Initial fixed payment
Pharmacies who sign up to provide the PFS, can claim the initial fixed payment by making a declaration on the Manage your service (MYS) portal. This must be done by 23:59 on 30 January 2024.
Declarations can be made from 1 December 2023.
If you make the declaration on MYS before 23:59 on 31 December 2023, you’ll receive the £2000 payment on 1 February 2024.
If you make a declaration before 23:59 on 30 January 2024, you’ll be paid on 1 March 2024.
The initial fixed payment will be reclaimed if you do not provide 5 clinical pathways consultations by the end of March 2024. Minor illness and urgent medicines supply consultations do not count towards this minimum consultation requirement.
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 will be put in place.
From 1 October 2024, new caps will be 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 | 20 |
| September 2024 | 20 |
| From October 2024 | 30 |
From October 2024, 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.
EPS tokens for exempt patients must still be sent to NHS Business Services Authority (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’.
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.
Claims for completed CPCS consultations
If you do not opt-in to the PFS, your declaration will act as your 30 days’ notice to stop giving this service, if provided.
If your notice is before 31 January 2024, the notice period will be reduced to the number of days remaining before this date. The final date of CPCS will be 30 January 2024.
Claims for completed CPCS consultations submitted on or before the final date of the service will be paid according to payment arrangements in the Drug Tariff.