FOI-01594

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Freedom of Information Disclosure Log

The NHSBSA's responses to Freedom of Information requests. read more

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Open Government Licence 2.0 (United Kingdom) [Open Data]

FOI-01594

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 November 2023 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 GBP

Response

A copy of the information is attached. Please read the below notes to ensure correct understanding of the data.

The NHSBSA calculates payments for covid vaccinations to Pharmacies and Primary Care Network (PCN) providers in England.

Covid 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 to MYS.

To be paid in a timely fashion, such claims must be submitted during a specified declaration submission period. Should claims be submitted outside the submission period they will be processed in the following submission 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 dispenser of the vaccine. 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 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 5 days of March, but they're a little late and authorise the claim on the 7th of March (Submission Month). As the claim is outside the submission window, it is not paid in March and will instead be processed during April (Payment Month).

Another example could be a Pharmacy patient is given a Covid vaccination dose 1 in January (Administration Month), keyed into a POC system in January (Keying Month), 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 November 2023.

The latest data used is a snapshot of the MYS system data that was taken on 7th December 2023. This is the snapshot of data taken after the November 2023 submission period that was used to calculate payments. The Pharmacy name and address are as held at this date.

This payment data does not include any adjustments made by NHSBSA Provider Assurance team as part of post payment verification exercise. 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 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 and where 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 Item of Service (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.

Data and Resources

Additional Info

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Contact Information Governance
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Last Updated December 27, 2023, 12:42 (UTC)
Created December 27, 2023, 12:42 (UTC)