Essential Service payments

Essential Service payments

Fees

Pharmacy contractors receive a Single Activity fee for every item dispensed including medicines and appliances. This fee is currently 113p per item.

Pharmacy contractors can also claim a range of additional fees which are set out in Part IIIA of the Drug Tariff including fees for things such as dispensing unlicensed specials or imports, measuring and fitting hosiery and trusses and dispensing controlled drugs.

Pharmacy contractors also receive an expensive prescription fee equivalent to 2% of the net ingredient cost of items dispensed that cost over £100.

In 2005, the urgent (out of hours) additional fee was removed from the national arrangements. Out of hours arrangements are now commissioned locally by local NHS England teams (of NHS England) to meet local need. Information on any locally agreed arrangements in your area is available from the local NHS England team or your LPC.

Establishment Payment

The levels of, and thresholds to qualify for, the Establishment Payment are set out in Part VIA of the Drug Tariff.

At the end of each 6 month period between April-September and October-March, if the total amount a pharmacy contractor has received through the monthly Establishment Payments is less than the amount which would have been paid out had the payments been calculated on a 6 month basis, a pharmacy contractor can claim a ‘top up’ payment from their local NHS England teams. Click on the link below to access more detailed information and a template claim letter:

Claiming an Establishment Payment ‘Top-up’

Practice Payments

Until December 2016, pharmacy contractors were eligible to receive Practice Payments which included a contribution for the provision of auxiliary aids for people eligible under the Equality Act (2010). The payments levels were set out in Part VIA of the Drug Tariff.

From 1st October 2005, pharmacies were required to have minimum dispensing support levels in order to receive the full Practice Payment. Reduced levels of payment applied where pharmacists did not regularly employ the specified level of support. The requirements were set out in Part VIA of the Drug Tariff. There were no changes to the required staffing levels up to December 2016.

These levels do not reflect desirable staffing levels. They are a bare minimum below which no pharmacy could meet the contractual framework service requirements. For most pharmacies higher staffing levels will be required to provide these requirements. Pharmacies that could not demonstrate that they employ dispensing support staff at these levels only received the payment levels associated with their actual level of staffing. So for example a pharmacy dispensing 7,000 items a month with staffing levels of 75 hours per week received Practice Payments at the level for 5,000 items, not the level for 7,000 items. Detailed guidance on making the declaration of dispensing staff hours is available by clicking on the link below:

Guidance on Declaring Dispensing Staff Levels

At the end of each 6 month period between April-September and October-March, if the total amount a pharmacy contractor has received through the monthly Practice Payments is less than the amount which would have been paid out had the payments been calculated on a 6 monthly basis, a pharmacy contractor can claim a ‘top up’ payment from their local NHS England team. Click on the link below to access more detailed information and a template claim letter:

Claiming an Practice Payment ‘Top-up’

Additional information

Establishment and Practice Payment Thresholds

One aspect of the funding adjustment process is increases of the thresholds governing receipt of the Establishment Payment (and until December 2016 the per-item Practice Payment). These were initially set in April 2005 on the introduction of the national contractual framework and have been increased several times since October 2006, typically by 3% (allowing for rounding). The principle of increases to reflect increase in dispensing volumes was agreed as part of the contractual framework. In practice increases have been restricted to 3%. If these had increased at average market levels then the latest (October 2013) basic threshold would stand at around 3000 not 2430 items per month.

Practice Payment VAT rates

Before October 2008, 10% of the Practice Payment was deemed by HMRC to be subject to VAT. This reflected specific sums that were paid to contractors via the Practice Payment covering the disposal of unwanted medicines and signposting. The increase in the Practice Payment from October 2008 represents increased funding to cover the cost of dispensing medicines which is zero rated. Revised guidance on how the Practice Payment should be apportioned is available in the VAT Section of the PSNC website.

Repeat Dispensing Annual Payment

Until December 2016, all pharmacy contractors received an annual repeat dispensing payment of £1,500, not only those contractors dispensing repeat prescriptions. This was paid monthly calculated as 1/12th of the annual payment (£125 per month).

Electronic Prescription Service (EPS) Allowances

Pharmacies received £2600 in 2005/06 linked to deploying Release 1 of the Electronic Prescription Service. A further allowance of £1000 is being paid linked to a pharmacy deploying EPS Release 2, the claim deadline for which is 31st March 2017. Until December 2016, pharmacies could also claim a £200 on-going monthly allowance once they are EPS enabled. See the EPS section of the website for more information.



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