Payment timetable and deadline tracker

£28 –  AUR conducted on pharmacy premises

£54 – AUR carried out in a patient’s home

If, within a 24 hour period, reviews are conducted for several users living at the same location, the appliance or pharmacy owner may claim £54 for the first review and £28 for each subsequent review.

Appliance use reviews carried out at premises

Appliance use reviews carried out at patients home

under section titled Prescription Fees

Must be recorded on the Point of Care system on the day of the administration of the vaccination.

In exceptional circumstances, where it has not been possible to record the vaccination event, and the pharmacy owner has recorded the exceptional circumstances on the Point of Care, the vaccine record must be made on the system as soon as possible afterwards and within 15 days of the administration date of the vaccination. Where the record of the vaccination event is not created within 15 days of the vaccination being administered, the pharmacy owner shall not be eligible for the item of service fees and any associated additional payments

Information will be transferred to MYS for claiming.

Claims will only be accepted by the NHSBSA if they are submitted within three months of the date by which the claim should have been submitted.

£7.54 is paid for each vaccination given.

There is an additional financial supplement of £10 per dose for the vaccination of housebound people (cannot be claimed for vaccinations given in care homes).

MYS

The claim for the stages of the DMS completed by the pharmacy owner must be made no later than the 5th day of the month following that in which the final stage that the pharmacy owner was able to undertake was completed.  From 1 July 2024, if the contractor fails to submit by this deadline, later submissions will be accepted but only if made within three months of the date by which the claim should have been submitted.  Later claims will not be paid.  Where a pharmacy owner has completed some of the stages of the NHS DMS, but not all the stages of the NHS DMS that they intend to complete, they should not yet make a claim.

.

MYS

Pharmacy owners must claim payment within one month of, and no later than three months from the claim period for the chargeable activity provided. Claims which relate to work completed more than three months after the claim period in question will not be paid and the pharmacy owner will not receive any payment for the administration of those vaccinations.

£9.58 for each vaccine administered

and

The basic price (list price) of the individual vaccine administered and an allowance at the applicable VAT rate.

Flu Remuneration Payment for fees

Flu Reimbursement Payment for the cost of the vaccines

MYS

Claims for payment should be submitted within one month of, and no later than three months from the claim period for the chargeable activity provided. Claims which relate to work completed more than three months after the claim period in question, will not be paid.

£440 set-up fee (one-off payment)

£15 for each clinic check

£45 for each ambulatory monitoring

CVD Hypertension set up fee

CVD Hypertension check and ABPM fee

MYS

Claims for payment should be submitted within one month of, and no later than three months from the claim period for the chargeable activity provided. Claims which relate to work completed more than three months after the claim period in question, will not be paid.

A service fee of £4 + VAT will be paid for each completed transaction of the supply of one box of five COVID-19 LFD test kits

and

The payment for these tests, where supplied as part of the service, will be £6.80 for 5 LFD tests. An allowance at the applicable VAT rate will also be paid. The Secretary of State determines the payment of the LFD tests to be the average of the list price for one box of 5 LFD tests by the following three suppliers: AAH Pharmaceuticals Ltd, Alliance Healthcare (Distribution) Ltd and Phoenix Healthcare Distribution Ltd on or before the 8th of the month before. In circumstances, where pharmacy owners are unable to source one box of 5 LFD tests at or below the Drug Tariff payment price listed in this Part, Community Pharmacy England may request a review of the payment price.

LFD Eligible Patient Service Fee

LFD Eligible Patient Test Cost

MYS

Claims for payments for this service should be made monthly to the NHSBSA, in accordance with the usual Drug Tariff claims process.

• • £400 paid on signing up to deliver the service via the NHSBSA MYS portal;
  • £250 paid after claiming the first 5 consultations; and

£250 paid after claiming a further 5 consultations (i.e. 10 consultations completed)

Tier 1 Contraception Set-Up

A fee for each consultation of £18

The cost of those medicines, if supplied as part of the service, will be reimbursed using the basic price specified in the Drug Tariff Part II Clause 8 – Basic Price. The total of basic prices will be added to the total basic price of products dispensed as part of essential services and the total will be subject to discount as per Part I Clause 5B paragraph 1. An allowance at the applicable VAT rate will also be paid.

Contraception Consultations

Contraception Product Cost

PF UMS & MI remuneration payment (both urgent medicines supply and low acuity/minor illness)

Pharmacy First Consultations (PFCP) (clinical pathway consultations)

Discount on schedule section under:

Generic (PFCP)

Branded (PFCP)

Appliances (PFCP)

DND (PFCP)

Subtotal (PFCP)

Payment for consumables section:

PFCP

Payment for containers section:

PFCP

COVID-19 Vaccinations     

(1st April 2024 to 31 August 2024)

£7.54 is paid for each vaccination given. From 1st April 2024 to 31 August 2024 an additional £2.50 (£10.04 in total) will be paid for each vaccination given.

There is an additional financial supplement of £10 per dose for the vaccination of housebound people (cannot be claimed for vaccinations given in care homes).

This incentive has now ended.

Annually

• An incentive fee of £1,000 will be available if 5 ABPM intervention are provided in 2021/22;
• Followed by a payment of £400 in the subsequent years if the pharmacy reaches the thresholds for those years (15 ABPM interventions will be required in 2022/23 and 20 in 2023/24).

Pharmacy owners who sign up after Year 3 must achieve the ABPM activity thresholds specified for the given financial year and will receive £1,000 as a first payment. If a pharmacy owner signs up in Year 3 and fails to do 5 ABPMs, they can earn £1000 by doing 15 ABPMs in Year 4. Similarly, if a pharmacy owner first signs up in Year 4, they can earn £1000 by doing 15 ABPMs that year. If a pharmacy owner first signs up in Year 5, they can earn £1000 by doing 20 ABPMs that year.

1st November 2021 – Bridging payment

1st December 2021 – recovery of bridging payment starts (this is spread over 11 months)

1st November 2021 – One-off bridging payment based on 92% of the final PEPS payment received on 1st October 2021

1st December 2021 – 30th September 2022 – one-off bridging payment recovered in equal parts over 11
months

Bridging payment will be paid directly to PEPS pharmacy owners and will not appear on the Schedule of Payments

Bridging payment recovery – ‘PEPS Transition Recovery’

COVID-19 Vaccinations

(Care home incentive payments) 

This incentive has now ended.

Claim via real-time return accessed via the QR or through

Care Home Visits: COVID-19 Vaccinations Autumn 22/23 – Forms and Questionnaires (necsu.nhs.uk)

Claims must be submitted within seven days following the visit (deadline for final claims 30th October 2022)

From 4th October 2021 onwards

£1.70 + an allowance for VAT per transaction – where a collect code has been provided

OR

£1.20 + an allowance for VAT per transaction using the anonymous collection route

Up until and including 3rd October 2021

£1.50 + an allowance for VAT per transaction

£15.00 paid for each vaccination given between 1 December 2021 to 31 January 2022

£20.00 paid for each vaccination administered to patients during Sundays between 25 December to 3 January 2022

Additional £10.00 payment per vaccine for housebound and care home patients

Maximum value of £135.50 per point

Minimum value of £67.75 per point 

Points based system dependent on:

• their total prescription volume in 2020/21;
• which Domains are claimed for; and
• whether they are a PCN lead or non-PCN lead.

Pharmacy owners could claim for the following:

1. Additional staff costs due to COVID-19

2. Costs incurred to make premises COVID-19 secure

3. IT and communication costs to support home working and virtual patient contact; and

4. Notified closures for infection control purposes (maximum 14 days)

Reimbursement will appear as: ‘Reimbursement of Covid-19 costs’

Adjustment will appear as:
‘Reimbursement of Covid-19 costs adj’

Recovery will appear as:
‘Recovery of 20/21 Covid-19 Cash Advance’

Payment bands up to end of February 2021