Director of Customer Care & Performance. 26 April The Board is asked to consider and approve the attached draft

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To: From: Subject: Status: Date of Meeting: BSO Board Director of Customer Care & Performance Anti Bribery Policy For Approval 26 April 2012 The Board is asked to consider and approve the attached draft Anti Bribery Policy

Title Anti-Bribery Policy Summary This policy sets out the BSO responsibilities and those working in and for the BSO in preventing bribery and corruption and provide information and guidance on how to deal with bribery and corruption issues. Purpose The control and management of risk to achieve organisational objectives Operational date April 2012 Review date April 2013 Version Number 1 Supersedes - previous Lead author/s Planning, Governance and Risk Manager/Director CCP Equality Screened completed

1. Introduction The Bribery Act 2010 (the Act) introduces a new, clearer regime for tackling bribery that applies to all commercial organisations in the UK, including those in the healthcare sector, to ensure that they have adequate procedures in place to prevent bribery from occurring within their organisation. The Bribery Act 2010 covers all sorts of bribery, the offering and receiving a bribe, directly or indirectly and there are four specific offences, three that relate to the individual and one relates to the organisation and penalties for noncompliance are serious. Bribery is a criminal offence for both individuals and commercial organisation and punishable with imprisonment of up to ten years or unlimited fines. The Act introduces a corporate office of failing to prevent bribery by the organisation not having adequate preventative procedures in place. The BO is committed to the prevention, deterrence and detection of bribery just as we are to combating fraud and have a zero tolerance attitude towards bribery. We aim to manage bribery risks and to maintain ant bribery compliance as part of BSO Risk Management process. The BSO aims to conduct all of its services in an honest and ethical manner and is committed to acting with integrity in all our business dealings and relationships and to implementing effective systems to prevent bribery.

The BSO expects it business associates to comply with all applicable laws, regulations relating to anti-bribery, anti-corruption including but not limited to the Bribery Act 2010. The Business Services Organisation (BSO) is committed to compliance with the Act and this policy explains the steps that the BSO has put in place. 2. Scope This policy applies to all employees of the Business Services Organisation, regardless of position held, as well as technology partners, contractors, vendors and /or any other parties who have a business relationship with the BSO. This policy will be brought to the attention of all employees and will form part of the induction process for new staff. 3. Objectives The key objectives of this policy are to provide the framework for achieving: increased awareness about the risk of bribery within the Business Services Organisation and its unacceptability; a climate of openness and a culture and environment where staff feel able to raise concerns sensibly and responsibly; communicating the BSO s responsibilities in terms of deterrence, prevention, detection and investigation of bribery and corruption. 4. What is Bribery? A bribe is an inducement or reward of a financial or other advantage that is offered, promised or provided to a person in order to gain any commercial, contractual, regulatory or personal advantage through the

improper performance of a relevant function or activity as a result of the bribe. Financial or other advantage, means payments, gifts, hospitality or anything else that could be reasonably perceived as an advantage as understood by its normal, everyday meaning. Improper performance means performance in breach of an expectation that a person will act in good faith, impartially, or in accordance with a position of trust. A relevant function or activity means any function of a public nature, connected with a business, performed in the course of a person s employment or performed by or on behalf of an associated person(s). An Associate Person could include any party relevant to the delivery of BSO s services i.e. performs services for the BSO in business. This will include technology partners, contractors, subcontractors, vendors, advisors, agents, distributors, representatives and intermediaries. It is unlikely to include someone who supplies goods to the BSO. 5. The Four Offences under the Bribery Act The following business practices constitute criminal offences under the Bribery Act 2010 and are therefore prohibited: 5.1 Bribing another person (Section 1 of the Act) 5.2 Being Bribed (Section 2) 5.3 Bribery of a foreign public official (Section 6) 5.4 Failure of commercial organisations to prevent bribery (Section 7)

6. Facilitation Payments A bribe could take the form of a facilitation payment. Facilitation payments are small payments made to secure or expedite the performance of a routine action to which the payer has legal or other entitlement to. Facilitation payments are prohibited under the Bribery Act. 7. Liability There are 3 levels of liability that are relevant to the BSO and its Employees: 7.1 Individual Liability- as an individual if you commit any of these offences: Bribing another person/ Being bribed you are liable and will be prosecuted. If found guilty an individual is liable to imprisonment for a term of up to 10 years or a fine or both 7.2 Senior Officer Liability Directors and senior officers of the BSO must be cognisant of section 14 of the ACT. This provides that if an offence under sections 1,2 and 6 (bribes given or received) is proved to have been committed by a body corporate with the consent or connivance of a director or senior officer then the director or senior officer would be guilty of an offence as well as the body corporate which paid the bribe. If found guilty an Individual is liable to imprisonment for a term of up to 10 years or a fine or both.

7.3 Organisational Liability -The BSO will have a defence if it can show that it has adequate procedures in place to prevent associated persons, (employees, agents or third parties) from committing bribery This defence cannot be used where it has been proved that a senior officer of the organisation has consented to the offence and both the organisation and senior officer will be guilty of the offence. A person other than an individual, guilty of an offence is liable on conviction to an unlimited fine. 8. BSO Anti-Bribery Policy Statement The BSO is committed to supporting anti-bribery and corruption initiatives and recognises the importance of ensuring that there are appropriate policies and procedures in place to ensure that all staff are aware of their responsibilities. The BSO does not, and will not, pay bribes or offer improper inducements to anyone for any purpose; nor do we, or will we, accept bribes or improper inducements. This approach applies to everyone who works for us, or with us. To use a third party as a conduit to channel bribes to others is a criminal offence. We do not, and will not, engage indirectly in, or otherwise encourage bribery. Furthermore we hereby make the following anti-bribery commitments: 8.1 We will take a Zero Tolerance approach towards any act of bribery within the organisation and by any others connected with it, whether employees or external companies. 8.2 We will delivery our services fairly, honestly and openly. 8.3 We will seek assurance from whom we contract.

8.4 We will embrace the business benefits of rejecting bribery to protect our reputation and provide assurance to our customers that we are an organisation with integrity. 8.5 We will demonstrate and communicate the processes in place to prevent bribery to our employees and others to avoid any risk of involvement in bribery and corruption. 8.6 We will work with others in the HSC and others to develop an integrated anti-bribery approach. 9. Roles and Responsibilities 9.1 The Board The Board has a duty to ensure that it provides a secure environment in which to work, and one where people are confident to raise concerns without worrying that it will reflect badly on them. This extends to ensuring that staff feel protected when carrying out their official duties and are not placed in a vulnerable position. If staff have concerns about any procedures or processes that they are asked to be involved in, the BSO has a duty to ensure that those concerns are listened to and addressed. The Board and/or the Senior Compliance officer will be liable to be called to account for failing to prevent bribery. BSO therefore has a duty to ensure employees receive adequate training and support in order to carry out their responsibilities. Therefore the Chief Executive and the Senior Compliance Officer will monitor and ensure compliance with this policy.

9.2 Employees For the purposes of this policy, Employees include BSO Staff, Board Executive and Non-Executive members. It is expected that Employees must act with integrity and in accordance the BSO s Policies and Procedures, with particular reference to BSO Code of Conduct, Gifts and Hospitality Policy. The prevention, detection and reporting of bribery and other forms of corruption are the responsibility of all those working for the BSO. 9.3 Directors and Assistant Directors and Managers Managers at all levels have a responsibility to ensure that an adequate system of internal control exists within their areas of responsibility and that controls operate effectively. The responsibility for the prevention and detection of bribery primarily rests with managers but requires the cooperation of all employees. As part of that responsibility, line managers need to: Inform their staff of the relevant procedures and policies such as BSO Code of Conduct, Gifts and Hospitality, Whistleblowing, Disciplinary etc. Ensure that their staff are made aware of the requirements of this policy and strategy. Undertake a bribery risk assessment for the service for which they are responsible for using the BSO Bribery Risk Assessment Tool.

Record bribery risks and resultant action plans to mitigate the risk(s) in their Service Risk Register and where relevant escalate risks in accordance with agreed process to Director. Ensure that controls are being adhered to and contribute to the assessment of the risks and controls within their service, which feeds into the BSO Assurance Statements; Mid-Year Assurance Statement and the annual Statement on Internal Control. 9.4 Senior Compliance Officer The Director of Finance will report directly to the Chief Executive and will be responsible for: implementing the BSO Anti- Bribery Policy and Strategy, providing guidance and training, monitoring compliance and sanctioning violation of the policy. review annual the suitability, adequacy and effectiveness of the BSO s anti-bribery arrangements and implement improvements as and when appropriate. provide a report to the Governance and audit Committee on the suitability, adequacy and effectiveness of the BSO s antibribery arrangements. Investigate any alleged breaches, calling upon the Counter- Fraud Unit as required. 10. BSO Business Practices and Policies and Practices The BSO already has a number of policies and practices already in place that will support this anti-bribery policy:

10.1 Gifts and Hospitality Policy The Bribery Act 2010 does not prohibit hospitality so organisations can continue to provide bona fide hospitality, promotional or other expenditure provided it is reasonable and proportionate Gifts and hospitality must not be given or received in return for services provided or to obtain or retain business but shall be handled openly and unconditionally as a gesture of esteem and goodwill. Gifts and hospitality should always be of symbolic value, appropriate, reasonable and proportionate in the circumstance and in accordance with the BSO Gifts and Hospitality Policy. The BSO Gifts and Hospitality Policy provides advice to BSO staff who, in the course of their day to day work or as a result of their employment, either receive offers of gifts and hospitality or provide gifts and hospitality to others on behalf of the BSO. In order to counter any possible accusations or suspicions of breach of the rules of conduct, a record will be kept by the BSO in the Chief Executive s Office and at Directorate level of all offers of gifts above 20. 10.2 Whistleblowing Policy The BSO Whistleblowing Policy provides advice on the procedures for raising concerns in the workplace, particularly where those concerns relate to unlawful conduct, financial malpractice or dangers to the public or the environment. Any breaches of this policy could be raised via this route please refer to specific section on Raising Concerns.

10.3 Disciplinary Policy The BSO Disciplinary policy is designed to help and encourage all employees to achieve and maintain appropriate standards of conduct, performance and behaviour. Unacceptable Conduct which leads to disciplinary action is categorised under the headings of Misconduct and Gross Misconduct. An allegation of Bribery would fall into the category of Gross Misconduct and would lead to disciplinary action being undertaken in accordance with the BSO Disciplinary Policy please refer to specific section on Investigation. These policies are supported by written procedures for internal control within each BSO Service Area. The BSO recognises that a number of its services could be perceived to be at a higher risk of bribery in particular: 10.4 Recruitment BSO Recruitment practices will be conducted in a fair and transparent manner demonstrated by: Ensuring that recruitment panels are independent and objective. Ensuring that applicants are vetted in that they have no prior convictions for bribery or corruption or fraud. Existing and New Starts at relevant grade complete the annual Related Party Transactions Declaration. Changes to Contracts - contractual obligation in the employment contracts not to engage in bribery as defined in this policy.

10.5 Financial Transactions / Record Keeping BSO Financial payment transactions will be conducted in a fair and transparent manner demonstrated by: Maintaining financial records and having appropriate internal controls to ensure and demonstrate proper business reasons for payments to third parties Transactions are accurately reflected, in accordance with NI HSC Accounting Manual, tax, and other applicable laws and regulations. Off the book accounts and false or deceptive bookkeeping entries are strictly prohibited Gifts and Hospitality is maintained and recorded at directorate level in accordance with the BSO Gifts and Hospitality Policy. 10.6 Procurement BSO Procurement practices will be conducted in a fair and transparent manner demonstrated by: Refusing to deal with contractors or suppliers known or reasonably suspected to be paying bribes. Undertake properly documented due diligence before engaging contractors and suppliers. Having the following clause in our contracts The contractor shall have and operate an anti-bribery policy which is in accordance with the government guidance issued in respect of the Bribery Act 2010. Failure to do so may result in termination of this agreement by the customer forthwith. If the contractor is

charged under The Bribery Act 2010 the customer may terminate the agreement forthwith. No termination charge will be payable by the customer in either event. 10.7 Information Technology Services The BSO recognises the value of the information held in our systems and has security and protocols in place to restrict access accordingly. ITS will contact the Senior Compliance Officer immediately in all cases where there is suspicion that IT is being used for bribery purposes and by whom. 10.8 Internal and External Audit Internal and External Audit provide assurances to the BSO Board and in the course of their work any incident or suspicion that comes to Internal or External Audit s attention will be passed immediately to the Senior Compliance Officer. 11. Raising Concerns If you suspect that any employee, or any other person acting for or on behalf of the BSO, may have engaged in conduct inconsistent with this policy, please report this to the Senior Compliance Officer who will then ensure that procedures are followed. Concerns can also be raised through the BSO s Whistleblowing Policy. Any unfounded or malicious allegations will be subject to a full investigation and appropriate disciplinary action. 12. Investigation All employees should be aware that bribery will normally, dependent upon the circumstance of the case, be regarded as gross misconduct

thus warranting summary dismissal without previous warnings. However, no such action will be taken before a proper investigation and a disciplinary hearing have taken place. Such actions may be in addition to the possibility of criminal prosecution. The Human Resources Department will liaise closely with the Senior Compliance Officer and relevant senior managers where an employee is suspected of being involved in bribery or corruption in accordance with agreed liaison protocols. The Director of Human Resources and Corporate Services is responsible for ensuring the appropriate use of the BSO s Disciplinary Procedure. The Human Resource Department shall advise those involved in the investigation in matters of employment law and in other procedural matters such as disciplinary and complaints procedures. Close liaison between the Senior Compliance Officer and Human Resources will be essential to ensure that any parallel sanctions i.e. disciplinary and criminal are applied effectively and in a coordinated manner. 13. Training BSO will provide anti-bribery training to all (its relevant) employees. The BSO will ensure that the delivery of training will take into account the diverse needs of staff. 14. Monitoring and Review of this Policy Monitoring and review of this policy will take place at both Corporate and Service Level.

At Corporate level the Senior Compliance Officer will conduct: an annual review of the suitability, adequacy and effectiveness of the BSO s anti-bribery arrangements and implement improvements as and when appropriate. provide report (s) to the Governance and audit Committee on the suitability, adequacy and effectiveness of the BSO s anti-bribery arrangements. At Service level, Directors and Asst Directors will be responsible for: ensuring that bribery risks are added to the Service Risk Register along with any new planned actions to mitigate the risks a bribery risk assessment is carried out regularly and when changes in procedures are introduced. provide relevant information to the Senior Compliance Officer to support the annual review of the suitability, adequacy and effectiveness of the BSO s anti-bribery arrangements. 15. Links with other BSO Policies This policy is supported by a number of BSO Policies and BSO Practices: BSO Code of Conduct Code of Conduct for HPSS Managers Gifts and Hospitality Policy Whistleblowing Policies Disciplinary Policy BSO Risk Management Process Declaration of Interest (Board Members) Related Party Transactions (as part of Annual Final Accounts.

16. Equality Screening This strategy has been screened for equality implications as required by Section 75 of the Northern Ireland Act 1998 and for compliance with human rights and disability legislation. Documentation to evidence the screening has been produced and is publicly available. 17. Review This strategy is subject to regular revision as anti-bribery risk programme becomes embedded within the BSO Risk Management Process and any other Legislative or Environmental change.