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Publication, Part of

Proposed Dispensing Feescales for GMS Contractors, England and Wales - 2020, October release

Publication Date:
Geographic Coverage:
England, Wales

Calculation of April Feescales

Details of the existing feescales from the SFE and theoretical feescale if implemented from 1 April 2020.

Step 1

Calculate anticipated full year spend for 2020/21 (X) based on current feescale

e.g. uplift the 2019/20 spend by the historic volume change. 

X is calculated as Y+Z

     = £70.35m + £88.73m

     = £159.08m

     X = £159.08 million

Adjustment factor = 1.162 which is applied to each pence value at each banding to get new value in proposed feescale.

This is calculated by using the formula E/X (E and X shown in Calculation of New Feescales)

      E = £184.85m

      X = £159.08m

Then E / X = 1.162

The following tables show what the feescales would have been if implemented from April 2020 for the whole financial year.

The theoretical April (2020) feescale will be implemented from 1 April 2021.  The decision to implement feescales in April - part way through the period covered by this report  - was taken in the hopes of reducing the likelihood of dramatic variations year on year, which would otherwise be reflected in the following October’s feescale but given the variance levels, does not appear to have achieved this objective.

Table 6a and b: Dispensing Feescale for contractors that are authorised or required to provide dispensing services 

6a. EXISTING FEESCALE FROM 01/10/2019   6b. THEORETICAL FEESCALE FROM 01/04/2020
Total prescriptions calculated separately for each individual dispensing practitioner, in bands Prices per prescription in pence   Total prescriptions calculated separately for each individual dispensing practitioner, in bands Prices per prescription in pence
Up to 456 198.5   Up to 461 230.7
457 - 570 195.7   462 - 577 227.4
571 - 686 193.1   578 - 694 224.4
687 - 799 190.7   695 - 809 221.5
800 - 914 188.4   810 - 925 218.9
915 - 1027 186.4   926 - 1039 216.6
1028 - 1427 184.4   1040 - 1444 214.3
1428 - 1998 182.7   1445 - 2022 212.3
1999 - 2283 181.1   2023 - 2310 210.4
2284 - 2854 179.7   2311 - 2888 208.8
2855 - 3424 178.5   2889 - 3465 207.4
3425 - 3996 177.4   3466 - 4044 206.1
3997 - 4564 176.5   4045 - 4618 205.0
4565 and over 175.8   4619 and over 204.3

Note: Calculations are performed on unrounded data..

Table 7a and b: Dispensing Feescale for contractors that are not authorised or required to provide dispensing services1

7a. EXISTING FEESCALE FROM 01/10/2019   7b. THEORETICAL FEESCALE FROM 01/04/2020
Total prescriptions calculated separately for each individual dispensing practitioner, in bands Prices per prescription in pence   Total prescriptions calculated separately for each individual dispensing practitioner, in bands Prices per prescription in pence
Up to 456 206.9   Up to 461 240.4
457 - 570 204.0   462 - 577 237.1
571 - 686 201.5   578 - 694 234.1
687 - 799 199.0   695 - 809 231.2
800 - 914 196.8   810 - 925 228.7
915 - 1027 194.7   926 - 1039 226.3
1028 - 1427 192.7   1040 - 1444 224.0
1428 - 1998 191.0   1445 - 2022 222.0
1999 - 2283 189.4   2023 - 2310 220.1
2284 - 2854 188.0   2311 - 2888 218.5
2855 - 3424 186.8   2889 - 3465 217.0
3425 - 3996 185.7   3466 - 4044 215.8
3997 - 4564 184.8   4045 - 4618 214.7
4565 and over 184.1   4619 and over 214.0

1 This includes prescribing doctors or non-dispensing doctors personal administration drugs.

Note: Calculations are performed on unrounded data.

Last edited: 9 October 2020 8:42 am