Monthly payments
Monthly payments
This section contains detailed information on the payments made to NHS community pharmacies by the NHS Business Services Authority (NHSBSA).
The Schedule of Payments is a document which provides contractors with a summary breakdown of reimbursement for drugs and appliances provided against NHS prescriptions including the fees payable for any additional NHS services provided for example, Advanced Services and any locally authorised payments from your NHS England Area team. Pharmacy contractors can expect to receive their Schedule of Payment from NHSBSA 5 working days before the payment date.
Understanding
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Using Your
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Essential Service
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Indicative
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Temporary
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Essential
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Summary of new payments including claiming deadlines
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 |
£25 – AUR conducted on pharmacy premises £54 – AUR carried out in a patient’s home |
‘Appliance use reviews carried out at patients home’ ‘Appliance use reviews carried out at premises’ under section titled ‘Prescription Fees’ |
Community Pharmacist Consultation Service (CPCS) |
MYS (by the 5th day of the following month) |
Monthly | £14 (no VAT applicable) for each completed referral | ‘CPCS Remuneration Payment’ |
COVID-19 Vaccinations | MYS | Monthly |
£12.58 is paid for each vaccination given Additional £10.00 payment per vaccine for housebound and care home patients |
‘Covid Vaccine Claim’ |
Discharge Medicines Service (DMS) | MYS | Monthly | ‘Discharge Medicine Review Fee’ | |
Flu Vaccination Service | MYS (claims for the 2021/22 flu season will be accepted by the NHSBSA within six months of administration of the vaccination or by 31st August 2022, whichever date is earlier) | 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 |
Hepatitis C Testing Service | MYS (by the 5th day of the following month after completion of a test) |
Monthly in the same payment month as other payments for NHS Pharmaceutical Services. This service will continue until 31st March 2023 | £36 per test performed | ‘Hep C Provision of Testing Service’ |
Hepatitis C Testing Service – Point of Care Test (POCT) kit | MYS (by the 5th day of the following month after completion of a test) |
Monthly in the same payment month as other payments for NHS Pharmaceutical Services. This service will continue until 31st March 2023 | Cost of the POCT kit at manufacturer’s list price + VAT | ‘Hep C Test Kit Reimbursement’ |
Hypertension Case-Finding Service |
MYS | Monthly |
£440 set-up fee (one-off payment) £15 for each clinic check £45 for each ambulatory monitoring An incentive fee of £1,000 will be available if 5 ABPM interventions are provided in 2021/22. This will change in 2022/23 |
‘CVD Hypertension set up fee’ ‘CVD Hypertension Incentive’ ‘CVD Hypertension check and ABPM fee’ |
New Medicine Service (NMS) | MYS (by the 5th day of the following month) |
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’ |
Smoking Cessation Service (SCS) | An interim process will be in place until an API is available – further information on this process is available on the NHSBSA website. | Monthly |
A set-up fee of £1,000 payable following registration on MYS to provide the service, including a declaration of readiness to provide the service. For each patient a fee for:
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 Set-up’ ‘SCS Consultations’ ‘SCS NRT Product cost (this will include the VAT element)’ |
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’ |
*Excludes distance -selling pharmacies
Services where the claim deadline has expired
Payment type | Payment due | Payment amount | How payment will appear on the Schedule of Payments under section of ‘Details of other amounts authorised’ |
COVID-19 Lateral Flow Device Distribution Service |
This service has now ended. Claims will be accepted via MYS until 30th April 2022; this includes any distributions made in February 2022 that contractors may not have claimed for at the beginning of March 2022
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From 4th October 2021 onwards £1.70 + an allowance for VAT per transaction – where a collect code has been provided OR £1.20 + an allowance for VAT per transaction using the anonymous collection route |
‘COVID Testing Kit’ |
Up until and including 3rd October 2021 £1.50 + an allowance for VAT per transaction |
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Pandemic Delivery Service (Advanced service)* | The service ended on 31st March 2022. Contractors have until 5th April 2022 to claim payment | £6 (including VAT) per delivery | Payment will be listed as ‘Additional advance payment’ under section titled ‘Summary of Payment Amounts’ |
Pandemic Delivery Service (Essential service)* | Monthly
Self-isolating patients only (from 1st April 2021 onwards) as confirmed by NHS Test and Trace (for the 10-day self-isolation period). This service will continue until 31st March 2022
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Paid on the same line as ‘Transitional Payment’. It will show as a total figure | |
COVID-19 Lateral Flow Device Distribution Service – Set-Up Fee | Before the service ended on 31st March 2022 | £250 + VAT | ‘COVID Test Kit Set up Fee’ |
Pharmacy Quality Scheme 2021/22 | 1st April 2022 |
Maximum value of £135.50 per point Minimum value of £67.75 per point Points based system dependent on:
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‘Pharmacy Quality Scheme’ |
Pharmacy Quality Scheme 2021/22 – Aspiration payment |
1st December 2021 | 70% of the number of points within the band in which contractors are placed (the Aspiration Payment does not include the extra points that can be earned for being the Pharmacy PCN Lead). The value of each point for the aspiration payment is set at £67.75 (i.e. the minimum value of a point for PQS 2021/22). NHSBSA has published a spreadsheet detailing the banding that pharmacies have been put into for PQS 2021/22 |
‘Pharmacy Quality Scheme’ |
Pharmacy Earlier Payment Scheme (PEPS) – transitional arrangements |
1st November 2021 – Bridging payment 1st December 2021 – recovery of bridging payment starts (this is spread over 11 months) |
1st November 2021 – One-off bridging payment based on 92% of the final PEPS payment received on 1st October 2021 1st December 2021 – 30th September 2022 – one-off bridging payment recovered in equal parts over 11 |
Bridging payment will be paid directly to PEPS contractors and will not appear on the Schedule of Payments Bridging payment recovery – ‘PEPS Transition Recovery’
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COVID-19 Costs (incurred between 1 March 2020 – 31 March 2021 for the delivery of NHS pharmaceutical services) |
1st October 2021 |
Contractors could claim for the following: 1. Additional staff costs due to COVID-19 2. Costs incurred to make premises COVID-19 secure 3. IT and communication costs to support home working and virtual patient contact; and |
Reimbursement will appear as: ‘Reimbursement of Covid-19 costs’ Adjustment will appear as: Recovery will appear as: |
CPCS –GP referral pathway engagement and set up | Payments depended on when the claim was submitted by a contractor and processed and verified by the NHSBSA | £300 engagement and setup payment if contractors undertook a range of actions to get ready for rolling out the referral pathway in their area by 30th June 2021 | ‘GP Referral Pathway Engagement Fee’ |
COVID-19 Lateral Flow Device Distribution Service Early Sign-Up Fee | Registrations made from 29th March – 31st March 2021 were paid on 1st June 2021. Registrations made from 1st – 18th April 2021 were paid on 1st July 2021 | £200 + VAT Early sign-up fee (providing contractor signed up before 11:59pm on 18th April 2021) | COVID Test Kit Registration Fee |
Pandemic Delivery Service (Essential service)* | Monthly – the service was extended until 31st March 2021 for all clinically extremely vulnerable (CEV) patients living in England | Paid on the same line as ‘Transitional Payment’. It will show as a total figure | |
Pandemic Delivery Service (Essential service)* | Monthly – service extended until 31st March for all clinically extremely vulnerable (CEV) patients living in England |
Payment bands up to end of February 2021 |
Paid on the same line as ‘Transitional Payment’. It will show as a total figure |
Pharmacy Quality Scheme (PQS) 2020/21 Part 2 | 1st April 2021 | The funding was divided between qualifying pharmacies based on the number of points they have achieved up to a maximum £96 per point. Each point had a minimum value of £48, based on all pharmacy contractors achieving maximum points | ‘Total of other amounts authorised’ |
Discharge Medicines Service (DMS) set up fee | 1st April 2021 | Set-up fee of £400 covered the costs of preparing to provide the service, principally training staff and putting in place a standard operating procedure for the service. Any pharmacy on the pharmaceutical list on 1st February 2021 automatically received this payment | ‘Discharge Medicine Review Fee’ |
PPE claims (standard) | PPE claims (standard) Payments depended on when the claim was submitted by a contractor and processed and verified by the NHSBSA. November 2020 Schedule of Payments which was paid on 1st February 2021 was the first available Schedule to include payments for PPE | ‘PPE Claims’ | |
PPE claims (exceptional) | As above | Depends on amounts claimed | ‘PPE Claims’ |
Timing of monthly payments
Early advance payment
Pharmacy teams should note that from November 2021, all community pharmacy contractors will have the chance to receive earlier advance payments, following agreement between PSNC and the Department of Health and Social Care (DHSC). Advance payments will be made approximately 20 days earlier than the current payment timetable for contractors who make their monthly FP34C submissions through the Manage Your Service (MYS) portal by the 5th of the month.
The 100% advance payments (for early and current timetables) will continue to be based on the items declared on the FP34C and the latest available Average Item Value (AIV) for that pharmacy, less the value of prescription charges declared on the submission document. Contractors using MYS for submissions must print off the populated FP34C from the portal and dispatch it alongside their bundle of paper prescriptions. No advance payment will be received for very late FP34C submissions (using either MYS or paper). The final reconciliation payment date remains unchanged i.e. this will be paid on the 1st working day of the month approximately two months after contractors have submitted the appropriate FP34C form and prescriptions for pricing.
The timeline on the below illustrates how the advance payment timetable for FP34C submissions will change for contractors who submit their FP34C through MYS by the 5th of each month from November 2021.
The table below shows the earlier advance payment timetable dates for prescriptions dispensed over the next 12 months. For example, if submission using MYS is secured by the 5th of the month following that in which supply was made contractors will receive an earlier advance payment from November 2021 (starting for October’s prescriptions). For the dispensing month of October 2021, a contractor will be required to submit their FP34C declaration through MYS during the first 5 days of November 2021 to receive an early advance payment on 11 November.
The table also shows final deadline submission to qualify for normal advance:
Dispensing month | Oct-21 | Nov-21 | Dec-21 | Jan-22 | Feb-22 | Mar-22 | Apr-22 | May-22 | Jun-22 | Jul-22 | Aug-22 | Sep-22 |
Submission deadline via MYS to receive early advance payment | by 5 Nov 2021 | by 5 Dec 2021 | by 6 Jan 2022 | by 5 Feb 2022 | by 5 Mar 2022 | by 5 Apr 2022 | by 6 May 2022 | by 6 Jun 2022 | by 5 Jul 2022 |
by 5 Aug 2022 | by 5 Sep 2022 | by 5 Oct 2022 |
Earlier advance payment date (4 working days after submission deadline)* | 11-Nov-21 | 09-Dec-21 | 12-Jan-22 | 10-Feb-22 | 10-Mar-22 | 11-Apr-22 | 12-May-22 | 10-Jun-22 | 11-Jul-22 | 11-Aug-22 | 09-Sep-22 | 11-Oct-22 |
Latest submission date to receive an advance payment | 23-Nov-21 | 20-Dec-21 | 24-Jan-22 | 21-Feb-22 | 24-Mar-22 | 22-Apr-22 | 24-May-22 | 24-Jun-22 | 22-Jul-22 | 24-Aug-22 | 23-Sep-22 | 24-Oct-22 |
Reconciliation payment date | 31-Dec-21 | 01-Feb-22 | 01-Mar-22 | 1st Apr 22 | 29-Apr-22 | 01-Jun-22 | 01-Jul-22 | 01-Aug-22 | 01-Sep-22 | 30-Sep-22 | 01-Nov-22 | 01-Dec-22 |
Further details for contractors are outlined in this PSNC Briefing
Normal payment option
For those contractors who either submit their bundle late through MYS or submit their bundle using the paper FP34C submission document (up until March 2022), the normal advance payment timeline applies.
An estimated 100% of the normal advance payment for prescriptions is made by the NHSBSA for prescriptions submitted one month earlier (dispensed two months earlier). Payments are made on the 1st of each month, where this falls on a weekend or bank holiday payment will be made on the working day prior. The paper FP34C submission document will only be available until March 2022 (for February 2022 prescriptions) after which MYS will be the only route for all monthly submissions. Contractors who continue to use the paper FP34C submission document (from November 2021 to March 2022) will NOT receive any earlier advance payments but instead will receive advance payments in accordance with the current payment timetable i.e on or around the 1st of the month following submission. Therefore, contractors who use paper FP34Cs for their monthly submissions are strongly encouraged to start using the MYS portal to make their declarations.
Normal payment option timeline
Pharmacy Earlier Payment Scheme (PEPS)
The Pharmacy Earlier Payment Scheme (PEPS) gave community pharmacies early access to their monthly advance payment for the provision of NHS pharmaceutical services. The scheme is now in the process of ending, with transition arrangements put in place for existing PEPS contractors.
As part of the transition arrangement, pharmacy contractors who are signed up to the PEPS, will receive a one-off payment on 1 November 2021 to bridge the gap between the current PEPS payment timetable and the new early advance payment timetable outlined above. The one-off payment will be set at 92% of the PEPS pharmacy contractor’s payment which the contractor will have received on 1 October 2021. This one-off payment received on 1 November will be recovered in equal parts over 11 months, i.e. the last recovery will be on 30 September 2022. The 12-month transition period is intended to help ease any cashflow concerns and offer contractors time to review and discuss refinancing options with their banks or other lenders, if required.
Pharmacy contractors signed up to the PEPS are strongly advised to follow the new earlier timetable for advance payment as set out above to claim for November’s prescriptions by submitting FP34Cs using MYS by 5 December 2021 and by dispatching prescription bundles by 5 December 2021. Failure to do so will result in a gap of one month between payments.
PEPS pharmacy contractors, who wish to opt out from the transition arrangements outlined above, must notify the NHSBSA by 15 October 2021 by emailing nhsbsa.pepscontractorpayments@nhs.net.
PEPS pharmacy contractors, who choose to opt out of the transition arrangements, should note that they will experience a gap in payment between the last PEPS payment (i.e. made on 1 October 2021 for prescriptions dispensed in October) and the advance payment for prescriptions dispensed in November 2021 paid either on 9 December 2021 (if they follow the new earlier timetable) or 31 December 2021 (if they follow the current payment timetable).
Contingency arrangements for submissions using the MYS portal
In exceptional circumstances, where a contractor through no fault of their own is unable to submit the FP34C form through the MYS portal, contractors are advised to contact the NHSBSA either by emailing nhsbsa.mys@nhs.net or by contacting the MYS helpdesk number (0300 330 1368) between Monday – Friday (excluding bank holidays). Contractors should note that this route is available only for emergencies, which are related directly to the contractor (for e.g. connectivity issues/internet outage in the contractor’s area), and unrelated to the MYS platform itself.
Contractors, who will be using the email route, are advised that they must apply an electronic signature to the email to secure payment. Contractors, using the telephone route, are advised that the NHSBSA will contact the contractor via their preferred email address (provided to NHSBSA during the call), for them to confirm that the claim the NHSBSA noted via the phone call was correct, and the contractor must apply an electronic signature to the confirmation email to secure payment. An electronic signature may include a scanned image of handwritten signature added to the email sent to the NHSBSA. In case of the MYS platform being down, there will be instructions for contractors on the NHSBSA’s website on what to do.
Further Resources
Information Services Portal (ISP) by the NHSBSA
Factsheet: Using Your Schedule of Payments to Monitor Performance
Factsheet: Claiming for EPS prescriptions on time
PSNC Briefing 010/20: Community Pharmacy Funding in 2020/21
PSNC Briefing 011/20: CPCF in 2020/21 – Frequently Asked Questions
Prescription submission requirements
Red Separators – end of month submission