The dating game

Many cases of fraud are committed without much thought on the part of the person perpetrating the crime. Often the fraud is committed in a great hurry, particularly if the motivation is to complete the work by an agreed deadline. Under these circumstances quite obvious and silly mistakes are made. The person committing the crime is often more concerned to check that the follow ups actually occur 10, 14, 28, or 60 days - whatever the protocol dictates - after the previous visit than to ensure that these dates actually fall on days of the week that make sense. It is not unusual to find that some investigators seem to be doing a lot of clinics on a Sunday and even routine follow up outpatient endoscopies on Christmas Day have occasionally been noted. In one dramatic example a whole cohort of patients were claimed to have been followed up at a time when it was known that the unit was shut for refurbishment.

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