Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to (a) publicise and (b) promote the maternity exemption to prescription charges; and what steps she is taking to ensure (i) rapid reimbursement and (ii) the removal of fines when the forms for patients entitled to the exemption are not correctly filed.

Both the NHS Business Services Authority (NHS BSA) and the National Health Service promote maternity exemption certificates to raise awareness amongst midwives, general practitioners, and other healthcare practitioners of their obligations to apply for maternity exemption certificates on behalf of the patient. They’ve also taken action to raise awareness amongst eligible individuals of their entitlement by promoting the certificates through social media, online resources, media releases, and through healthcare bulletins. Information on how to apply for a maternity exemption certificate is available at the following link:

https://www.nhsbsa.nhs.uk/check-if-you-have-nhs-exemption/maternity-exemption-certificates

A maternity exemption certificate can be applied for as soon as a healthcare professional has confirmed the pregnancy or that the patient has given birth, including still-birth, in the previous 12 months. The certificate is automatically backdated one month from the date the application is received by the NHS BSA. Where a Penalty Charge Notice has been issued because a patient has claimed the maternity exemption without holding a valid maternity exemption certificate, the patient is given 60 days to pay the prescription charge and apply for an exemption certificate. The penalty charges will only then be removed.

The reimbursement of prescription charges usually takes place through a community pharmacy using the NHS FP57 receipt and refund form. In specific circumstances a refund request may require input from NHS BSA, these are processed and returned to the patient to take to the pharmacy within five working days.