Fraud in procurement of medical equipment

Dr M, the Chief of Service of the Paediatric Department of a public hospital, asked David, the Department Operations Manager, to mark up the quotations of other companies so that he could secure the contract of the medical equipment to his girlfriend’s company.
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Dr M, the Chief of Service of the Paediatric Department of a public hospital, has the approving authority for purchases not exceeding $100,000. His girlfriend Phoebe is a sales manager of a large medical equipment company.

Recently, David, the Department Operations Manager, recommended a replacement of a medical equipment and the sourcing was in progress. As Dr M knew that Phoebe was being pressured by her boss to secure more business for the company, he offered to help her.  After going through the quotations obtained by David, Dr M found that the price quoted by Phoebe was not the lowest.  He thus asked David to mark up the quotations of other companies so that he could secure the contract of the medical equipment to Phoebe’s company.   In order to please Dr M, David agreed to the proposal.

Case Analysis

David would violate Section 9(3) of the Prevention of Bribery Ordinance for manipulating quotation breakdown to deceive his employer i.e. the Hospital Authority (HA).  Dr M, who instructed David to take part in the fictitious quotation plot might also be charged with an offence of conspiracy to defraud.

Dr M might face disciplinary action taken by the Medical Council of Hong Kong and his fitness to practise might be questioned.

At the same time, the HA would also take follow-up action against Dr M and David who might breach the HA’s code of conduct which requires the procurement of goods to be the best value for money in terms of price, quality, delivery time and service.

Also, Dr M should, as far as possible, avoid any actual and perceived conflict of interest. When a situation of conflict of interest cannot be avoided, he should as soon as possible declare all relevant details of such situation to his organisation, i.e. his relationship with the sales manager of the potential supplier.

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Hidden agenda in sponsorship

During the procurement of equipment for oculoplastics, Billy, the sales director of a potential supplier, asked Dr E, a consultant ophthalmologist in a public hospital, to comment favourably on the equipment produced by his company.
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Dr E is a consultant ophthalmologist in a public hospital who is often involved in the procurement of expensive medical equipment for his department.  The procurement department of the hospital will seek Dr E’s views while drafting the specifications and in the course of purchase.   He has a strong influence on the final selection of supplier through his assessment on the performance of the equipment.

During the procurement of equipment for oculoplastics, Billy, the sales director of a potential supplier, asked Dr E to comment favourably on the equipment produced by his company.  He proposed to pay for the passage and accommodation for Dr E to visit the company’s laboratory in New  York  and  take  the  convenience  to  attend  an  important  medical conference there.   After the trip, Dr E recommended the hospital to offer the contract to Billy’s company.

Case Analysis

Dr E would violate Section 4 of the Prevention of Bribery Ordinance as he accepted an advantage i.e. the sponsorship for visiting the company's laboratory and attending a conference without  the  permission  of  his  employer,  and  in  return  recommended  the medical  equipment  of  Billy’s  company  to  the  hospital.    Billy  would  also commit an offence of corruption for offering the bribe to Dr E.

Dr E might breach Section 15.1 of the Code of Professional Conduct issued by the Medical Council of Hong Kong (Oct 2022) which specifies that doctors should avoid accepting pecuniary inducement from commercial firms that might compromise the independent exercise of their professional judgement.

According to the Hospital Authority's (HA) guidelines on acceptance of donation and sponsorship, overseas site visit relating to the selection of medical equipment before or during tendering exercises should be funded by the HA and should not be sponsored by any of the potential vendors.  In any case, HA employees should not solicit or accept, directly or indirectly, any advantage or gift which would, or might reasonably be seen to, compromise their integrity or judgement or influence the discharge or non-discharge of their duties and responsibilities.

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Soliciting bribes in granting project approval

A government chief engineer solicited $400,000 from a project manager of a land development company for approving a company's car park development project.
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A government chief engineer took advantage of his office to solicit $400,000 from a project manager of a land development company as a reward for assisting the latter to obtain green light for the company's carpark development project.

Subsequent to the first application of the project being turned down by the relevant government department, the chief engineer asked for the advantage from the company. Frustrated at being asked to pay bribes to secure the project, the project manager reported the case to the ICAC.

Case Analysis

As a government employee, the chief engineer was not permitted to accept advantage in connection with his work. In soliciting illegal advantage from the land development company, he had violated Section 4 of the Prevention of Bribery Ordinance (POBO).

The chief engineer's plot failed before he could do anything to secure the project, but he could not escape from legal sanctions. Under Section 11 of the POBO, if it could be proved that an advantage was given to the acceptor as a reward for favours done to the offeror, the following should not be considered a defence: (a) “he did not actually have the power so to do”, (b) “he accepted the advantage without intending so to do” or (c) “he did not in fact so do.”

Business operators or employees who come into frequent contact with government employees have to be particularly careful when managing their relationship with them as they are governed by stringent laws and regulations, restricting their acceptance of advantages in their public and private capacities. The offering of advantages to government officers may also constitute a violation of the POBO.

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Offering bribes for contract constitutes an offence

An air-conditioning equipment supplier attempted to induce an engineer to award a contract to a designated sub-contractor and promised to reward the engineer with cash.
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An air-conditioning equipment supplier provided spare parts to an engineering company for an air-conditioning project of a large exhibition centre. As some of the parts supplied broke down due to manufacturing fault, the supplier engaged a sub-contractor to carry out repairing work at its own expenses. The work, however, was done unsatisfactorily. The engineering company subsequently reallocated the work to its own contractor and assigned an engineer to supervise the work. The supplier thus approached the engineer in a bid to get the job back to his sub-contractor and promised to reward the engineer by a sum of cash.

The engineer refused the offer and reported the matter to the ICAC.

Case Analysis

Case Analysis

The supplier offered an advantage (i.e. cash) to the engineer, who was an employee (i.e. agent) of the engineering company (i.e. principal), as an inducement or reward for showing favour in relation to his principal’s business by awarding the contract back to the supplier’s sub-contractor.  The supplier contravened Section 9(2) of the Prevention of Bribery Ordinance (Cap.201) (POBO).  Had the engineer accepted the bribe without the permission of his principal, he would have contravened Section 9(1) of the POBO. 

 

Case in Perspective

The use of bribery to obtain contracts will inflate the operation costs of the bidder and cause unfairness to other bidders who observe the principle of fair play.  The services procured may also fall short of standard and affect the overall quality of the job because no supplier can go on absorbing corrupt payments and still give the quality you want.  It is crucial for management to provide integrity training so that staff at all levels understand the anti-corruption laws and stay vigilant to the risks of corruption when performing their duties. 

The positive action of the engineer is a good illustration of the proper action to take when one is being offered a bribe or has discovered malpractices.  Staff members should refuse any bribes and promptly report any suspected malpractices or illegal activities to law enforcement agencies including the ICAC and/or the management.  Companies should establish a clear and confidential whistle-blowing mechanism.

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Offering bribes outside Hong Kong may also be prosecuted

Fred was an engineer responsible for approving equipment for construction projects. His cousin David, who worked in a Mainland production factory, persuaded Fred to use his factory’s products by offering Fred an illegal commission.
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Fred was an engineer of a construction company and was responsible for approving the electrical equipment and materials required for construction projects. He was going to get married, but due to financial problems, he could only afford a simple wedding. His fiancée was very upset.

Fred's cousin David, an employee of a Hong Kong enterprise engaged in home automation system business, was recently posted to a production factory in Shenzhen to handle the development of new products. He had to travel frequently between Hong Kong and the Mainland. David, in the hope of gaining recognition from his company and getting more funds for his R&D work, recommended a home automation system to Fred when they met in Hong Kong. David persuaded Fred to use the system in a local private residential project undertaken by Fred's company and suggested that an illegal commission of HK$200,000 could be paid to Fred by instalments.  Without hesitation, Fred accepted the offer. David then appropriated HK$30,000 from the company's entertainment account for partial payment of the commission to Fred, calling it a wedding gift.

Fred thought that he could use the money to subsidise his wedding, but unfortunately the system he had purchased were found defective. The incident aroused the suspicion of the construction company's senior management, which then referred the matter to the ICAC for investigation. With substantial evidence, Fred was arrested just days before his wedding.

Case Analysis

It is against the law to offer any advantage, whether directly or indirectly, to any  person  or  to  a  third  party having  connections  with  that  person,  if  the advantage is proven to have been offered in relation to his duties. Although David offered an advantage to Fred under the pretext of giving him a wedding gift, both of them were still guilty of a bribery offence.

The illegal commission was offered to an employee of a Hong Kong company by a company based outside Hong Kong. However, if any part of the act of bribery (including offering, soliciting or accepting a bribe) takes place in Hong Kong, the case may still be pursued by the ICAC under the Prevention of Bribery Ordinance (POBO).

Likewise, if non-local residents request their Hong Kong counterparts to deposit bribes into a Hong Kong bank account, both parties will be in breach of the POBO as part of the bribery transaction takes place in the territory.

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Insider information in tendering

A young engineer was tempted by a sub-contractor during a tendering exercise. The sub-contractor offered him a handsome financial assistance for his new flat in exchange for leaking insider information.

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David worked in a construction company as a junior engineer after graduation. Through work, he became close with a subcontractor Mr. CHAN who often treated David lavish dinners and free trips to Macao. The two got along famously.

Recently, David’s company was conducting an open tendering exercise for a multi-billion project in Lantau, which Mr. CHAN was very keen. David was responsible for collecting the price quotation documents for the project. One day, Mr. CHAN invited David to a lavish dinner over which he made a proposal to David. He asked David to go through the quotations secretly and leaked him the price of the lowest bid. Then he would submit an even lower price just before the closing time to ensure the winning of the tender.

Knowing that David needed help for the down payment of his new flat, Mr. CHAN promised David a handsome contribution to the down payment if David helped him out. He also persuaded David that he was just as good as anyone else and that it would be a ‘win-win’ situation for both of them. David really needed a hand financially, and he did not want to sabotage the excellent relationship with Mr. CHAN.

Should David say yes to Mr. CHAN?  Would this be illegal?  Would it harm anybody in anyway?

Case Analysis

Case Analysis

Under Section 9(1) of the Prevention of Bribery Ordinance (Cap.201) (POBO), it would be an offence if David (i.e. agent), without the approval of his employer (i.e. principal), accepted the advantage (i.e. the financial assistance to the down payment of the new flat) as an inducement to assisting Mr. CHAN to get the tender.  Meanwhile, Mr. CHAN might also be liable for promising to offer bribes to David under Section 9(2) of the POBO.

By leaking the insider information to Mr. CHAN, David might also breach the Rules of Conduct of the Hong Kong Institution of Engineers, which prohibited engineers from disclosing confidential information and required them to act in the best interest of the employers.

Corruption would impair fair competition and put public safety at stake.  The quality of work would be in question as the sub-contractor was not chosen by an objective assessment of its competence and capability.  To uphold professional ethics and avoid breaching the law, David should say no to Mr. CHAN’s request and report the matter to his company and/or the ICAC.

 

Case in Perspective

Leakage of sensitive or confidential tender information (e.g. bid prices) by compromised personnel to favour a particular bidder will undermine fair competition and integrity of the procurement process.  To prevent such malpractice, the company should establish a robust procurement system to ensure the selection of the most suitable contractor based on merit.  For example, 

(a) Take precautionary measures to prevent leakage of tender information, such as receiving tenders through secure electronic channels with the password split and separately held by different staff members, and tasking an independent team to witness tender opening;

(b) Prohibit the opening of tenders received before the deadline, and ensure tenders remain in the custody of designated officer to minimise the risk of information leakage;

(c) Accept late tenders only with the endorsement of the management (or the tender board, if any) on justifiable grounds; 

(d) Require staff involved in procurement to declare whether they have any conflict of interest in the matter, and manage any declared conflict to mitigate integrity risks; and

(e) Maintain proper documentation of the tendering process, including but not limited to meeting minutes, tender evaluation and negotiation, correspondence, and declaration and management of conflict of interest, to facilitate independent audits and ensure accountability. 

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Personal relationship taking a higher priority

Nancy, a bank administration manager, awarded a small scale renovation project to an interior decoration company owned by her brother without disclosing their relationship to the bank.
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Nancy was a bank administration manager. Her brother, Gordon, was the owner of an interior decoration company. Nancy's bank decided to renovate the conference room on the directors' floor and Nancy was assigned to appoint a contractor for this project. Due to the urgency of the project and that the amount involved was small, she placed an order with Gordon without observing her bank's policy on the selection of contractors. She never disclosed their relationship to the bank.

Case Analysis

A bank employee should seek management's advice if he/she has any doubt about the propriety of any course of action, or if the employee finds his/her own interests may be in conflict with those of the bank. Nancy might breach the Code of Conduct[1] of her bank as she awarded the contract to her brother's company without disclosing their relationship to her employer. Even when Nancy was confident that the service provided by Gordon's company was as good as those of other firms, she should declare the interest to her employer.

[1] According to HKMA’s Supervisory Policy Manual CG-3, each authorized institute (bank) should develop its own Code of Conduct containing certain minimum conduct requirements which include “all staff should avoid situations that may lead to or involve a conflict of interest, actual or potential.”

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Administration of renovation contract in the Mainland

A project manager of a bank accepted entertainment and free trips in the Mainland from the Mainland contractor. In return, he made a recommendation to the bank’s head office in Hong Kong to accept the contractor's substandard works and employed the same contractor to renovate other branches.
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A bank planned to renovate its branch network in Guangdong and assigned a staff to be the project manager to station in the Mainland to oversee the project. 

The Mainland contractor responsible for the renovation kept offering the project manager entertainment and free trips in the Mainland.

In the renovation of the first branch, the project manager found the workmanship and materials substandard.

The Mainland contractor then "reminded" the project manager of the entertainment and free trips provided, and further offered money to the project manager for recommending to the bank's head office in Hong Kong to continue to appoint him to renovate other Mainland branches.  Later, a colleague of the project manager who knew about the corrupt dealing blew the whistle.

Case Analysis

In this case study, the project manager, an employee (agent) of the bank (the principal), accepted an advantage from the Mainland contractor, as a reward for making a recommendation to the bank’s head office in Hong Kong to accept the contractor's substandard works and employ the same contractor to renovate other branches (an act in relation to the bank’s business and took place in Hong Kong), might contravene Section 9(1) of the Prevention of Bribery Ordinance (POBO). The Mainland contractor might also contravene Section 9(2) of the POBO for offering bribes. If any part of the act of bribery (including offering, soliciting or accepting a bribe) takes place in Hong Kong, it may still be pursued by the ICAC under the POBO.

Procurement of goods and services is one of the most corruption-prone business processes, in particular those involving high values or specialist knowledge and specialised products or services, e.g. renovation and maintenance works.

It is common for banks to send staff members to work in the Mainland office. The staff members are exposed to significant risk of temptation due to their perceived remoteness from the main office in Hong Kong and the absence of supervisory control measures. Relying on a single staff member, who is a specialist, without effective checks and balances and segregation of duties, also increases the corruption risk.

Banks should lay down guidelines for key procurement stages.  They should also assign supervisors to conduct site inspections to ensure compliance with the laid down guidelines and to detect malpractice, such as connivance of substandard performance of contractors. It is also important to circulate the staff code of conduct regularly to remind staff members to refrain from accepting frequent/lavish entertainment from contractors/suppliers which may otherwise affect one’s objective commercial judgment.  In addition, it is also advisable to communicate to suppliers/contractors, in particular non-local ones, on the bank’s policy regarding anti-bribery, acceptance of advantages/entertainment, zero tolerance to corruption and channel(s) for feedback/enquiry.

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Difficult decision in purchasing

Edwin, the Assistant Purchasing Manager in a bank, was tasked to buy new printers for the computer centre. The sales representative offered Edwin a special commission if he agreed to buy a model that would soon be outdated.
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Edwin, the Assistant Purchasing Manager in a bank, was tasked to buy new printers for the computer centre.  He approached a sales representative whom he knew quite well.  The sales representative suggested Edwin a soon-be-outdated model which had a higher operating costs.  To sell out the old stock as soon as possible, the sales representative offered Edwin a special commission.  He persuaded Edwin that the bank would never know the truth as the new model would only come out several months after his purchase. Besides, the bank was able to afford the related high operating and maintenance costs. Edwin was tempted to make the purchase though it was against the bank’s best interest.  After all, he could pretend ignorance because buying printers involved technical knowledge which he lacked.

Would it violate any offence if Edwin accepted the commission?  What factors should he consider when facing the situation?

Case Analysis

Edwin might breach Section 9 of the Prevention of Bribery Ordinance (POBO) if he, as an employee of his bank, without the approval of his employer (i.e. the bank), accepted an advantage (i.e. special commission from the sales representative) for buying an obsolete printer model from the sales representative. The sales representative might also breach the same provision of the POBO for offering the bribe as an inducement to Edwin for abusing his authority at work. 

Edwin was facing an ethical dilemma that might put his personal values such as honesty and responsibility to challenge. In handling situation like this, Edwin should identify the relevant facts and take stock of all stakeholders concerned. The following factors should be taken into consideration when identifying viable alternatives and choosing the best course of action:

  1. Any violation to his professional, industry specific, or company code of conduct?
  2. Is it against the Law?
  3. Does it correspond with his self-values such as loyalty, honesty and responsibility?
  4. Can he disclose his decision to others openly and honestly without misgivings?

To uphold his professional ethics and avoid breaking the law, Edwin should say no to the sales representative’s offer and report the matter to the bank or the ICAC.  He could also refer to the ETHICS PLUS ethical decision making model for solving his ethical dilemma and choosing the best course of action.

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Abusing power for personal gain

Mr Kwok, manager of a listed company, was responsible for his company’s property investment. He solicited “commission” from two estate agents who sourced suitable properties for his company.
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Mr Kwok, a manager of a listed company, was responsible for the company’s investment in the property market, in which several ten million dollars was usually involved.  Mr Kwok commissioned two estate agents Raymond and Freddy from two different estate agencies to source suitable properties for his company.  He always told Raymond and Freddy that there were many estate agents approaching him for business.  Facing fierce competition, Raymond and Freddy offered an ‘under-the-table’ commission of $520,000 and $1.7 million respectively to Mr Kwok for recommending the listed company to buy their properties.

When the listed company discovered that corruption might be involved in various property investment transactions which Mr Kwok handled, the company reported it to the ICAC.

Case Analysis

Mr Kwok, as an employee, might commit an offence under Section 9 of the Prevention of Bribery Ordinance (POBO) for, without the approval from his employer, soliciting and accepting an advantage (i.e. the ‘under-the-table’ commission offered by Raymond and Freddy) for recommending the listed company to buy their properties.  Meanwhile, Raymond and Freddy both might also violate Section 9 of POBO for offering bribes.

Individual ethics and corporate culture are among the key factors which shape a company’s corporate governance. Company directors and senior executives serving the company should serve as role models.

Mr Kwok, who held an influential position at the company’s property investment, should have used the power bestowed on him by the listed company to protect its interests.  However, Mr Kwok abused his company’s trust for personal gain and violated the law instead.  

It is important for the company to work on an ethical culture at the corporate level through practicing ethical leadership, giving clear guidance on ethical standard expected of staff, managing integrity training and putting in place a comprehensive internal control system which helps company prevent and detect crime or malpractices as early as possible.

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