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Vol 278 No 7447 p416
14 April 2007

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Scottish contract 2006


Financial stability for last phase of Scottish contract

Brian Stewart-Coxon/Dreamstime.com

New payments

New payments to help pharmacists prepare for AMS and CMS announced

Keeping existing transitional remuneration arrangements in place will provide stability so that community pharmacists in Scotland can prepare for the introduction of the remainder of their new contract, the Scottish Pharmaceutical General Council said this week.

Details of the financial deal were published last week by the Scottish Executive Health Department. It explains that the transitional remuneration framework established in 2006–07 is to be rolled forward with a general 2 per cent uplift. The material change of circumstance arrangements will also stay in place. And there will be new payments to help pharmacists prepare for the introduction of the acute medication service (AMS) and the chronic medication service (CMS).

Commenting on the deal, Harry McQuillan, SPGC chief executive officer, said: “This will ensure continuing stability during the current phase of the new contract negotiations, as contractors start to prepare for the introduction of AMS in autumn 2007 and CMS in April 2008. It is vitally important that contractors are supported in these preparations and, to that effect, it is proposed that contractors will receive ‘New contract preparation payments’ for undertaking specific administrative tasks which will eventually enable the introduction of these new services. Details of this scheme are still the subject of discussion between SPGC and SEHD and we will be able to make an announcement on this soon.”

Payment for the minor ailment service (MAS) will continue on the existing tiered capitation basis, with the 2 per cent uplift. Some contractors have expressed concerns over the impact that lapsing registrations (after one year) would have on MAS payments. This is something the SEHD circular says will be considered this year but, in the meantime, a safety measure has been introduced: the monthly payment will not be allowed to fall below the sum calculated for the number of patients a pharmacy had registered on 31 March 2007.

Infrastructure support payments will continue at the current rate (£100 per month). Two additional infrastructure support payments are to be introduced: a one-off payment to install software for AMS and CMS (£250 for each service) and recurring funding for the running and maintenance costs of AMS and CMS software (a monthly payment of £100 for each service). The SEHD circular adds that a further payment to incentivise contractors to process prescriptions electronically (eClaim) is being negotiated.

Other payments that remain in place are for model schemes, unscheduled care support and sale of prepayment certificates.

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