Practice Payment and Establishment Payment top-ups

Practice Payment and Establishment Payment top-ups

For 2016/17 pre-imposition (April – November), where the total monthly Establishment and/or Practice Payments in relation to prescriptions passed for pricing are less than the amount which would have been paid had the payments been calculated on an eight monthly basis, contractors can claim for a ‘top up’ payment.

Part VIA Section 1.3 of the Drug Tariff outlines the arrangements for pharmacy contractors to request a top up of their Establishment Payments. An Establishment Payments top up is only likely to be required where monthly dispensing volumes fluctuate between the payment bands.

Part VIA Section 2.1 of the Drug Tariff outlines the arrangements for pharmacy contractors to request a top up of their Practice Payments. A Practice Payments top up is only likely to be required where monthly dispensing volumes fluctuate between the payment bands. Please note that where Practice Payments were paid at a lower level because minimum staffing levels were not met or because the pharmacy contractor did not declare staffing levels, those months will be disregarded in the calculation of any top up due.

Due to the change in payment methods from December ’16  onwards, a top up can only be claimed for the first eight months of 2016/17 (12 months for Wales).  To claim a top up payment, pharmacy contractors are required to submit copies of their Schedule of Payments for April to November to their local NHS England team (LHB for Wales) along with a covering letter. Template letters can be downloaded in Microsoft Word Format by clicking on the links below.

The NHS Prescription Services levy a charge for Schedule of Payment re-prints. The exception to this is where a contractor receives their Schedule of payment information electronically from the NHS Prescription Services rather than in hard copy but the contractor requires a hard copy to make a claim for a top-up payment.

Top Up Claim Examples

Guide to when a Top-up Payment could be claimed

2016/17 Template Letters

Template Letter to Claim a ‘Top Up’ Payment (eight-monthly basis) (April 16-November 16) (Microsoft Word Document)

Template Letter to Claim a ‘Top Up’ Payment (Wales 12-monthly basis) (April 16-March 17) (Microsoft Word Document)

2016/17 Template spreadsheet to aid with ‘Top Up’ calculation

Template spreadsheet to Claim a ‘Top Up’ Payment (eight-monthly basis) (April 16-November 16) (Microsoft Excel)

Template spreadsheet to Claim a ‘Top-Up’ Payment (Wales 12-monthly basis) (April 16-March 17) (Microsoft Excel)

For Establishment Payments, all claims relating to the 2016/17 financial year have to be submitted to the local NHS England team by 31 July 2017 (England) or LHB by 30 November 2017 (Wales).

For Practice Payments, all claims relating to the 2016/17 financial year have to be submitted to the local NHS England team or LHB by 30 November 2017.

For individual queries, please contact us for support.

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