Flu vaccination – claiming payment

Flu vaccination – claiming payment

Community pharmacy contractors must complete the community pharmacy seasonal influenza vaccination advanced service claim form and submit this to the NHS BSA with their FP34C each month to claim payment for this service.

Community Pharmacy Seasonal Influenza Vaccination claim form 2017/18

Payment claims for those vaccinations administered during March must be submitted to the NHS BSA by the 5th of April in the same year in line with the FP34C process. Late claims will not be processed.

Payment

Contractors providing the Flu Vaccination Service will be paid £7.64 per administered dose of vaccine plus an additional fee of £1.50 per vaccination (i.e. a total of £9.14 per administered vaccine). The additional fee is in recognition of costs incurred relating to the provision of the service including training and disposal of clinical waste. Such costs are not reimbursed elsewhere in the Community Pharmacy Contractual Framework.

Contractors will also be reimbursed for the vaccine costs at the basic price (list price) of the individual vaccine administered and an allowance at the applicable VAT rate will also be paid.

Funding for the service will be in addition to and outside of total agreed community pharmacy funding for the financial year, instead coming from NHS vaccination budgets. The total delivered will be dependent on uptake of the service, but no cap has been set for this.

FAQs

Q. How do I claim payment for provision of the service?
Contractors must complete the Flu vaccination claim form 2017/18 at the end of each month and submit this to the Pricing Authority with their script bundle submission.

Q. If I send my claims form to the NHS BSA a month later than the flu vaccines were administered, will I still get paid (provided I have sent them before 5th April 2018)?
Claims should be sent in the months they correspond to; otherwise contractors are at risk of not getting paid.

Q. Will the Pricing Authority accept claims for a few months after the service finishes?
No. Payment claims for those vaccinations administered during March 2017 must be submitted to the NHS BSA by 5th April 2018 in line with the FP34C process. Late claims will not be processed and contractors will not receive payment for vaccinations claimed for.

Q. Will my pharmacy be sent paperwork for the Flu Vaccination Service or do I need to download this from the PSNC website?
The forms will need to be downloaded from the PSNC or NHS BSA (for the claim form) websites.

Q. Can I make claims for payment via PharmOutcomes or Sonar instead of using the claim form and sending it to the Pricing Authority?
No.

Q. Will the NHS cover set up costs for the Flu Vaccination Service?
Set up costs that contractors incur will not be separately funded, but they have been considered in the setting of the fees for provision of the service.

Q. Where is the money for the Flu Vaccination Service coming from?
The cost of the service and the vaccines administered is being funded from NHS England’s budgets.

Q. Do pharmacies have to pay for disposal of clinical waste associated with the service?
Yes. The funding agreed for the service recognises the cost of a clinical waste disposal service which contractors will need to put in place.

Q. Who pays for occupational health services for pharmacy employees, such as provision of hepatitis B vaccinations?
Provision of occupational health services is a responsibility of employers (contractors).

Q. Can I submit the community pharmacy seasonal influenza vaccination advanced service claim form to NHS BSA each quarter to claim payment for the service?
The service specification states that the claim form should be submitted each month to claim payment for the service therefore contractors may not get paid if they do not submit their form each month. If contractors choose to submit their form quarterly, they should be aware that the final quarterly claim must be made by 5th April in the same year in line with the FP34C process. Claims after this date will not be processed, therefore contractors will not get paid for any late submissions.

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