Consultation fees and monthly fixed payment
You’ll be paid £15 per completed consultation.
From February 2024, in addition to the £15 consultation fee, a fixed monthly payment of £1,000 will be paid if you meet a minimum number of clinical pathways consultations.
From 1 April 2024, an initial cap of 3,000 consultations per month per contractor was put in place.
From 1 October 2024, new caps were introduced based on the actual delivery of the Pharmacy First Clinical Pathways.
| Month | Minimum number of clinical pathways consultations |
|---|---|
| February 2024 | 1 |
| March 2024 | 5 |
| April 2024 | 5 |
| May 2024 | 10 |
| June 2024 | 10 |
| July 2024 | 10 |
| August 2024 | 15 |
| September 2024 | 20 |
| October 2024 | 20 |
| November 2024 | 20 |
| December 2024 | 20 |
| January 2025 | 25 |
| February 2025 | 25 |
| From March 2025 | 30 |
From March 2025, the methodology used to set the quarterly caps for Pharmacy Clinical Pathways delivery will change.
Read further information in the Drug Tariff.
Submitting your claim
Claims must be submitted in MYS by the fifth of the month for:
- PFS payment
- NHS Minor Illness referrals
- Urgent Medicine Supply
- Reimbursement of costs for items supplied for the Urgent Medicine Supply
Later claims will be accepted, but only if made within 3 months of the date by which the claim should have been submitted. Later claims will not be paid, unless the submission was delayed by IT issues outside of your control. These claims can be accepted within 12 months of when the claim should have been submitted, providing you send evidence of the IT issue to the NHS Business Services Authority (NHSBSA).
EPS tokens for exempt patients must still be sent to the NHSBSA to be scanned and kept for Post Payment Verification (PPV) purposes.
PFS tokens must be clearly separated within the batch and marked ‘PF CP’.
Clinical pathway consultations must be completed in accordance with PGD guidelines. If a claim is received and is found not to be within the PGD guidelines or service specification, the NHSBSA can withhold payment until evidence is provided that it was supplied correctly.
Further information can be found in the Drug Tariff.
Opting out of PFS
If you want to stop providing PFS, you must de-register on MYS and provide 30 days’ notice. You must still provide PFS within the 30 days and will be paid as usual.
You will not be able to re-register for 4 months from the final day of your 30 day notice period, after this you can re-register on MYS.