FOI-01727

##Request


The number of COVID vaccinations carried out and payments made for these vaccinations to individual pharmacies, listed by their ODS code and with full postal address details.

Could you provide the data for the month of January 2024 in EXCEL format please.

The data should be:

Column1--Administration Month
Column2--ODS Code
Column3--Pharmacy Name
Column4--Pharmacy Trading Name
Column5--Pharmacy Address
Column6--Pharmacy Post Code
Column7--Number of Vaccinations Claimed
Column8--Number of Vaccinations Paid
Column9--Payment Amount GB

##Response

A copy of the information is attached.

The NHSBSA calculates payments for Covid-19 vaccinations to Pharmacies and Primary Care Network (PCN) providers in England. Covid-19 vaccination data is keyed in via Point of Care (POC) Systems and they are transferred to the NHSBSA Manage Your Service (MYS) application. Each month, vaccine providers submit claims to request payment based on the data that has been transferred into MYS. To be paid in a timely fashion, such claims must be submitted during a specified declaration submission period. Should claims be submitted outside of the submission period, they will be processed in the following period. This means that in some cases, there is a difference between the number of vaccines that have been 'claimed' and the number that have been 'paid'.

Both the number of 'claimed' and 'paid' vaccinations have been reported in this request.

When considering the nature of the vaccine data, there are several ways it can be reported over time:

Administration Month - This is the month in which the vaccine was administered to the patient.
Payment Month - This is the month in which the payment was made to the vaccine dispenser.

Note that all payments for Pharmacies are paid one month later than those for PCN providers.
Keying Month - This is the month in which the vaccine record first appeared on the MYS system.
Submission/Claim Month - This is the month in which the claim for payment for a vaccination occurred.

For example, suppose that a PCN patient is given a Covid-19 vaccination dose 1 in January (Administration Month) and then the paper record of this is misplaced for a while.
The record is found and keyed into a POC system during February (Keying Month). The Provider is allowed to claim for keying during February in the first five days of March, but they're slightly late and authorise the claim on 7 March (Submission Month). As the claim is outside the submission window, it is not paid in March, it will instead be processed during April (Payment Month).

Another example could be a Pharmacy patient is given a Covid-19 vaccination dose 1 in January (Administration Month), keyed in January (Keying Month), then submitted in February (Submission Month) and then payments are calculated in February, however as this is for a pharmacy, the payments are held back and not paid until March (Payment Month).

For the purposes of this request, we have chosen to report by Administration Month.

Data included in this request is limited to vaccinations carried out by Pharmacies only.

Data included in this request is also limited to vaccinations administered in January 2024.

The latest data used is a snapshot of the MYS system data that was taken on 6 February 2024. This is the snapshot of data taken after the January 2024 submission period that was used to calculate payments.  Pharmacy name and address are as held at this date.

This payment data does not include any adjustments made by NHSBSA Provider Assurance as part of post-payment verification exercises. These adjustments are made at account level and may relate to several months of activity.

Payment data includes payments made and those scheduled for payment in the future.

Payments comprise an Item of Service (IoS) fee and potentially a supplementary fee. Payments do not relate to the value of the drugs dispensed.

The total used for the payment calculation may not match the totals shown in 'live' POC systems or MYS that continue to receive updates after the snapshot used to calculate payments was taken.

Vaccination records are limited to those which have been associated with a declaration submission. This may include late submission declarations received after the deadline for declarations such records are not processed until the next month.

Please note that some vaccinations attract a supplementary fee, so it is not possible to determine the number of vaccinations by dividing the total paid by the basic IoS fee.

It is possible for new records from old administration months to be entered in the future, thus the totals here for each administration month could change when more data is processed.

Please note that this request and our response is published on our Freedom of Information disclosure log at:

https://opendata.nhsbsa.net/dataset/foi-01727


Tags: NHS Prescriptions, Pharmacies, covid vaccinations
Organization: Freedom of Information Disclosure Log