Advanced Service payments

Advanced Service payments

This page contains details on the funding available for the Advanced Services within the Community Pharmacy Contractual Framework (CPCF).

Post-payment verification process for community pharmacy Advanced Services


Click on a heading below for more information.

New Medicine Service (NMS)

Community pharmacy contractors earn between £20 and £28 for each completed NMS they provide depending on the total number of patients who receive the service in the month. The structure rewards each complete NMS provided whilst also encouraging the provision of the service to the greatest number of patients.

Payments are based on the number of prescription items dispensed, i.e. the actual count of physical items processed by the Pricing Authority. Certain items where multiple fees are paid, e.g. FP10MDA items, ACBS flavoured food items and combination packs, only count as one item when assessing the NMS volume. Contractors claim payments by stating on their monthly FP34C the number of completed NMS they have undertaken in a given month.

When is the NMS complete (and payment can be claimed)?

There are four target payment levels (20%, 40%, 60% and 80%). Under the payment structure the price per completed NMS increases with each target level; this means that contractors will be rewarded for providing the NMS to as many patients as possible:

  • All completed NMS provided by a contractor that fall below the 20% target will paid at £20 each;
  • Once a contractor reaches the 20% target all completed NMS (including those which fall below the 20% target) will be paid at £25 each;
  • Once a contractor reaches the 40% target all completed NMS (including those which fall below the 40% target) will be paid at £26 each;
  • Once a contractor reaches the 60% target all completed NMS (including those which fall below the 60% target) will be paid at £27 each;
  • Once a contractor reaches the 80% target all completed NMS (including those which fall below the 80% target) will be paid at £28 each.

The number of completed NMS that each contractor needs to provide in order to reach the four target levels, and the maximum number of interventions for which payment will be received, is outlined in the table below.

Volume of prescription items per month

 

Number of completed NMS per month necessary to achieve each target Maximum number of completed NMS per month for which payment will be received
20 per cent target 40 per cent target 60 per cent target 80 per cent target
0-1500 1 2 3 4 5
1501-2500 2 4 6 8 10
2501-3500 3 6 9 12 15
3501-4500 4 8 12 16 20
4501-5500 5 10 15 20 25
5501-6500 6 12 18 24 30
6501-7500 7 14 21 28 35
7501-8500 8 16 24 32 40
8501-9500 9 18 27 36 45
9501-10500 10 20 30 40 50
+1000 (+1) (+2) (+3) (+4) (+5)

Payment is limited to 0.5% of the contractors’ eligible monthly prescription volume; contractors can provide NMS above this limit but will not be paid for them.

Information and statistics regarding NMS payments

Medicines Use Review (MUR)

The fee for providing the MUR and the Prescription Intervention Advanced Service is set out in Part VIC of the Drug Tariff; these fees are claimed via the FP34C Submission Form. The fee for provision of an MUR is £28.

To free up capacity and funding for the CPCS, and also in recognition that NHSE&I does not consider MURs to be offering good value for money, MURs will be decommissioned. In 2020/21 contractors can provide a total of 100 MURs, with the service being decommissioned at the end of that year. These changes were agreed as part of the five-year Community Pharmacy Contractual Framework agreement.

Information and statistics regarding MUR payments

Appliance Use Review (AUR)

The fees for providing the AUR service are set out in Part VIE of the Drug Tariff. These fees are claimed via the FP34C Submission Form.

The fee for an AUR is £28 for an AUR conducted on pharmacy premises or £54 for an AUR carried out in a patient’s home. If more than one AUR is conducted in the same location within a 24-hour period £54 will be paid for the first AUR, and £28 for each subsequent AUR.

The maximum number of AURs for which claims for payment may be made is not more than 1/35 of the aggregate number of specified appliances dispensed during that financial year.

Stoma Appliance Customisation (SAC)

The fees for providing the SAC service are set out in Part VIE of the Drug Tariff. When this service is provided, £4.32 is paid per qualifying* Part IXC item dispensed, regardless of whether customisation was required.

*Qualifying Part IXC items for stoma customisation are one-piece closed bags (under “colostomy bags” chapter heading of current Drug Tariff), drainable bags (under “ileostomy bags” chapter heading) and bags with tap (under “urostomy bags” chapter heading), items under “two piece ostomy system” and “flanges” chapter headings, as well as Skin Protectors and Stoma Caps.

Flu Vaccination Service

PSNC has agreed a position with NHS England and NHS Improvement (NHSE&I) and the Department of Health and Social Care on funding for the Community Pharmacy Seasonal Influenza Vaccination Advanced Service in 2020/21.

The fee per vaccination will remain at £9.58, but we have also agreed, for this year only:

  • £0.50 per vaccination will be paid, funded from the Transition Fund; and
  • up to £1m of medicines margin can be retained for flu vaccinations administered above the number in a normal year. This will be in addition to the allowed £800 million medicines margin under the Community Pharmacy Contractual Framework.

This means the combined value of fees paid per vaccination will be £10.08. As is normally the case, 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 main £9.58 fee is from NHS vaccination budgets, not from the CPCF global sum.

Claims for payment for the service and reimbursement of vaccine costs are to be made via the NHS Business Services Authority Manage Your Service (MYS) application.

NHS Community Pharmacist Consultation Service (CPCS)

Funding for the CPCS included an initial supplement to the Transition payment for contractors that registered to provide the service before the below deadlines:

  • Registered by 1st December 2019 – £900 supplement
  • Registered by 15th January 2020 – £600 supplement.

When a pharmacy provides the service, they can claim a £14 fee per completed consultation.

This payment model will be reviewed for 2021/22 onwards, depending on factors such as volume of service.

The anticipated funding profile for the initial (NHS 111 referral) service is:

2019/20 2020/21 2021/22 2022/23 2023/24
£4 million £9 million £13 million £16 million £19 million

All payments must be claimed via the NHSBSA Manage Your Service (MYS) portal; no paper-based claims process is available for the service. The CPCS IT system (Sonar or PharmOutcomes) will be able to pre-populate claim information in MYS each month, so that the contractor then just needs to login to MYS at the start of the following month to confirm that the information is correct and to submit the claim.

Hepatitis C Testing Service

Contractors will be able to claim a payment of £36 per test performed on an eligible PWID, plus the cost of the test (including VAT).

Claims for payments for this service should be made monthly, via the NHS Business Services Authority’s (NHSBSA) Manage Your Service (MYS) portal.



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