Advance Payments
Advance payments are made to support contractor cashflow while actual payment for the prescriptions submitted is calculated.
Margin Sharing Arrangements
As touched on in the introduction to pharmacy funding, part of a pharmacy’s income is dependent on the money made on part 7 drug tariff medicines they source and provide on prescription – this profit is often referred to as the margin
Dispensing Pool Arrangements
Advance payments are made to support contractor cashflow while actual payment for the prescriptions submitted is calculated.
Establishment Payment
Over the years as the pharmacy contract has changed, different service payments have been joined together into what we now call the Establishment Payment.
Pharmaceutical Needs Payment
The Pharmaceutical Needs Weighting Payment (PNWP) makes the payment for the additional pharmaceutical needs (and associated workload) from age and deprivation characteristics of the people using the pharmacy.
Service Efficiency Payment
The Service Efficiency Payment is for achieving a target level of electronic claiming for prescriptions submitted for pricing by Practitioner Services.
Quality and Service Development
Quality and Service Development supports the operation of a service for coeliac patients and the development of a safety culture
Medicines: Care and Review Service (M:CR)
The payments for MCR are made using one of the more complex models in our financial package and is based on the number of people registered for the service (capitation model) at the end of a given month.
NHS Pharmacy First Scotland Service
Base payment of £1,000 and an activity payment from the activity payment pot of £1.308m where their activity level is above a specified minimum of 100.
NHS Pharmacy First Plus
A monthly fee of £3,000 will be made to the contractor named on the Board’s pharmaceutical list at the 1st day of that month for each full month the service is made available in the community pharmacy.
Independent Prescribing Legacy Workforce
Scottish Government has agreed to an annualised pool of £1m to support the training of employee Pharmacist Independent Prescribers in community pharmacies.
Post Registration National Foundation for Newly Qualified Pharmacists
To support the Post Registration National Foundation Programme for Newly Qualified Pharmacists, a monthly fee of £1,000 will be made available to the contractor named on the pharmaceutical list on the 1st of each month where the newly qualified pharmacist has joined the PRFP scheme.
Public Health Service
The Scottish Government campaign activity for 2024-25 is currently being finalised and a more detailed list for the year will be issued in due course.
Unscheduled Care
The annualised pool of £3.58 million to recognise the work undertaken in the treatment of unscheduled care.
Reimbursement
The Drug Tariff arrangements are different in Scotland from elsewhere in the UK...
Payments to Essential Small Pharmacies
The total Establishment Payment plus Dispensing Pool Payment plus Pharmaceutical Needs Weighting Payment made to an Essential Small Pharmacy (ESP) each month, are subject to a guarantee minimum target income of £4,412 for full-time contractors.
Occupational Guidance on Locum Pharmacists
HMRC have issued information that their specific occupational guidance on locum pharmacist (ESM4270 and ESM2063) has been withdrawn with effect from 30th June 2023.
The removal is because updates to HMRC’s general Employment Status Manual and the availability of the Check Employment Status for Tax (CEST) tool have removed the need for their occupation-specific guidance.
Further information is available in the link to the HMRC Employer Bulletin for June 2023, which mentions the removal of the locum pharmacist guidance: June 2023 issue of the Employer Bulletin - GOV.UK (www.gov.uk).