FEES AND ALLOWANCES. 9.1. The service will be commissioned for a maximum of two sessions2 each week, for a maximum time period of 12 consecutive weeks.
9.2. The contractor shall receive professional fees to enable Pharmacist back fill to release the Service Provider to attend the General Practice as follows:
9.2.1. £150 for one session (half-day) provided on a single day
9.2.2. £250 for two sessions (full day) provided on a single day
FEES AND ALLOWANCES. 10.1. The contractor shall receive a professional fee on each occasion that a dose of medication is supervised in the course of this service. Fees will be published in Part VIE of the Drug Tariff.
10.2. Contractors shall submit all claims via NECAF where available. Where NECAF is not available, contractors shall submit all claims as set out in Part B;
10.3. Claims should normally be submitted by the 5th day of the month following the month in which the service was provided (e.g. claims for supervision in March should be submitted by the 5th of April).
10.4. Claims must be submitted no later than the 5th May at the end of the relevant financial year. Claims made after this date will not normally be paid.
10.5. Fees and allowances shall be paid monthly in arrears;
10.6. Claims for payment shall be subject to Local Health Board arrangements for Post Payment Verification;
1. Complete a supervised administration claim form (Form A) each month;
2. Complete a supervised administration patient record form (Form B) each month, for each patient & medication type;
3. Record details on NECAF and retain copies of all forms for 3 years (submit copies of all forms to NWSSP if NECAF is not available).
FEES AND ALLOWANCES. 10.1. The contractor shall receive a professional fee of £10 payable for each Just in Case pack supplied.
10.2. Contractors shall submit all claims using the NECAF (where available). Payments will be automatically generated by the NECAF system.
10.3. Fees and allowances shall be paid monthly in arrears
10.4. Claims for payment shall be subject to Local Health Board arrangements for Post Payment Verification.
FEES AND ALLOWANCES. 9.1. This fee structure is agreed as an interim measure to enable the service to be established in a timely fashion and will only remain in place until such a time as a longer term fee structure has been agreed between the 7 LHBs and CPW, which is anticipated to be no later than 1st April 2020.
9.2. For the purpose of the pathfinder stage (until 1 April 2020) two different fee structures are included for commissioning; one based on purchasing a session of time from contractors (“Sessional Fee Structure”) and the other to purchase a set number of consultations throughout the day (“Tiered Consultation Fee Structure”). The type of commissioning (session or tiered consultation) will be agreed between the LHB and the contractor.
9.3. The service will be commissioned for an agreed number of days / sessions each month. The pattern of provision (e.g. set days each week, weekend provision, minimum number of days per month, ad hoc days, etc.) will be agreed between the Pharmacy Contractor and the Local Health Board at the time of commissioning and can be varied through mutual agreement at any time thereafter.
9.3.1. The contractor will provide the service according to the agreed pattern until such a time as the service agreement is terminated or an agreement is reached regarding a change in the pattern;
9.3.2. Where a contractor is not able to provide a service within their agreed pattern (e.g. owing to holiday or sickness), they must notify relevant primary care providers and the Local Health Board as soon as possible;
9.3.3. Where a contractor is requested by the LHB to provide additional appointments or sessions to meet local patient need, this provision will be remunerated under the relevant rates described below (based on additional sessions or additional appointments) 5 Setup costs include expenditure that can be demonstrated to have been wholly, or partly, incurred as a direct consequence of establishing this service. Partly attributable costs, or those that apply to multiple sites would be pro-rated, based on the proportion relevant to the site(s) being decommissioned. This is expected to include expenditure incurred through training, purchase of equipment/facilities, and expenditure on promotional activities.
9.4. The contractor shall receive £150 in professional fees for each session of 3 hours that the service is provided. It is assumed that the session will be sufficient for approximately 9 consultations (on average over a calendar month) being available...
FEES AND ALLOWANCES. 10.1. Contractors will be reimbursed for any sharps container (up to a maximum capacity of 5 litres) supplied in accordance with Part IXA of the Drug Tariff plus VAT.
10.2. Contractors will receive a payment of £1.77 on each occasion that a sharps container is supplied to a patient;
10.3. Where the supply of a replacement sharps container is not required, contractors will receive a payment of £0.27 on each occasion that one or more sharps containers are accepted from a patient for disposal;
10.4. Contractors will receive an annual retainer of £106, to be paid quarterly;
10.5. Contractors shall submit all claims using NECAF;
10.6. Claims must be submitted not later than the fifth day of the month immediately following the month in which the sharps container was supplied or accepted. Claims made after this date will not normally be paid;
10.7. Fees and allowances shall be paid monthly in arrears;
10.8. Claims for payment shall be subject to Local Health Board arrangements for Post Payment Verification;
FEES AND ALLOWANCES. 10.1. The fees will be published in the relevant year’s CTMUHB/CPW Statement of Agreed Fees for Community Pharmacy Services.
10.2. Bank holidays will be determined in line with national and regional guidance (xxx.xxx.xx/xxxx-xxxxxxxx)
10.3. The following days will be designated as “special bank holidays”: New Year’s Day Easter Sunday Christmas Day Boxing Day
10.4. Contractors shall submit all claims using the appropriate claim form as supplied by NHS Wales Shared Services Partnership;
10.5. Claims shall be submitted by the 5th day of the month following the month in which the service was provided (e.g. claims for provision in March should be submitted by the 5th of April).
10.6. Claims shall be submitted no later than the 5th May at the end of the relevant financial year. Claims made after this date will not normally be paid.
10.7. Fees and allowances shall be paid monthly in arrears;
10.8. Claims for payment shall be subject to Local Health Board arrangements for Post Payment Verification;
FEES AND ALLOWANCES. 11.1. Contractors will be reimbursed for any product supplied in accordance with the price set out in Part VIIIA of the Drug Tariff or the manufacturer’s list price plus VAT and pursuant to Part I clause 5B(1).
11.2. Contractors shall submit all claims using the NECAF or any replacement mechanism that is made available to each pharmacy providing the service.
11.3. Claims should ideally be submitted within 4 weeks of patients completing the service, but must be made no later than the 5th May following the end of the relevant financial year. Claims made after this date will not normally be paid.
11.4. Fees and allowances shall be paid monthly in arrears at the relevant fee level, as published in the Drug Tariff;
11.5. Claims for payment shall be subject to post payment verification by the Local Health Board or their authorised representatives.
FEES AND ALLOWANCES. 11.1. The contractor shall receive a professional fee on each occasion NRT is supplied in the course of the service. Fees will be published in the part VIE of the Drug Tariff;
11.2. The contractor shall be reimbursed for any product supplied in accordance with the price set out in Part VIIIA of the Drug Tariff or the manufacturer’s list price, plus VAT.
11.3. The contractor shall submit all claims using NECAF or any replacement mechanism made available to each pharmacy providing the service.
11.4. Fees and allowances shall be paid monthly in arrears
11.5. Claims for payment shall be subject to post payment verification by the Local Health Board or their authorised representatives.
FEES AND ALLOWANCES. 8.1. Contractors shall receive an annual service fee based upon the number of patients registered for CAS, as set out below: 1 to 200 £2,340 201 to 400 £3,740 401 or more +£7 per additional registered patient
8.2. Remuneration will be based on the number of patients registered with the pharmacy as measured on a specified date each month.
8.3. Contractors will receive 1/12 of the annual service fee each month.
8.4. Pharmacies that have no service activity in any particular month will not receive the payment specified in 8.3 for that month.
8.5. Contractors will be reimbursed for any product supplied from the CAS formulary in accordance with the price set out in Part VIIIA of the Drug Tariff or where no price is listed the manufacturer’s list price pursuant to Part II clause 6A(i).
8.6. All information required to calculate payments will be automatically extracted from the Common Ailments module and transmitted to the NHS Wales Shared Services Partnership.
8.7. Claims for payment shall be subject to post payment verification by the Local Health Board or their authorised representatives.
FEES AND ALLOWANCES. 9.1. The service will be commissioned for an agreed number of days / sessions each month. The pattern of provision (e.g. set days each week, weekend provision, minimum number of days per month, ad hoc days, etc.) will be agreed between the Pharmacy Contractor and the Local Health Board at the time of commissioning and can be varied through mutual agreement at any time thereafter.
9.1.1. The contractor will provide the service according to the agreed pattern until such a time as the service agreement is terminated or an agreement is reached regarding a change in the pattern;
9.1.2. Where a contractor is not able to provide a service within their agreed pattern (e.g. owing to holiday or sickness), they must notify relevant primary care providers and the Local Health Board as soon as possible;
9.2. The contractor shall receive professional fees for each day6 (min 7.5 hrs) that the service is provided according to the following tiers of service provision, relating to the average number of consultations7 per full day that the service is available (averaged by financial quarter):
9.2.1. Tier 1: Low consultation numbers (4 or fewer consultations per service day): £xx per day
9.2.2. Tier 2: Medium consultation numbers (5-8 consultations per service day): £xx per day
9.2.3. Tier 3: High consultation numbers (9 or more consultations per service day): £xx per day
9.3. Where a contractor is providing an average of 13 or more consultations per day that the service is active, the contractor and LHB would agree an appropriate enhancement to the Tier 3 payment, based on the typical number of consultations provided by the pharmacy. Such an agreement will be made in writing and signed by a representative of both parties. In the event that the contractor and LHB are unable to reach an agreement on this enhancement, the pharmacy would be able to limit their ‘offer’ to an average of 12 consultations per day;
9.4. On initiation of the service, all pharmacy contractors will be paid according to the Tier 2 fee set out in 9.
