Prescriptions for reimbursement - drugs claims, payments and pooled lists
What happens with Prescribing and Dispensing Drug payments that are processed in arrears?
PCSE will seek instruction from the ICB as to whether or not drugs payments due prior to the merger are to be transferred to the merged practice or whether other arrangements are being made for the closed practice.
How do I set our clinical system to allocate prescribing to an individual prescriber, rather than a pooled list?
Practices can configure SystmOne and EMIS to ensure Prescribing is correctly allocated
Go to Set up > Organisation Preferences > Prescribing > Prescription Authorising
Select “Authorise scripts using the specified prescriber(s)” (see below):
You can select from the list of Available Prescribers and move them to the right-hand box Selected Prescribers. These prescribers must be GPs for whom you have a PPA ID. The PPA ID is set in the User Set Up.
In the Medication screen go to Medication Configuration. Choose General under Organisation Options.
Ensure Use usual doctor as stamp / signing fallback is ticked.
Choose View. Ensure Current Course Issuer shows as the Authoriser type shown in medication grid.
My drugs payment for claims made against a pooled list appear to be incorrect
If a practice has previously used a pooled list code to claim drug reimbursement, there may be some historical discrepancies in payments.
NHS England, NHS BSA and PCSE are working together to resolve this matter, including undertaking a retrospective reconciliation exercise to ensure the correct payments have or will be made and where required appropriate adjustments will be made.
Where an outstanding payment is causing a practice difficulty, NHS England advise that the practice should make their local commissioner aware as it may be possible to provide a potential advance payment, until the matter is resolved.
To understand what claims have been submitted and are outstanding, practices should contact firstname.lastname@example.org where one of the team will be able to provide further clarity.
From 01 April 2023, please ensure that all claims are submitted using a GP prescriber number and any drug reimbursement claims incorrectly submitted using a pooled list code will no longer be amended by the NHS BSA.
Can drug reimbursement claims be made against a pooled list?
No. Drug reimbursement claims should always be submitted using the GP prescriber number.
The historical ‘work-around’ enabling these claims to be made against pooled lists is no longer available now that GP Payments are administered by PCSE Online.
From 01 April 2023 the correct GP Prescriber number must be used when submitting prescriptions for reimbursement.