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Pharmaceutical Services Negotiating Committee

Summary of Key Funding Changes

2009  

October 2009

Category M
Agreed an extra £20m per quarter would be removed from reimbursement prices. 

Practice Payment Threshhold Changes

Up to 1,099 items p/m  £300 for Apr 09 to Sep 09 
1,100 - 1,599 items p/m  £3,600 for Apr 09 to Sep 09 
1,600 - 2,239 items p/m  £5,040 for Apr 09 to Sep 09 
2,240+ items p/m  70.9p per item for Apr 09 to Sep 09  

Establishment Payment Threshhold Changes 

2,240 - 2,529 items p/m  £23,278 per annum (1/12th per month) 
2,530 - 2,809 items p/m  £24,190 per annum (1/12th per month) 
2,810 + items p/m  £25,100 per annum (1/12th per month) 

 

April 2009  

Prescription Charge Increases to 7.20
 

Practice Payment changes

Up to 1,099 items p/m  £300 for Apr 09 to Sep 09 
1,100 - 1,599 items p/m  £3,600 for Apr 09 to Sep 09 
1,600 - 2,179 items p/m  £5,040 for Apr 09 to Sep 09 
2,180+ items p/m  70.9p per item for Apr 09 to Sep 09  

2008 

October 2008

VAT Apportionment levels changed
VAT apportionment levels for Practice Payments changed due to increase in fee levels.

Treatment 

Element 

Value to Sept 2008 Script Payments 

Value from Oct 2008 Script Payments 

Standard Rated

Disposal of Medicines, Signposting 

10% of Practice Payment

4% of Practice Payment

Exempt

Promotion of Healthy Lifestyles,
Support for Self-care

33% of Practice Payment

14% of Practice Payment

Zero Rated

Support for People with Disabilities

19% of Practice Payment

66% of Practice Payment

Outside Scope

Clinical Governance

38% of Practice Payment

16% of Practice Payment


Category M
Agreed an extra £32.5m per quarter would be removed from reimbursement prices.


Practice Payment increased

Up to 1,099 items p/m  £300 for Oct 08 to Mar 09 
1,100 - 1,599 items p/m  £2,625 for Oct 08 to Mar 09 
1,600 - 2,179 items p/m  £7,180 for Oct 08 to Mar 09 
2,180+ items p/m  101.1p per item for Oct 08 to Mar 09  


Establishment Payment thresholds changed

2,180 - 2,459 items p/m  £23,278 per annum (1/12th per month) 
2,460 - 2,729 items p/m  £24,190 per annum (1/12th per month) 
2,730 + items p/m  £25,100 per annum (1/12th per month) 


Payment for advanced services

Medicines Use Reviews and Prescription Interventions rises from £27 to £28


Pre-registration training grant increased


April 2008


Protected Professional Allowance Payment Removed
The protected professional allowance payment will no longer be available to pharmacy contractors.


Prescription charge increased to £7.10


January 2008


Practice Payment increased

Up to 1,099 items p/m   £450 for Jan 08 to Sep 08
1,100 - 1,599 items p/m  £2,625 for Jan 08 to Sep 08
1,600 - 2,119 items p/m   £3,675 for Jan 08 to Sep 08
2,120+ items p/m   34.5p per item for Jan 08 to Sep 08


2007

October 2007


Category M

Additional £100m/quarter removed from generics reimbursement prices


Payment for advanced services

Medicines Use Reviews and Prescription Interventions rises from £25 to £27.


Protected Professional Allowance Payment threshold changes
(no change in payment level)

1,100 - 1,599 items p/m £775 per month 
1,600 - 2,119 items p/m  £1,500 per month 


Establishment payment Payment threshold changes
(no change in payment level)

2,120 - 2,389 items p/m £23,278 per annum (1/12th per month) 
2,390 - 2,649 items p/m  £24,190 per annum (1/12th per month)
2,650 + items p/m  £25,100 per annum (1/12th per month) 


Practice Payment decreased

Up to 1,099 items p/m  £150 for Oct 07 to Dec 07 
1,100 - 1,599 items p/m  £638 for Oct 07 to Dec 07 
1,600 - 2,119 items p/m  £900 for Oct to Dec 07 
2,120+ items p/m  25.2p per item 


July 2007


Transitional Payment decreased

1 - 500 items p/m  £7.40 
501 - 1,000 items p/m  £14.80 
1,001 - 1,500 items p/m  £22.20 
Rising in bands of 500  Increase of £7.40 per band 


April 2007:


Prescription charge increased

Increase in prescription charge from £6.65 to £6.85


2006

October 2006

 Category M
Additional £75m/quarter removed from generics reimbursement prices


Payment for advanced services
Medicines Use Reviews and Prescription Interventions
- increased to £25


Protected Professional Allowance Payment threshold
changes (no change in payment)

1,100 - 1,599 items p/m  £775 per month
1,600 - 2,060 items p/m  £1,500 per month 


Transitional Payment increased:

1 - 500 items p/m  £54.06 
501 - 1,000 items p/m  £108.12  
1,001 - 1,500 items p/m  £162.18 
 Rising in bands of 500 Increase of £54.06 per band 


Establishment Payment increased and threshold changed:

2,060 - 2,319 items p/m  £11,639 for 6 month period (1/6th per month) 
2,320 - 2,574 items p/m £12,095 for 6 month period (1/6th per month) 
2,575+ items p/m £12,550 for 6 month period (1/6th per month) 


Practice Payment increased and threshold changed:

Up to 1,099 items p/m  £300 for 6 month period Oct 06 - Mar 07 
1,100 - 1,599 items p/m  £1,800 for 6 month period Oct 06 - Mar 07 
1,600 - 2,059 items p/m  £2,550 for 6 month period Oct 06 - Mar 07 
2,060+ items p/m  35.6p per item for 6 month period Oct 06 - Mar 07 

 

April 2006:


Prescription Charge changed
Increase in prescription charge from £6.50 to £6.65


2005 

October 2005:


Practice Payment:

Pharmacies required to have minimum dispensing support levels in order to receive the full Practice Payment.                             

Number of Items
Per Month

Minimum
Dispensing Staff
(Hours per Week)*

2,000 - 3,499

..........40

3,500 - 4,999

..........56

5,000 - 6,499

..........75

6,500 - 7,999

..........94

8,000 - 9,499

.........112

9,500 - 10,999

.........131

11,000**

.........150

  

April 2005:


Prescription Charge
Increase in prescription charge from £6.40 to £6.50


Repeat Dispensing Payment introduced
All pharmacy contractors will receive a repeat dispensing annual payment of £1,500, paid monthly (£125 per month).


Protected Professional Allowance Payments introduced

1,100 - 1,599 items p/m £775 per month 
1,600 - 1,999 items p/m  £1,500 per month  


Transitional Payment introduced

1-500 items p/m  £38.50 
501 - 1,000 items p/m  £77 
1,001 - 1,500 items p/m  £115.50 
Rising in bands of 500  Increase of £38.50 per band 


Establishment Payment introduced

2,000 - 2,249 items p/m £20,000 per annum (1/12th per month)
2,250 - 2,499 items p/m  £20,911 per annum (1/12th per month) 
2,500+ items p/m £21,821 per annum (1/12th per month)

Practice Payment introduced

Up to 1,099 items p/m  £500 per annum Apr 05 - Mar 06 
1,100 - 1,599 items p/m  £3,000 per annum Apr 05 - Mar 06 
1,600 - 1,999 items p/m  £4,250 per annum Apr 05 - Mar 06 
2,000+ items p/m  29.7p per item Apr 05 - Mar 06 

 

Additional Services (MUR) fee introduced
£23 per review


Category M Changes

Category M introduced. £75m/quarter removed from generics reimbursement prices


Additional Fees Amended

Changes made to the additional fees including decreasing the number of extemporaneous dispensing fees and removing the bulk prescription fee. Out of hours additional fee removed from national arrangements. Out of hours arrangements are now commissioned locally by PCTs to meet local needs.


Pre-registration  training grant increased