greater Manchester.

0:03:06 > 0:03:11The most disturbing aspect of this case is that Dr Sundaresan has been

0:03:11 > 0:03:14actually incredibly lucky that none of his patients

0:03:14 > 0:03:18have died as a result of his criminal acts.

0:03:20 > 0:03:23The case is one of the most blatant thefts the team has ever

0:03:23 > 0:03:28come across and involves not only taking money from NHS reserves,

0:03:28 > 0:03:32but could have had a devastating effect on members of the public.

0:03:34 > 0:03:38He couldn't explain why a dead person had a blood pressure reading.

0:03:38 > 0:03:41Clearly, dead people don't have blood pressure readings.

0:03:41 > 0:03:47He first came to light in 2008 at Rochdale's East Street surgery.

0:03:47 > 0:03:49Suspicions first arose

0:03:49 > 0:03:56when the GP practice manager reported to chiefs her concerns over apparent

0:03:56 > 0:03:59activity that had occurred over the previous bank holiday weekend.

0:03:59 > 0:04:03We wouldn't have expected any activity whatsoever

0:04:03 > 0:04:08over an Easter bank holiday, given that GP practices are closed.

0:04:08 > 0:04:12Nevertheless, records show that a huge number of patients

0:04:12 > 0:04:16had visited the surgery, and suspicion fell on Dr Sundaresan.

0:04:19 > 0:04:24The GP was reporting that he had completed clinical procedures,

0:04:24 > 0:04:27for example blood pressure, diabetic screening.

0:04:27 > 0:04:33GPs are paid on the volume and type of services they deliver.

0:04:33 > 0:04:39And a few checks elsewhere added to Pauline's concerns.

0:04:39 > 0:04:42The providers responsible for diabetic eye screening

0:04:42 > 0:04:47had identified that the actual levels of screenings undertaken by them

0:04:47 > 0:04:51was much lower than had been claimed for by the practice.

0:04:51 > 0:04:55GP surgeries have targets to hit in relation to certain procedures,

0:04:55 > 0:04:59such as tests for diabetes and blood pressure.

0:04:59 > 0:05:03And for every test they do, they receive more public funding.

0:05:03 > 0:05:07The National Health Service annual budget is in excess of

0:05:07 > 0:05:10100 billion every year.

0:05:10 > 0:05:15So that's 100 billion of public money susceptible to fraud.

0:05:15 > 0:05:19Dr Sundaresan had hit his targets for certain procedures,

0:05:19 > 0:05:23but this happened just days before the end of the financial year

0:05:23 > 0:05:26deadline, and over the Easter holiday weekend.

0:05:26 > 0:05:28Based on these considerable concerns,

0:05:28 > 0:05:33the matter was referred to Heyward, Middleton and Rochdale's local

0:05:33 > 0:05:38counter fraud specialist and David Parker was assigned to investigate.

0:05:43 > 0:05:44Dr Sundaresan and his partner

0:05:44 > 0:05:46were regarded as dynamic young doctors

0:05:46 > 0:05:50who were brought into the practice to bring about a number

0:05:50 > 0:05:56of changes in terms of converting the practice from a paper system

0:05:56 > 0:06:00to a paperless system, for the better of patient care.

0:06:00 > 0:06:03With his business partner on maternity leave

0:06:03 > 0:06:05and unaware of what was going on,

0:06:05 > 0:06:09it was this new paperless system that seemingly allowed Dr Sundaresan

0:06:09 > 0:06:11to change records,

0:06:11 > 0:06:16ensuring bonus payments of £62,000 of public money.

0:06:16 > 0:06:19The investigators checked patient files at the surgery,

0:06:19 > 0:06:21looking for evidence.

0:06:23 > 0:06:27They generated a report which showed which patients' records

0:06:27 > 0:06:30had been entered and the time and date that those patients' records

0:06:30 > 0:06:32had been altered.

0:06:32 > 0:06:34What was more shocking

0:06:34 > 0:06:39is that the level of activities that had been reported

0:06:39 > 0:06:43were comparable to six months of activities rather than just

0:06:43 > 0:06:45over four days.

0:06:45 > 0:06:50Dr Sundaresan had claimed to have seen six months' worth

0:06:50 > 0:06:54of patients in four days.

0:06:54 > 0:06:57And as the investigation continued,

0:06:57 > 0:07:02David came up with a hunch as to why Sundaresan was changing the records.

0:07:02 > 0:07:05The practice realised in January 2008 that they weren't meeting

0:07:05 > 0:07:08the predefined targets. There were time restrictions.

0:07:08 > 0:07:11He had to input this information before the financial year

0:07:11 > 0:07:13ended in a few days' time.

0:07:13 > 0:07:17With this in mind, David suspected Dr Sundaresan felt he had no option

0:07:17 > 0:07:20but to make up the figures in order to receive more

0:07:20 > 0:07:22bonus payments from the NHS.

0:07:22 > 0:07:26To build up evidence, David needed the cooperation of patients

0:07:26 > 0:07:29and staff.

0:07:29 > 0:07:33They obviously are cautious about getting involved

0:07:33 > 0:07:36in official investigations,

0:07:36 > 0:07:39but they realised that their medical records...

0:07:41 > 0:07:46..are incorrect and that kind of offended them, I think.

0:07:46 > 0:07:50David's team scrutinised almost 2,000 patient records

0:07:50 > 0:07:54and discovered something even more shocking.

0:07:54 > 0:07:59Former patients at the surgery who had died were also among those

0:07:59 > 0:08:01whose records had been updated.

0:08:01 > 0:08:05Their relatives were deeply shocked.

0:08:06 > 0:08:09I think first of all you had a doctor who, at face value,

0:08:09 > 0:08:14they trusted implicitly, and then by altering their medical records

0:08:14 > 0:08:17he's breached that trust and...

0:08:20 > 0:08:25..they found it quite difficult to comprehend that the doctor

0:08:25 > 0:08:27would do this sort of thing.

0:08:32 > 0:08:34This practice is part of the community

0:08:34 > 0:08:36and has been so for a number of years.

0:08:36 > 0:08:40Dr Sundaresan was well respected.

0:08:40 > 0:08:43His clinical skills weren't doubted by the patients.

0:08:43 > 0:08:47Like many of his patients, Pauline Mitchell is in poor health

0:08:47 > 0:08:50and relied heavily on Dr Sundaresan.

0:08:50 > 0:08:54When I saw Dr Sundaresan, he used to bend over backwards to help you.

0:08:54 > 0:08:58And if you had a problem you could make an appointment to see him

0:08:58 > 0:09:01and he would sit there and listen to you

0:09:01 > 0:09:03and then he'd advise you on what to do.

0:09:03 > 0:09:07He was such a brilliant doctor.

0:09:08 > 0:09:09He was one in one million.

0:09:11 > 0:09:15He is the best one I've ever had, put it that way.

0:09:15 > 0:09:18And it seems even Dr Sundaresan's staff, who trusted him,

0:09:18 > 0:09:24had no idea of his plan and agreed to work over a bank holiday weekend.

0:09:24 > 0:09:27This is the rear entrance to the building,

0:09:27 > 0:09:30where the offices are cited.

0:09:30 > 0:09:34Straight ahead was a consultation room with a computer.

0:09:34 > 0:09:36To the right is a room with a computer

0:09:36 > 0:09:40and to the left are other rooms that all have computers.

0:09:40 > 0:09:45These terminals were open and over that four-day period

0:09:45 > 0:09:48three members of staff were inputting data on various terminals.

0:09:48 > 0:09:51The IT technician was under the impression that he was

0:09:51 > 0:09:54updating records of consultations that had taken place.

0:09:54 > 0:09:55This wasn't the case.

0:09:55 > 0:09:59What was taking place was activity of a fraudulent nature,

0:09:59 > 0:10:02ie creating false and spurious entries in patients' records.

0:10:02 > 0:10:04With the evidence piling up,

0:10:04 > 0:10:08it was time to call in Dr Sundaresan for questioning.

0:10:09 > 0:10:12Dr Sundaresan was invited in for interview

0:10:12 > 0:10:14and during the course of that interview,

0:10:14 > 0:10:19he took us on the journey of his life through the practice

0:10:19 > 0:10:21and kind of touched on everything

0:10:21 > 0:10:24that wasn't relevant to the investigation.

0:10:24 > 0:10:27I don't think he realised the extent of the evidence that we had with him,

0:10:27 > 0:10:30so he didn't know where we were going to be coming from,

0:10:30 > 0:10:33so he kind of did a broad brush stroke approach

0:10:33 > 0:10:34to giving his evidence.

0:10:34 > 0:10:37And he kind of purported

0:10:37 > 0:10:40that his best intentions were for the welfare of the patients

0:10:40 > 0:10:43and the good management of the practice.

0:10:43 > 0:10:46But when pressed on the altering of deceased patients' records,

0:10:46 > 0:10:49Dr Sundaresan fell silent.

0:10:49 > 0:10:52Throughout the interview, he came up with a number of excuses,

0:10:52 > 0:10:55but clearly couldn't explain situations where dead patients

0:10:55 > 0:10:56were having blood pressure checks.

0:10:56 > 0:11:00Clearly impossible, that couldn't have happened and he couldn't give a good answer.

0:11:00 > 0:11:03Despite Dr Sundaresan's excuses

0:11:03 > 0:11:06and protestations that it was a system error,

0:11:06 > 0:11:09mistakenly inputted codes, or someone else's fault,

0:11:09 > 0:11:11the net was closing in.

0:11:11 > 0:11:14Typically he tried to blame other people rather than himself,

0:11:14 > 0:11:17when the clear intent behind this course of action

0:11:17 > 0:11:19was to draw down payments.

0:11:19 > 0:11:21Dishonestly.

0:11:21 > 0:11:24The doctor was charged with fraud by false representation

0:11:24 > 0:11:27and fraud by abuse of position.

0:11:28 > 0:11:33I think prior to the trial, he realises that his explanation

0:11:33 > 0:11:38had a lot of shortcomings and, when he took advice from counsel,

0:11:38 > 0:11:41he realised that his conduct had been dishonest.

0:11:42 > 0:11:45Later, the investigating team have a long way to go

0:11:45 > 0:11:48before they can bring the case against Dr Sundaresan

0:11:48 > 0:11:49to the courts.

0:11:53 > 0:11:57Now, while a few individuals may be intent on deception,

0:11:57 > 0:11:59it goes without saying the vast majority of people

0:11:59 > 0:12:04working within public health care provide a vital lifeline of support.

0:12:04 > 0:12:06Someone who knows this more than most

0:12:06 > 0:12:08is Shirley Barber from Bristol.

0:12:11 > 0:12:13- Hello.- Hello.- Shirley.- Hello.

0:12:13 > 0:12:15Look, I'm wiping my feet like it says on the door.

0:12:15 > 0:12:18- SHIRLEY LAUGHS - There we go.

0:12:18 > 0:12:23'Back in 1971, mum Shirley thought she had the perfect family set-up.'

0:12:25 > 0:12:28- Perfect, normal childhood. - Yes. Very smart.

0:12:28 > 0:12:30That was when he went to my friend's wedding.

0:12:30 > 0:12:33- Is he a page boy?- Yes.

0:12:33 > 0:12:36But little did she know what lay in store for her son, Derren,

0:12:36 > 0:12:39as he became a teenager.

0:12:39 > 0:12:41I'm looking at that photo and I see a lot of things.

0:12:41 > 0:12:44You know, I see Derren there, smiling away,

0:12:44 > 0:12:48but that for you signifies a very difficult time.

0:12:50 > 0:12:55When Derren Barber turned 15, his mum started to notice a big change.

0:12:56 > 0:12:59I noticed he was getting quiet.

0:12:59 > 0:13:01And he started to stay in his room a lot more.

0:13:02 > 0:13:05Um, wasn't bothering with his friends as much.

0:13:07 > 0:13:09That can be what teenagers are like

0:13:09 > 0:13:12and I would imagine it's probably quite difficult as a mum

0:13:12 > 0:13:14to tell the difference between

0:13:14 > 0:13:19- a slightly moody and introverted teenager, because I certainly was that...- Mmm.

0:13:19 > 0:13:23..and then something bigger and maybe more worrying.

0:13:23 > 0:13:26Yes. I noticed he started thinking a lot.

0:13:26 > 0:13:29I could see he was just sat, thinking,

0:13:29 > 0:13:34but I didn't realise at the time he was hearing voices in his head.

0:13:34 > 0:13:36Before long it was clear to Shirley

0:13:36 > 0:13:41that this problem wasn't the only thing affecting her son.

0:13:41 > 0:13:43He was like, staring at things.

0:13:43 > 0:13:46He seemed to be staring at something that wasn't there.

0:13:46 > 0:13:50And I said, "What are you looking at, Derren? And he said, "Nothing."

0:13:50 > 0:13:52He wouldn't tell me.

0:13:52 > 0:13:55He didn't want to talk about it, at all.

0:13:56 > 0:14:00- As a mum, how do you deal with that? Because...- Hard.

0:14:00 > 0:14:03- What was going through your mind? - It was heartbreaking

0:14:03 > 0:14:08to see my beautiful boy going through those terrible things

0:14:08 > 0:14:13because he had a lovely, normal childhood, loads of friends, and to

0:14:13 > 0:14:19just see him go into this reclusive teenager it just broke my heart.

0:14:23 > 0:14:26Through his late teens Derren's condition worsened

0:14:26 > 0:14:29and Shirley's situation declined even further

0:14:29 > 0:14:33when the pressures of looking after their son affected family life.

0:14:33 > 0:14:37- I got divorced from my husband.- What were you thinking at that stage?

0:14:37 > 0:14:39It must have been very difficult.

0:14:39 > 0:14:43It was so sad because I never wanted to get divorced.

0:14:45 > 0:14:47We had quite a good marriage really.

0:14:47 > 0:14:50But it was all the things we were going through.

0:14:50 > 0:14:55'Around 42% of carers find their personal relationships

0:14:55 > 0:14:59'adversely affected by caring responsibilities.'

0:14:59 > 0:15:02Shirley's struggle to look after Derren alone wasn't

0:15:02 > 0:15:06helped by the fact that his condition was baffling the doctors.

0:15:07 > 0:15:10They didn't really know what it was in the beginning.

0:15:10 > 0:15:13They thought it was alcoholism or epilepsy.

0:15:13 > 0:15:17They were just coming out with all the different things which they

0:15:17 > 0:15:19thought it could have been.

0:15:20 > 0:15:24With no clear diagnosis or effective medical assistance,

0:15:24 > 0:15:29by the time Derren was a young adult of 23, catastrophe was looming.

0:15:29 > 0:15:30He was gradually getting worse

0:15:30 > 0:15:34and worse till he couldn't cope with it any more.

0:15:34 > 0:15:38He just got in a right state one day and just smashed my whole house up.

0:15:40 > 0:15:44And I had to call the police because I couldn't control him.

0:15:44 > 0:15:48He wouldn't stop. He just got in a rage.

0:15:48 > 0:15:54They actually had to take him to the cells which broke my heart

0:15:54 > 0:15:55because he was ill anyway.

0:15:56 > 0:15:59And he got put in the cells all night.

0:16:02 > 0:16:05And then the next day they sectioned him.

0:16:07 > 0:16:10They put him in a mental institution.

0:16:10 > 0:16:16It did seem cruel but there didn't seem to be anything else to do

0:16:16 > 0:16:19because he was just uncontrollable.

0:16:21 > 0:16:25It was while he was in institutional care that Derren received

0:16:25 > 0:16:28the diagnosis that he was among the 1% of people

0:16:28 > 0:16:33affected by schizophrenia at some point in their lives.

0:16:33 > 0:16:36I went to meetings, different meetings,

0:16:36 > 0:16:42mental health meetings, and had loads of literature on it,

0:16:42 > 0:16:44read up on it all.

0:16:44 > 0:16:49Derren was prescribed medication and Shirley tried to care for him

0:16:49 > 0:16:52at home by herself.

0:16:52 > 0:16:55I looked after him for a good ten years first of all.

0:16:55 > 0:17:01But I found that it was too much for me because he was 24 hours work really

0:17:01 > 0:17:05because he wasn't sleeping and I was nearly having a nervous breakdown.

0:17:05 > 0:17:11He started going to all these different care homes which wasn't very nice at all.

0:17:12 > 0:17:16Unable to settle in a string of care homes Derren's condition

0:17:16 > 0:17:19worsened and the strain was too much for Shirley.

0:17:20 > 0:17:27I just felt like I...wasn't qualified to look after him.

0:17:27 > 0:17:31And he used to live to come home to be with me.

0:17:35 > 0:17:39I was getting depressed and quite ill really

0:17:39 > 0:17:46because it was just devastating to see my son like that in that way.

0:17:46 > 0:17:50I just didn't know where to turn really, or what to do.

0:17:52 > 0:17:56In 2013, almost a decade after Derren's diagnosis,

0:17:56 > 0:17:59deeply worried about her son, and with their own health

0:17:59 > 0:18:03on the verge of collapse, Shirley decided she had to take action.

0:18:03 > 0:18:08I went to see my doctor, because Derren was very depressed,

0:18:08 > 0:18:11very unhappy in the place where he was.

0:18:11 > 0:18:14It was making me feel ill...

0:18:14 > 0:18:16just thinking about him being there.

0:18:16 > 0:18:20'I knew what would make me better was for Derren to get better.'

0:18:20 > 0:18:24That's all that it would take to make me better. You know?

0:18:26 > 0:18:29Shirley's GP put her in touch with Sam Radford

0:18:29 > 0:18:33from Bristol-based charity the Carers Support Centre.

0:18:33 > 0:18:36They help carers to take control of their lives

0:18:36 > 0:18:38and to find a balance between caring

0:18:38 > 0:18:40and caring for themselves.

0:18:40 > 0:18:43We established quite quickly that there were some things

0:18:43 > 0:18:47that were very wrong and that we needed to address that,

0:18:47 > 0:18:51but mainly that was to actually give Shirley back some of the...

0:18:51 > 0:18:53not power, necessarily,

0:18:53 > 0:18:58but control over how others were providing her son's support.

0:18:58 > 0:19:03The meeting with Sam would change Derren and Shirley's lives.

0:19:03 > 0:19:08Sam came to see me, then we went to see Derren at his last place

0:19:08 > 0:19:12where he was staying, and she wasn't happy with it at all.

0:19:12 > 0:19:15She just said Derren shouldn't be there,

0:19:15 > 0:19:19he needs to be in a better place, you know, with more care.

0:19:19 > 0:19:24What I did was support Shirley to engage with the social worker

0:19:24 > 0:19:27to look at the options available for him closer to home

0:19:27 > 0:19:30and to look at him having a support plan

0:19:30 > 0:19:33that was going to enable him to take control of his own life

0:19:33 > 0:19:36and be part of his local community.

0:19:38 > 0:19:42With Sam's help and after a full assessment for Derren,

0:19:42 > 0:19:45Shirley persuaded the council to find him somewhere new to live,

0:19:45 > 0:19:49and eventually Shirley and Derren chose a new shared house

0:19:49 > 0:19:51run by Milestones Trust.

0:19:54 > 0:19:57I'm having this, my fish and chips!

0:19:58 > 0:19:59Yeah!

0:20:01 > 0:20:05When Sam said, "It's an independent place we've got lined up for him,"

0:20:05 > 0:20:07I couldn't believe it, and I said,

0:20:07 > 0:20:10"What, Derren independent? He's never been independent."

0:20:10 > 0:20:12She said, "Well, we think he can."

0:20:12 > 0:20:18Derren moved in in January 2014, and he's never looked back.

0:20:20 > 0:20:22It's the happiest he's ever been,

0:20:22 > 0:20:26cos he's got his own life, he's got his own independence.

0:20:26 > 0:20:28He's learning to do everything for himself.

0:20:28 > 0:20:33He's coming home on the bus on his own, which he never, ever did before,

0:20:33 > 0:20:38he's going out, buying his own clothes, his own shopping...

0:20:38 > 0:20:42getting his own food. He's just doing so much.

0:20:42 > 0:20:45- Love you loads.- I'll see you out. - Yeah.- I'll see you out.

0:20:46 > 0:20:48And that's not all.

0:20:48 > 0:20:52Derren's new independence means that he now volunteers at a nearby farm.

0:20:54 > 0:20:56Have a seat!

0:20:56 > 0:20:59- It's lovely here, isn't it? - Oh, it's lovely.

0:20:59 > 0:21:01So, Derren, then, what a step forward.

0:21:01 > 0:21:05And how much of a difference is that compared to what he was?

0:21:05 > 0:21:09- It's a great big difference.- Is it? - A hell of a difference, yeah.

0:21:09 > 0:21:12If you just take a handful of it and chuck it about, then that'll do.

0:21:12 > 0:21:13- What, just there?- Yeah.

0:21:13 > 0:21:17It's just fantastic to think that he can come and do all this, you know?

0:21:17 > 0:21:19And he couldn't do it before.

0:21:19 > 0:21:21He's been a lot more happier, more content.

0:21:21 > 0:21:24It makes me more happier to see him happy,

0:21:24 > 0:21:27because he's not depressed any more.

0:21:27 > 0:21:31And the others working at the farm have seen a difference, too.

0:21:31 > 0:21:35Derren's been volunteering here for, I think, the last two months or so,

0:21:35 > 0:21:37so he's a relatively new volunteer.

0:21:37 > 0:21:42He was a little bit awkward, a little bit anxious, unconfident.

0:21:42 > 0:21:44But he's definitely come out of himself

0:21:44 > 0:21:46since he's been volunteering here.

0:21:48 > 0:21:51- There we go.- That enough? Or want one more?

0:21:51 > 0:21:54- Oh, I think you may as well put it all in.- All of that?- Yeah.

0:21:54 > 0:21:57- You could tip it in, if you like. - Do you want all that?- Yeah.

0:21:58 > 0:22:02For Shirley, the improvement in Derren's wellbeing

0:22:02 > 0:22:04has given her a tremendous lift.

0:22:05 > 0:22:10It feels... I don't know, it just... I can't explain it,

0:22:10 > 0:22:13the feeling of contentment I've got now.

0:22:13 > 0:22:15You know? Not having it for the past 20 years.

0:22:15 > 0:22:19There's probably someone out there today watching

0:22:19 > 0:22:25whose son or daughter has just been diagnosed with schizophrenia.

0:22:25 > 0:22:29Given what you've experienced over these decades now,

0:22:29 > 0:22:31what would you say to them, if you could?

0:22:31 > 0:22:33I would say that there's lots of hope out there.

0:22:36 > 0:22:38People say there's no hope, but there is.

0:22:38 > 0:22:41I mean, I'm proof, Derren's proof. There's lots of hope.

0:22:43 > 0:22:48- Does anybody want a cup of tea? - Might have a cup of tea!

0:22:48 > 0:22:51- You've got your own room. - Yeah, I've got my room.

0:22:51 > 0:22:54- And you've got the kitchen you can use.- Yeah, kitchen...

0:22:54 > 0:22:59- I can see my mum when I want. - That's good, isn't it, Derren?- Yeah.

0:22:59 > 0:23:02Really good.

0:23:02 > 0:23:05There is places for everyone with mental illness.

0:23:05 > 0:23:07There's a right place for all of them.

0:23:07 > 0:23:11It's just a matter of finding the right place.

0:23:13 > 0:23:15Now, while many families are simply unaware

0:23:15 > 0:23:18of how much assistance the state can provide,

0:23:18 > 0:23:22others just help themselves to much more than they're due.

0:23:27 > 0:23:31Exotic holidays, experiences some of us can only dream of.

0:23:35 > 0:23:38But not for Stephen Worton and his wife, Suzanne Martin.

0:23:40 > 0:23:46They visited Turkey, Sharm el-Sheikh in Egypt and Goa in India.

0:23:51 > 0:23:53And there's nothing wrong with that

0:23:53 > 0:23:56if you're working hard to pay for life's little luxuries.

0:23:58 > 0:23:59But it's not so great

0:23:59 > 0:24:04if your jet-setting ways are courtesy of the British taxpayer.

0:24:10 > 0:24:13Latest statistics show that the UK benefits system

0:24:13 > 0:24:18provides invaluable support to some 5.3 million people per year

0:24:18 > 0:24:19who desperately need it.

0:24:20 > 0:24:24So the tiny numbers of incidents of abuse of the system

0:24:24 > 0:24:29are always taken very seriously by a team of dedicated investigators,

0:24:29 > 0:24:33people like Steve Sneade of the Department for Work and Pensions.

0:24:33 > 0:24:35We take all types of fraud the same.

0:24:35 > 0:24:37At the end of the day, it's taking money

0:24:37 > 0:24:40that is meant for the most vulnerable people in our community,

0:24:40 > 0:24:42and it's also stealing taxpayers' money.

0:24:45 > 0:24:50Back in 2010, the Merseyside fraud investigation team became involved

0:24:50 > 0:24:52in a case that began following a tip-off

0:24:52 > 0:24:55about Liverpool resident Mr Worton.

0:24:58 > 0:25:01We received an anonymous allegation which stated that Mr Worton

0:25:01 > 0:25:05was not only representing that he was too ill to work

0:25:05 > 0:25:07but was so ill that he needed all this help

0:25:07 > 0:25:10but also that he was not living at the address he said he was

0:25:10 > 0:25:12but in fact was living with his partner

0:25:12 > 0:25:14in the Dingle district of Liverpool.

0:25:14 > 0:25:16It appeared that, since 1996,

0:25:16 > 0:25:19Stephen Worton had been claiming benefits

0:25:19 > 0:25:25including over £200 a month in Disability Living Allowance.

0:25:25 > 0:25:28Stephen Worton claimed benefits in 1996

0:25:28 > 0:25:31saying that he was so ill because of arthritis

0:25:31 > 0:25:33he could barely walk,

0:25:33 > 0:25:36he needed help to do the most simple of basic tasks.

0:25:36 > 0:25:38He put on his original claim form

0:25:38 > 0:25:41that if he needed to go to the toilet in the night,

0:25:41 > 0:25:43he had to use a milk bottle.

0:25:43 > 0:25:45He said he could only walk five or six yards

0:25:45 > 0:25:48without having excruciating pain

0:25:48 > 0:25:50and basically he needed the support

0:25:50 > 0:25:54of a walking stick or a wall or a hand rail in order to get about

0:25:54 > 0:25:57and he could only do so for two or three minutes at a time.

0:26:00 > 0:26:04By January 2000, and lying about where he lived,

0:26:04 > 0:26:06Worton had increased his claims to include

0:26:06 > 0:26:11Income Support, Incapacity, Housing and Council Tax Benefits

0:26:11 > 0:26:15amounting to a payment of around £10,000 a year.

0:26:15 > 0:26:17In light of the tip-off,

0:26:17 > 0:26:20an investigation started to gather evidence

0:26:20 > 0:26:23that Worton was claiming money that he wasn't due.

0:26:23 > 0:26:25In this case, because a lot of it

0:26:25 > 0:26:28revolved around his level of disability or ability,

0:26:28 > 0:26:31we did conduct extensive surveillance

0:26:31 > 0:26:34to ascertain this gentleman's true capabilities.

0:26:38 > 0:26:42We had to carry out surveillance over a number of months.

0:26:42 > 0:26:45Again, we often have this scenario where a person will say,

0:26:45 > 0:26:47"I have good days, I have bad days,"

0:26:47 > 0:26:50and in particular, "You saw me on a good day,

0:26:50 > 0:26:51"but you didn't see me on the bad days".

0:26:51 > 0:26:55So we need to have surveillance over a prolonged period of time.

0:26:55 > 0:26:59With the fraud team secretly filming Mr Worton's daily activities,

0:26:59 > 0:27:03they came up with some rather interesting findings.

0:27:03 > 0:27:08We found that although he'd said he was so ill he could barely walk,

0:27:08 > 0:27:11in fact he was working as a roofer, running his own company,

0:27:11 > 0:27:15earning in excess of £50,000, £60,000 a year.

0:27:15 > 0:27:17Video footage was obtained

0:27:17 > 0:27:20of him unpacking ladders from the top of his van

0:27:20 > 0:27:23when he was running his two roofing firms.

0:27:23 > 0:27:25Clearly, it painted a very different picture

0:27:25 > 0:27:28than he had given to the department.

0:27:28 > 0:27:31But not only did Mr Worton appear to be fit and healthy

0:27:31 > 0:27:34but also very much financially in the pink.

0:27:42 > 0:27:47With the net closing in, there was enough evidence to make an arrest.

0:27:47 > 0:27:50When Mr Worton was arrested at his home address

0:27:50 > 0:27:52in the Dingle part of Liverpool,

0:27:52 > 0:27:54these were the videos that we recovered.

0:28:00 > 0:28:03Mr Worton said that he was so disabled that he was

0:28:03 > 0:28:07barely able to walk or undertake any physical task.

0:28:07 > 0:28:11With regards to his personal hygiene, here we have Mr Worton

0:28:11 > 0:28:13washing an elephant on his luxury holiday in Goa.

0:28:18 > 0:28:20WOMEN LAUGH

0:28:24 > 0:28:27This particular evidence demonstrates clearly that Mr Worton's

0:28:27 > 0:28:31level of physical ability was much greater than he said

0:28:31 > 0:28:33when he claimed, made his claim to benefit.

0:28:35 > 0:28:39He's supposed to be suffering with arthritis to such an extent

0:28:39 > 0:28:44that he can only walk a few yards without being in excruciating pain.

0:28:44 > 0:28:48Here he is on his holiday in Goa, clearly able to stand,

0:28:48 > 0:28:51there's no obvious impediment to his movement.

0:28:51 > 0:28:53He's having a great time,

0:28:53 > 0:28:56he's thoroughly enjoying a very expensive holiday.

0:29:01 > 0:29:04And we've got pictures here of Mr Worton on his holiday

0:29:04 > 0:29:07in Marmaris in Turkey,

0:29:07 > 0:29:08driving a quad bike.

0:29:10 > 0:29:14And on a camel presumably somewhere in Sharm el-Sheikh in Egypt,

0:29:14 > 0:29:17where he actually enjoyed three holidays.

0:29:17 > 0:29:20Clearly we can see here that he is again enjoying what

0:29:20 > 0:29:24I would call a luxury holiday that's out of the reach of many people,

0:29:24 > 0:29:26and definitely out of the reach of people

0:29:26 > 0:29:29who are genuinely in receipt of benefit which they need.

0:29:30 > 0:29:33'And as the investigation gathered more evidence,

0:29:33 > 0:29:36'it appeared luxury holidays weren't the only thing on which

0:29:36 > 0:29:39'Mr Worton was spending taxpayers' money.'

0:29:39 > 0:29:43As part of our investigation we discovered that Mr Worton also

0:29:43 > 0:29:47owned a motor cruiser which he had moored in the Lake District.

0:29:48 > 0:29:52Obviously his pride and joy. He liked to act as the skipper of the ship.

0:29:52 > 0:29:56He also had another holiday home in Martin Mere,

0:29:56 > 0:29:58which, again, he paid a lot of money for,

0:29:58 > 0:30:02money that he got by claiming benefit fraudulently.

0:30:03 > 0:30:05'A man of very expensive tastes,

0:30:05 > 0:30:10'the extent of Mr Worton's theft knew no bounds.'

0:30:10 > 0:30:13A very substantial amount of evidence was gathered in this case

0:30:13 > 0:30:18and, as you can see, it was more than just one simple file,

0:30:18 > 0:30:20and that's what we need to ensure

0:30:20 > 0:30:24that in these type of cases we do get a conviction when it comes to court.

0:30:26 > 0:30:29I think there is something particularly upsetting

0:30:29 > 0:30:31to see somebody abusing the system in this way.

0:30:31 > 0:30:35Quite rightly, we have a system in place which helps people who have

0:30:35 > 0:30:39disabilities to live the same life as those who are more able bodied.

0:30:39 > 0:30:42I think Mr Worton took full advantage of the situation

0:30:42 > 0:30:43and was quite happy to lie

0:30:43 > 0:30:47and lie considerably in order to get the money to fund what

0:30:47 > 0:30:51most people regard as a lifestyle that was lavish

0:30:51 > 0:30:54and well beyond the means of many people who are in full-time work.

0:30:57 > 0:30:59'With plenty of evidence on hand,

0:30:59 > 0:31:02'the investigation finally came to a head.'

0:31:02 > 0:31:05Stephen Worton appeared in court in 2014

0:31:05 > 0:31:08and he pleaded guilty to all the charges that were put before him.

0:31:08 > 0:31:10He was sentenced to 18 months in prison

0:31:10 > 0:31:14and the judge described him as devious, callous and brazen, and said

0:31:14 > 0:31:18that he'd enjoyed a lifestyle that many people could only dream about.

0:31:18 > 0:31:21When sentencing him to 18 months in prison, the judge said that

0:31:21 > 0:31:25only a prison sentence was merited for a fraud as serious as this.

0:31:26 > 0:31:29'But Stephen Worton didn't act alone.

0:31:29 > 0:31:33'His wife was also given a suspended 32-week sentence

0:31:33 > 0:31:37'for her part in claiming just over £20,000 in benefits,

0:31:37 > 0:31:39'and for both it doesn't end there.'

0:31:39 > 0:31:43Mr Worton's been overpaid £85,000 of public funds.

0:31:43 > 0:31:46He will have to pay that back, and we are pursuing him through a special

0:31:46 > 0:31:48financial investigation unit,

0:31:48 > 0:31:51which will look to seize any assets that he has.

0:32:01 > 0:32:04'In many cases, though, the theft of money from the public purse

0:32:04 > 0:32:07'isn't always so blatant.'

0:32:07 > 0:32:08Can you do a check for me, please?

0:32:10 > 0:32:12'Often it's far more stealthy.'

0:32:13 > 0:32:16It's a criminal offence. You're breaking the law.

0:32:18 > 0:32:21'Throughout the UK, people with disabilities are given a small

0:32:21 > 0:32:24'helping hand by their local councils in the form of

0:32:24 > 0:32:28'European parking badges, commonly known as Blue Badges.'

0:32:28 > 0:32:31You're not getting the badge back now, no.

0:32:31 > 0:32:34Right, morning, everybody. So, today, Operation Rio,

0:32:34 > 0:32:39which is a highly visible Blue Badge operation.

0:32:39 > 0:32:43'Unfortunately, the misuse of Blue Badges is commonplace,

0:32:43 > 0:32:47'so Justin Philips, anti-fraud manager at Harrow Council,

0:32:47 > 0:32:51'leads a team that works to catch offenders within the borough.'

0:32:51 > 0:32:55In terms of cost to the UK economy, the last estimate by the government

0:32:55 > 0:32:58was in the region of about £46-47 million a year.

0:32:58 > 0:33:01That doesn't take into consideration at all

0:33:01 > 0:33:03the impact upon people's lives

0:33:03 > 0:33:06when they can't go about, you know, their business.

0:33:07 > 0:33:11'At Harrow HQ, Justin briefs his team ahead of a one-day operation

0:33:11 > 0:33:14'to catch offenders in the town centre.'

0:33:16 > 0:33:18We will join Metropolitan Police.

0:33:18 > 0:33:22It'll be a case of speaking to individuals parking or coming back

0:33:22 > 0:33:26to vehicles that are displaying Blue Badges just to question

0:33:26 > 0:33:28whether or not they're the badge holder.

0:33:30 > 0:33:33'Police will back up the investigators on the ground,

0:33:33 > 0:33:37'and they'll also be monitored on CCTV.

0:33:38 > 0:33:41'But even so, they're not taking any chances.'

0:33:43 > 0:33:46We'll be wearing stab vests today.

0:33:46 > 0:33:50So in terms of any confrontation that should occur whilst

0:33:50 > 0:33:54we're down operating, I'd advise people to withdraw straightaway,

0:33:54 > 0:33:57or ask for support from police officer colleagues.

0:33:58 > 0:34:01The investigators can't afford to be too careful,

0:34:01 > 0:34:04and with the more extreme cases of Blue Badge fraud carrying

0:34:04 > 0:34:08stiff penalties, they need to be prepared for every eventuality.

0:34:12 > 0:34:17Out in the town centre, fraud investigator Sonia gets geared up.

0:34:17 > 0:34:20Unfortunately, not everyone we meet is always the nicest,

0:34:20 > 0:34:24so it's just protection for us. Just in case.

0:34:24 > 0:34:27And then the first vehicle catches her eye.

0:34:27 > 0:34:31I think the gentleman in the white car over there is about to

0:34:31 > 0:34:34put a Blue Badge into his windscreen.

0:34:34 > 0:34:36If he does, obviously we'll approach

0:34:36 > 0:34:40and ask him if we can check the badge and see if he's a

0:34:40 > 0:34:44legitimate badge holder, or where the legitimate badge holder is.

0:34:44 > 0:34:49Generally what we see is what I tend to call "friends of family" abuse,

0:34:49 > 0:34:53which is a genuine badge that's been issued to an individual,

0:34:53 > 0:34:58and that badge is then passed around as a badge that everyone can use.

0:34:59 > 0:35:00It may seem simple,

0:35:00 > 0:35:04but catching badge misusers in the act is actually a difficult

0:35:04 > 0:35:07process and involves staying in contact with headquarters.

0:35:07 > 0:35:10They'll be able to tell us if the badge is a, I don't know,

0:35:10 > 0:35:1289-year-old woman,

0:35:12 > 0:35:16and then if we see a young guy in his 20s approaching the car

0:35:16 > 0:35:19when they come back, then we obviously know that we need to find

0:35:19 > 0:35:21out from them where the badge holder is.

0:35:23 > 0:35:25With the owner of the white car taking his time,

0:35:25 > 0:35:29Sonia decides to move on and quickly spots somebody else.

0:35:29 > 0:35:33Hello, it's me. Hi. Can you do a quick check?

0:35:33 > 0:35:37It's a four-wheel drive. Mitsubishi four-wheel drive. I mean, huge.

0:35:37 > 0:35:40It's the size of a tank. Yeah.

0:35:40 > 0:35:43While the team confirms more details about the Blue Badge

0:35:43 > 0:35:47with their office, the owner of the vehicle returns.

0:35:47 > 0:35:49- Is this your vehicle, then? - Yeah.- OK.

0:35:51 > 0:35:52All right. We do it every so often

0:35:52 > 0:35:55just to make sure that people are using the badges correctly.

0:35:55 > 0:35:57No, I put the sticker in there.

0:35:57 > 0:36:01- But I'm definitely 100%. I've got neurology...- Oh, OK.- ..problems.

0:36:01 > 0:36:02Right SPEECH INAUDIBLE

0:36:02 > 0:36:04Right, OK.

0:36:04 > 0:36:07One of the police officers double checks the woman's claim,

0:36:07 > 0:36:10and this time there is no need for a caution.

0:36:10 > 0:36:13We've checked the badge holder and it appears that the driver is

0:36:13 > 0:36:17the badge holder, so everything seems to be legitimate in this case.

0:36:17 > 0:36:20For offenders, whether a straightforward case of misuse

0:36:20 > 0:36:25or more serious falsification of a badge, the penalties are costly.

0:36:26 > 0:36:30Fines at court can range from anything from £500, which is quite

0:36:30 > 0:36:35a steep fine for the sake of maybe parking for a half an hour period.

0:36:36 > 0:36:39I'm going to take a wander down this way.

0:36:39 > 0:36:40If we use that legislation,

0:36:40 > 0:36:44then people can obviously receive much more severe sentences.

0:36:46 > 0:36:49The team heads off in search of other bogus badge users,

0:36:49 > 0:36:52and pretty quickly Sonia is back in action.

0:36:53 > 0:36:56- Is it possible I can have a quick look?- Yeah.- Yeah? Thank you.

0:37:00 > 0:37:03- Thank you very much. You all right? - Yeah.

0:37:04 > 0:37:07- OK. Who is this?- My daughter. - Where's your daughter, sir?

0:37:07 > 0:37:10My daughter is home.

0:37:10 > 0:37:12- Your daughter's at home? - Yeah.- OK.

0:37:12 > 0:37:15If you're using this and your daughter's not with you,

0:37:15 > 0:37:18you can be fined up to £1,000.

0:37:18 > 0:37:22It's a criminal offence. You're breaking the law, OK?

0:37:22 > 0:37:26It says on here that the badge holder needs to be with you when you park.

0:37:26 > 0:37:30So what I'm going to do is caution you. OK?

0:37:30 > 0:37:34- You do not have to say anything... - OK.

0:37:34 > 0:37:38OK. ..but it may harm your defence if you do not mention

0:37:38 > 0:37:42when questioned something you later rely on in court.

0:37:42 > 0:37:45I need to take some details from you

0:37:45 > 0:37:49and I need to also take the badge from you.

0:37:49 > 0:37:53Unfortunately, the situation doesn't get any better for this gentleman

0:37:53 > 0:37:56who's issued a parking ticket while he's being cautioned.

0:37:58 > 0:37:59You ring me tomorrow

0:37:59 > 0:38:02and you make an appointment for you to come in and see me.

0:38:02 > 0:38:06But I need to take some details from you first.

0:38:06 > 0:38:09The problem is, sir, your one minute, ten minutes,

0:38:09 > 0:38:11it doesn't make a difference. Your daughter's not...

0:38:11 > 0:38:15There's nothing wrong with your legs. You can walk.

0:38:15 > 0:38:16SPEECH INAUDIBLE

0:38:16 > 0:38:19Well, unfortunately, because I've caught you misusing the badge,

0:38:19 > 0:38:21I need you to come in and see me.

0:38:21 > 0:38:22Classic case.

0:38:22 > 0:38:25His daughter wasn't with him,

0:38:25 > 0:38:27he came out to do some shopping and he though he'd use the badge

0:38:27 > 0:38:29to be able to park for free

0:38:29 > 0:38:34cos he didn't want to pay, and we've caught him misusing the badge.

0:38:34 > 0:38:38Around 50% of people that the team stop are misusing their badges,

0:38:38 > 0:38:43so operations like this one are well worth the effort.

0:38:43 > 0:38:48We do this to try and send a message out to people that people need to

0:38:48 > 0:38:50obey the rules if they've got the Blue Badges,

0:38:50 > 0:38:53and we want to make sure that those who legitimately have a badge

0:38:53 > 0:38:56actually have somewhere to park.

0:38:56 > 0:38:59You're running the risk of getting a criminal record,

0:38:59 > 0:39:04so we would say to people if you're contemplating it, don't do it.

0:39:04 > 0:39:09It's simply not worth it, and the impact upon the vulnerable people

0:39:09 > 0:39:13in the community is just, you know, it's completely selfish.

0:39:17 > 0:39:21In Rochdale, local GP Dr Sundaresan was charged with fraud,

0:39:21 > 0:39:26having doctored the records of 1,703 patients under his care in

0:39:26 > 0:39:29order to receive publically-funded bonuses for his surgery.

0:39:32 > 0:39:38The more distasteful element of this case is that his actions

0:39:38 > 0:39:43actually placed his patients at an incredible risk

0:39:43 > 0:39:46to their health and well-being.

0:39:46 > 0:39:48If you think about it,

0:39:48 > 0:39:53the GP was reporting that he had completed clinical procedures,

0:39:53 > 0:39:59for example blood pressure, diabetic screening, when in fact he had not.

0:39:59 > 0:40:03This could have had a detrimental effect on his patients who

0:40:03 > 0:40:08could have failed to be treated in an appropriate manner.

0:40:08 > 0:40:11One of Dr Sundaresan's patients, whose records were made to

0:40:11 > 0:40:15look as though they'd had tests when they hadn't, was Pauline Mitchell.

0:40:16 > 0:40:18I've got sonic lung disease.

0:40:20 > 0:40:26I'm on oxygen 16 hours a day, plus I'm riddled with arthritis...

0:40:26 > 0:40:28and I've got a lot of pain.

0:40:28 > 0:40:30I mean a lot of pain.

0:40:34 > 0:40:37Mrs Mitchell was approached by the team investigating the case

0:40:37 > 0:40:39and was surprised by their questions.

0:40:41 > 0:40:44The solicitor came to see me and I just couldn't believe it,

0:40:44 > 0:40:46cos he said they were making a statement

0:40:46 > 0:40:49cos they wanted to take Dr Sundaresan to court.

0:40:49 > 0:40:51I said, "Who?" He said, "Dr Sundaresan."

0:40:51 > 0:40:54I said, "You're joking."

0:40:54 > 0:40:56I said, "What for?" He says, "Fraud."

0:40:56 > 0:40:57And then they asked me

0:40:57 > 0:41:02if I'd ever had my blood pressure taken on Good Friday and I said no.

0:41:02 > 0:41:05I said because I wouldn't go to the surgery on Good Friday,

0:41:05 > 0:41:07it'd be shut.

0:41:07 > 0:41:10If the fraud hadn't been picked up, Mrs Mitchell would've been

0:41:10 > 0:41:14just one of many patients facing potentially fatal consequences.

0:41:16 > 0:41:21Obviously, with my condition, I go to the doctors quite a lot.

0:41:21 > 0:41:22You know what I mean?

0:41:22 > 0:41:26But you just don't think these things are going to come up.

0:41:27 > 0:41:32This is a very important case. Not least because the person was a GP.

0:41:33 > 0:41:38GP's are important people in the communities that they represent.

0:41:38 > 0:41:40They're in an incredible position of trust.

0:41:43 > 0:41:46After six years of hard work by the investigators,

0:41:46 > 0:41:50the case finally came to court in March 2014.

0:41:51 > 0:41:55Dr Sundaresan was convicted in relation

0:41:55 > 0:42:00to £62,000 worth of fraud perpetrated against the National Health Service.

0:42:00 > 0:42:06£62,000 could have funded the services of a senior nurse

0:42:06 > 0:42:08for 12 months.

0:42:08 > 0:42:12This is why NHS Protect are passionate about aggressively

0:42:12 > 0:42:19and robustly sanctioning all instances of fraud against the NHS.

0:42:19 > 0:42:21The judge...

0:42:21 > 0:42:25sentenced Dr Sundaresan to nine months imprisonment

0:42:25 > 0:42:27suspended for 18 months.

0:42:27 > 0:42:31He was also ordered to pay £50,000 investigations costs, which is

0:42:31 > 0:42:36a huge amount and I have never known such a large amount being awarded.

0:42:36 > 0:42:40And having stolen from the NHS and put his patients at risk,

0:42:40 > 0:42:42there's an even harsher sentence for the doctor.

0:42:43 > 0:42:49Arising from his determination to achieve a maximum drawdown

0:42:49 > 0:42:51payment, he's lost everything.

0:42:51 > 0:42:55How he's going to make a living for himself in the near future,

0:42:55 > 0:42:57I don't know, but it's going to have to be outside

0:42:57 > 0:42:59the medical profession.

0:42:59 > 0:43:02I can't believe he's ruined his career all for the sake

0:43:02 > 0:43:04of being greedy.

0:43:04 > 0:43:06Cos that's what it boils down to.