ࡱ> ac` bjbj *b^ $%XX  8,)!.--"OOO***u!w!w!w!w!w!w!$$$&X!p**pp!OO!p|OOu!pu!  !O念A^ a!!0! ,(J( !( !T*X***!!***!pppp(*********X a: Focus on the Dispensing Doctors Fee Scale from 1 October 2009 1 April 2010 England & Wales The General Practitioners Committee (GPC) and NHS Employers and have agreed a new fee scale for dispensing doctors, which will begin on 1 October 2009. From 1 October the fee scale for dispensing doctors will be lowered by 8.7 per cent for the remaining six months of the financial year, representing a 4.9 per cent decrease across the whole year. From 1 April 2010 there will be an increase to produce a figure that is appropriate for the full new financial year. The new mechanism splits the fee scale into two components cost and pay. These components are balanced so that awards for dispensing doctors are comparable to the annual award that the Doctors and Dentists Review Body (DDRB) grants to all GPs, while allowing for the additional costs of the dispensing process. It works by increasing the pay in line with the DDRB annual award and uplifting the cost to reflect the annual national volume increases in dispensing. The Department of Health have agreed to perform a cost of service inquiry to gain a full picture of the costs of providing dispensing services. The inquiry will begin in early 2010. The GPC is very disappointed at a decrease in the fee scale for dispensing doctors. Many patients in rural areas rely on dispensing practices to obtain their medicine and we are concerned that NHS Employers has underestimated the costs of the providing dispensing services, which inevitably rise with increasing volume. The cost of service inquiry should help develop a fairer cost analysis and reimbursement structure in future but, the government needs to act urgently to deal with the unilateral withdrawal of discounts by many of the drug wholesalers, which could threaten the viability of some dispensing practices. GPC has made strong representations to the NHS Employers and the Department of Health about the loss of discounts and believes that the cost of service inquiry should begin immediately. Details of the new fee scale can be found below. GMS STATEMENT OF FINANCIAL ENTITLEMENTS The following amendments have been agreed to the Dispensing Fee Scales within the GMS Statement of Financial Entitlements, with effect from 1 October 2009. The following changes to the bands and prices per prescription within the dispensing fee scales will take place: Annex G Part 2 DISPENSING FEESCALE FOR CONTRACTORS THAT ARE AUTHORISED OR REQUIRED TO PROVIDE DISPENSING SERVICES Total prescriptions calculated separately for each individual dispensing practitioner, in bandsPrices per prescription in penceUp to 418210.8419 - 522 207.8523 - 627 205.1628 - 731 202.5732 - 836 200.1837 - 940197.9941 - 1305195.81306 - 1828 194.01829 - 2089 192.42090 - 2611 190.82612 - 3133189.53134 - 3655188.43656 - 4178187.44179 and over186.7 Annex G Part 3 DISPENSING FEESCALE FOR CONTRACTORS THAT ARE NOT AUTHORISED OR REQUIRED TO PROVIDE DISPENSING SERVICES Total prescriptions calculated separately for each individual practitioner, in bandsPrices per prescription in penceUp to 418219.7419 - 522 216.7523 - 627 213.9628 - 731 211.4732 - 836 209.0837 - 940206.8941 - 1305204.71306 - 1828 202.91829 - 2089 201.22090 - 2611 199.72612 - 3133198.43134 - 3655197.33656 - 4178196.34179 and over195.6  The Technical Steering Committee has agreed the calculated figures in the new fee scale. The Technical Steering Committee (TSC) is chaired by the NHS Information Centre (NHS IC) and has representation from the four UK health departments, NHS Employers and the British Medical Association.     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Verdana?= * Courier New;WingdingsA BCambria Math"1h9f9f` ` !94dX X 2qXR ?hq2!xx~The General Practitioners Committee (GPC) and NHS Employers and have agreed a new fee scale for dispensing doctors, to begin 1 Matthew Isom Dr Anne Hicks Oh+'0 ,DP\p    The General Practitioners Committee (GPC) and NHS Employers and have agreed a new fee scale for dispensing doctors, to begin 1Matthew Isom Normal.dotmDr Anne Hicks2Microsoft Office Word@F#@ܖA@ܖA` ՜.+,0h hp|  GBMAX  The General Practitioners Committee (GPC) and NHS Employers and have agreed a new fee scale for dispensing doctors, to begin 1 Title  !"#$%&'()*+,-./013456789:<=>?@ABCDEFGHIJKLMNOQRSTUVWYZ[\]^_bRoot Entry F(AdData 21Table;.(WordDocument*bSummaryInformation(PDocumentSummaryInformation8XCompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q