NHS Contract
Community Pharmacy England has created a payment timetable and deadline tracker to assist pharmacy owners with checking and claiming payments for the following services:
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- Appliance Use Review (AUR)
- Community Pharmacist Consultation Service (CPCS)
- Covid-19 Vaccinations (please note, this is a locally commissioned service)
- Discharge Medicines Service
- Flu Vaccination Service
- Hypertension Case-Finding Service
- Lateral Flow Device (LFD) Service
- New Medicine Service (NMS)
- Pharmacy Contraception Service (PCS)
- Smoking Cessation Service (SCS)
- Stoma Appliance Customisation
The Pharmacy Quality Scheme (PQS) 2023/24 is also included in the payment timetable as well as details of other payments.
The table below outlines payments for services listed above, providing details of any claim deadlines (where applicable), how to claim, timing of payments, payment amounts and how these payments will appear on the Schedule of Payments.
| Payment type | Claim method (deadline to claim for payment) |
Payment due | Payment amount | How payment will appear on the Schedule of Payments under section of ‘Details of other amounts authorised’ |
| Appliance Use Review (AUR) | MYS | Monthly | £28 – AUR conducted on pharmacy premises
£54 – AUR carried out in a patient’s home If, within a 24 hour period, reviews are conducted for several users living at the same location, the appliance or pharmacy contractor may claim £54 for the first review and £28 for each subsequent review. |
‘Appliance use reviews carried out at premises’
‘Appliance use reviews carried out at patients home’ under section titled ‘Prescription Fees’ |
| Community Pharmacist Consultation Service (CPCS) |
Claims for payments for this service will automatically be added to MYS using the Application Programme Interface (API) between the CPCS IT system and the NHSBSA. Contractors will need to submit the claims within the MYS portal, as part of the normal month end claims process (by the 5th day of the following month). | Monthly | £14 for each completed referral (both urgent medicines supply and low acuity/minor illness) | ‘CPCS Remuneration Payment’ |
| COVID-19 Vaccinations | Must be recorded on the Point of Care system within 7 days of the administration date of the vaccination. Information will be transferred to MYS for claiming.
Claims will only be accepted by the NHSBSA if they are submitted within three months of administration of the vaccination. |
Monthly | £7.54 is paid for each vaccination given
There is an additional financial supplement of £10 per dose for the vaccination of housebound people (cannot be claimed for vaccinations given in care homes). |
‘Covid Vaccine Claim’ |
| Discharge Medicines Service (DMS) | MYS
(Claim by the 5th day of the following month post completion of final claimable stage of the service) |
Monthly |  |
‘Discharge Medicine Review Fee’ |
| Flu Vaccination Service | MYS
Pharmacy owners must claim payment within one month of, and no later than three months from the claim period for the chargeable activity provided. Claims which relate to work completed more than three months after the claim period in question will not be paid and the pharmacy owner will not receive any payment for the administration of those vaccinations. |
Monthly | £9.58 for each vaccine administered
and The basic price (list price) of the individual vaccine administered and an allowance at the applicable VAT rate. |
‘Flu Remuneration Payment’ for fees
‘Flu Reimbursement Payment’ for the cost of the vaccines |
| Hypertension Case-Finding Service |
MYS
Claims for payment should be submitted within one month of, and no later than three months from the claim period for the chargeable activity provided. Claims which relate to work completed more than three months after the claim period in question, will not be paid. |
Monthly | £440 set-up fee (one-off payment)
£15 for each clinic check £45 for each ambulatory monitoring In addition, the following incentive fees across Years 3, 4 and 5 of the CPCF 5-year agreement, will be available. Pharmacies must reach a threshold of ABPM activity to trigger the payment of the incentive fee.
Contractors who sign up after Year 3 must achieve the ABPM activity thresholds specified for the given financial year and will receive £1,000 as a first payment. If a contractor signs up in Year 3 and fails to do 5 ABPMs, they can earn £1000 by doing 15 ABPMs in Year 4. Similarly, if a contractor first signs up in Year 4, they can earn £1000 by doing 15 ABPMs that year. If a contractor first signs up in Year 5, they can earn £1000 by doing 20 ABPMs that year. |
‘CVD Hypertension set up fee’
‘CVD Hypertension Incentive’ ‘CVD Hypertension check and ABPM fee’ |
| Late bundle – administrative charge | Claim form | Monthly | £25 | ‘Late Fee’ |
| Lateral Flow Device (LFD) service | MYS
Claims for payment should be submitted within one month of, and no later than three months from the claim period for the chargeable activity provided. Claims which relate to work completed more than three months after the claim period in question, will not be paid. |
Monthly | A service fee of £4 + VAT will be paid for each completed transaction of the supply of one box of five COVID-19 LFD test kits
and The payment for these tests, where supplied as part of the service, will be £6.80 for 5 LFD tests. An allowance at the applicable VAT rate will also be paid. The Secretary of State determines the payment of the LFD tests to be the average of the list price for one box of 5 LFD tests by the following three suppliers: AAH Pharmaceuticals Ltd, Alliance Healthcare (Distribution) Ltd and Phoenix Healthcare Distribution Ltd on or before the 8th of the month before. In circumstances, where contractors are unable to source one box of 5 LFD tests at or below the Drug Tariff payment price listed in this Part, Community Pharmacy England may request a review of the payment price. |
‘LFD Eligible Patient Service Fee’
‘LFD Eligible Patient Test Cost’ |
| New Medicine Service (NMS) | MYS
Claims for payments for this service should be made monthly to the NHSBSA, in accordance with the usual Drug Tariff claims process. ) |
Monthly | Between £20 and £28 for each completed NMS provided depending on the total number of patients who receive the service in the month and whether any target has been achieved based on the monthly prescription volume of the pharmacy | ‘New medicine service’ under section titled ‘Prescription Fees’ |
| Pharmacy Contraception Service |
MYS
Claims for payment should be submitted within one month of, and no later than three months of providing the chargeable activity. Claims which relate to work completed more than three months after the consultation will not be paid.
|
Monthly | A set-up fee of £900 per pharmacy, paid in instalments as follows:
£250 paid after claiming a further 5 consultations (i.e. 10 consultations completed) |
‘Tier 1 Contraception Set-Up’ |
| A fee for each consultation of £18
The cost of those medicines, if supplied as part of the service, will be reimbursed using the basic price specified in the Drug Tariff Part II Clause 8 – Basic Price. The total of basic prices will be added to the total basic price of products dispensed as part of essential services and the total will be subject to discount as per Part I Clause 5B paragraph 1. An allowance at the applicable VAT rate will also be paid. |
Tier 1 Contraception Consultations’
‘Tier 1 Contraception Product Cost’ |
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| Smoking Cessation Service (SCS) set-up |
MYS or using the form on the NHSBSA website
|
One-off payment | £1,000 | ‘SCS Set-up’ |
| Smoking Cessation Service (SCS) |
MYS or by email using a downloadable form – further information is available on the NHSBSA website.
(Claims for payment should be submitted to the NHSBSA by the 5th of the month following the month in which the chargeable activity was provided. If the contractor fails to submit by this deadline, later submissions will be accepted, but only if made within three months of the date by which the claim should have been submitted).
|
Monthly | £30 – First consultation £10 – Each interim consultation £40 – Last consultation (the last consultation may be at any point from and including the 4-week review up until the 12-week review) |
‘SCS Consultations’ |
| The products that may be supplied as part of this service are listed in the Drug Tariff Determination and only those products listed will be eligible for payment. The indicative reimbursement price will be the NHS list price of the reference product on the 8th of the month before. An allowance at the applicable VAT rate will be paid to cover the VAT incurred when purchasing the product supplied. The indicative price for reimbursement for each product that can be supplied as part of this service is based on a reference product as set out in the list available on the NHSBSA website. | ‘SCS NRT Product cost (this will include the VAT element)’ ‘SCS NRT Product charges’ |
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| Stoma Appliance Customisation (SAC) |
Automatically based on qualifying Part IXC Drug Tariff products | Monthly | £4.32 is paid per qualifying* Part IXC item dispensed, regardless of whether customisation was required | Payment will be listed as ‘Stoma customisation’ under section titled ‘Prescription Fees’ |
