Essential Service payments
Essential Service payments
Pharmacy contractors receive a Single Activity Fee (SAF) for every item dispensed including medicines and appliances. This fee is currently 126p per item. For further information about the SAF see our Dispensing and Supply Factsheet: Understanding the Single Activity Fee
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 and Improvement (NHSE&I)) to meet local need. Information on any locally agreed arrangements in your area is available from the local NHS England team or your LPC.
The current levels of, and thresholds to qualify for, the Establishment Payment are set out in Part VIA of the Drug Tariff.
22nd July 2019 announcement: Establishment payments to be phased out
In line with the Government announcement made in 2016, the Establishment Payment – a tiered payment made to pharmacies dependent on the number of items dispensed – will be phased out by 2020/21. The precise end date for Establishment Payments requires further discussions between PSNC, the Department of Health and Social Care (DHSC) and NHSE&I.
For the purpose of the table (see our page 3 of our PSNC Briefing 028/19: Information on the community pharmacy contract settlement and funding for 2019/2020 to 2023/24), zero spend has been assumed in 2020/21, although payments may continue to a degree, into 2020/21. Payments will have ceased by 2021/22.
Practice Payments were removed for English pharmacies in December 2016. The last period that was eligible for claims for English pharmacies was April – November 2016. For information on previous arrangements see our ‘Practice Payments information’ below.
Historical payment information for Essential Services
Practice Payments information
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:
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:
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.
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.
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:
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 was paid linked to a pharmacy deploying EPS Release 2, the claim deadline for which is 31st March 2017. Until December 2016, pharmacies could claim a £200 on-going monthly allowance once they are EPS enabled. See the EPS section of the website for more information.