Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much public funding pharmacies have received for providing (a) essential and (b) advanced services in each year since 2007-08 in (i) England and (ii) each local authority area.
The fees and allowances paid under the community pharmacy contractual framework for essential and advanced services provided by community pharmacies each year from April 2011 to May 2017 are detailed in the table below. This is based on NHS Business Services Authority data, which in line with their records management policy is only available for six financial years plus the current year. These payments do not include the medicine margin community pharmacies are allowed to earn as part of the payment for essential services, which is paid through reimbursement within the drugs’ bill.
Time Period | Essential Services Fees and Allowances1 (£) | Advanced Services Fees2 (£) |
2011/12 | 1,864,457,518.09 | 78,082,359.62 |
2012/13 | 1,847,685,380.92 | 96,603,659.09 |
2013/14 | 1,908,705,835.81 | 105,000,556.12 |
2014/15 | 1,895,070,668.01 | 108,034,310.82 |
2015/16 | 1,881,141,079.50 | 112,536,351.89 |
2016/17 | 1,752,244,281.27 | 115,311,548.44 |
April – May 2017 | 254,235,060.58 | 19,263,189.52 |
Total | 11,403,539,824.18 | 634,831,975.50 |
Notes:
1This comprises the fees and allowances paid under Part IIIA: Professional Fees (Pharmacy Contractors) and Part VIA: Payment for Essential Services (Pharmacy Contractors) of the Drug Tariff.
2 This comprises the fees paid to pharmacy contractors under Part VIC: Advanced Services (Pharmacy and Appliance Contractors)(England) of the Drug Tariff with the exception of the Community Pharmacy Seasonal Flu Vaccination Advanced Service and the NHS Urgent Medicine Supply Advanced Service pilot scheme, which are separately funded by NHS England.
Essential and advanced services under the community pharmacy contractual framework are commissioned and funded by the National Health Service, rather than local authorities. A breakdown of fees and allowances paid for essential and advanced services provided by community pharmacies by NHS England Area from April 2013 (when NHS England was established) to May 2017 is detailed in the table below:
| April 2013 – May 2017 | |
NHS England Area | Essential Services Fees and Allowances1 (£) | Advanced Services Fees2 (£) |
Arden, Hereford and Worcester | 227,173,105.87 | 12,471,806.00 |
Bath, Gloucester, Swindon and Wiltshire | 194,264,861.16 | 10,698,397.64 |
Birmingham and the Black Country | 382,048,149.30 | 24,479,481.00 |
Bristol, North Somerset, Somerset and South Gloucester | 203,844,336.59 | 12,535,700.84 |
Cheshire, Warrington and Wirral | 196,741,140.51 | 11,818,010.92 |
Cumbria, Northumbria, Tyne and Wear | 346,096,424.54 | 16,101,508.76 |
Derbyshire and Nottinghamshire | 280,954,214.40 | 17,394,417.84 |
Devon, Cornwall and Isles of Scilly | 243,978,967.48 | 14,688,545.28 |
Durham, Darlington and Tees | 228,795,999.17 | 9,639,507.48 |
East Anglia | 310,112,463.57 | 18,804,613.20 |
Essex | 237,137,272.03 | 14,470,338.40 |
Greater Manchester | 468,751,127.40 | 27,327,097.22 |
Hertfordshire and South Midlands | 359,111,434.98 | 22,494,201.30 |
Kent and Medway | 237,213,904.62 | 14,107,079.36 |
Lancashire | 263,368,765.04 | 15,234,732.32 |
Leicestershire and Lincolnshire | 249,852,782.65 | 14,583,791.92 |
Merseyside | 227,811,833.19 | 12,899,454.56 |
North East London | 384,832,821.86 | 26,726,691.28 |
North West London | 248,519,307.32 | 17,040,248.44 |
North Yorkshire and Humber | 245,869,738.16 | 13,235,273.20 |
Shropshire and Staffordshire | 235,256,866.36 | 13,260,886.28 |
South London | 358,363,508.73 | 25,058,335.56 |
South Yorkshire and Bassetlaw | 266,634,566.98 | 15,480,457.12 |
Surrey and Sussex | 341,873,405.61 | 23,686,281.31 |
Thames Valley | 222,827,674.68 | 14,298,715.56 |
Wessex | 347,383,720.25 | 21,493,894.92 |
West Yorkshire | 382,578,532.72 | 20,116,489.08 |
Total | 7,691,396,925.17 | 460,145,956.79 |
Notes:
1This comprises the fees and allowances paid under Part IIIA: Professional Fees (Pharmacy Contractors) and Part VIA: Payment for Essential Services (Pharmacy Contractors) of the Drug Tariff. The medicine margin community pharmacies are allowed to earn as part of the payment for essential services, which is paid through reimbursement within the drugs’ bill, is not included.
2This comprises the fees paid to pharmacy contractors under Part VIC: Advanced Services (Pharmacy and Appliance Contractors)(England) of the Drug Tariff with the exception of the Community Pharmacy Seasonal Flu Vaccination Advanced Service and the NHS Urgent Medicine Supply Advanced Service pilot scheme, which are separately funded by NHS England.
A more detailed breakdown of fees and allowances paid for essential and advanced services provided by community pharmacies by NHS England Area from April 2013 to May 2017 is attached.