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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

NHS prescription penalty charge

89 replies

Knickerbockerglories · 13/03/2023 14:52

I am hoping someone has some experience of this and can advise me…

my husband and I both take long term medication and have previously bought the yearly pre payment prescription card.

I switched to a monthly direct debit and thought I/we had switched his too, clearly we didn’t and he has been ticking the prepayment option for about a year without realising.

last month he got a penalty charge notice after an ‘automated check’ I phoned and explained and offered to back pay the years card, and they basically said tough he would get the fine. Fair enough, our mistake. I went online that day and set up his direct debit for the monthly option which auto renews each year- we won’t be caught out again!

problem is he’s just had another charge notice for the month after the last one… so probably another penalty fine… will these continue for the full year or so he missed so be about £1,000 in total?

if they look at the system they can see it was an error after paying the annual charge regularly for years before…. Do I ring them again or will that just highlight the other times (which he’s more than covered in the first fine).

I know he’s technically in the wrong but it was a genuine mistake and he’s paid the fine and set up the DD option to make sure it doesn’t happen again…

any advice? Has anyone had anything similar?

OP posts:
EnglishRain · 14/03/2023 07:36

HappyHolidai · 14/03/2023 07:16

Interesting but as the page says "we are trialling with a small number of pharmacies ", it's not widely active yet. Perhaps it will improve things when it's eventually rolled out.

Are you a pharmacist or just a random googler who doesn't read their links?

My pharmacy certainly doesn't check: it's a little Lloyds. They ask if I pay for my prescriptions, I say I have a prepayment certificate, they never ask to see it and I just sign the back of the green slip.

It is rolled out in 95% pharmacies now. I work for the NHS. I have experience of working with the exemption checking process, so what I say is probably more up to date/accurate than most posts on here. It's also interesting to see the variation in how pharmacies are operating. There have been comms about all this stuff but I wonder how effective they have been.

EnglishRain · 14/03/2023 07:39

Vickythevan63 · 14/03/2023 07:34

But if the pharmacy hasn't done the check, you won't flag until a retrospective check is done when the FP10 is sent to NHSBSA.

I imagine it is not uncommon that pharmacies don’t bother checking.

I had a PPC that ran out in early January, the pharmacy never checked the number/expiry date with me.

I didn’t renew it as I turned 60 last week.

However, I had to insist that I paid, the pharmacist just said ‘Oh you have a PPC’….No, I don’t, it has run out. I need to pay.

You might not see them do the check, seeing where their laptop or PC is. It's on a database. One click is all that's needed and it will say whether the patient is exempt or not based on the range of checks it can do up front. The pharmacy won't know why you are exempt, just that you have flagged as such. If you are not flagging as exempt the form should be signed and sent off to NHSBSA. It's a quick process the check and in theory it makes a pharmacy's life easier because many patients don't know if they are exempt or not eg. Can't remember if their certificate is in date and the system will say yes or no straight away without having to faff around with the pharmacy or patient trying to find out.

merlotlover · 14/03/2023 07:41

Do they not just automatically renew I pay monthly and it does for that. Does it not just take a year amount out if you've done it before? Maybe check past payments on your bank

EnglishRain · 14/03/2023 07:41

Pharmacies don't care if you are exempt or not. It makes no odds to them whether you pay. There is no repercussion for them if you say you're exempt and you are not.

Their responsibility is to collect the FP10 with a signature if appropriate (ie. Not filtered out by the first check) so that it can be retrospectively checked when sent to NHSBSA.

They don't need to ask for your certificate number because they should get a 'yes' on RTEC, and if they aren't using RTEC for whatever reason you just need to sign the form and they send it off and NHSBSA will identify whether or not you've got an exemption as part of their process.

WinterMusings · 14/03/2023 07:54

Agreeable · 13/03/2023 15:33

Lol, of course it can be classed as fraud even if it wasn't deliberate.

@Agreeable

of course it's not. There has to deliberate intention for it to be fraud.

Vickythevan63 · 14/03/2023 07:58

@EnglishRain

But they have obviously not done a check, when they hand me the medication whilst saying you have an exemption certificate - when I know that my certificate has run out! I carried the paper copy in my handbag for the full year so checked the expiry date at start of January.

I have never signed the FP10 in recent years, since my prescription requests were sent digitally from GP to pharmacy.

I am so glad that I am now 60 and fully exempt. I know that they may change the rules, but hopefully it will not include people who are already exempt on age.

MargaretThursday · 14/03/2023 08:00

If they just charged you for prescriptions you'd get a lot of people thinking that they'd just tick the pre-payment box, and not pay. If they get caught, well, they pay prescription as normal, if they don't then they're quids in.

BorisisaLune · 14/03/2023 08:14

MargaretThursday · 14/03/2023 08:00

If they just charged you for prescriptions you'd get a lot of people thinking that they'd just tick the pre-payment box, and not pay. If they get caught, well, they pay prescription as normal, if they don't then they're quids in.

I agree but a £100 fine plus the prescription/dental costs for genuine error is unreasonable.

Its more than a speeding fixed penalty fine, speeding endangers life.

Abraxan · 14/03/2023 12:53

merlotlover · 14/03/2023 07:41

Do they not just automatically renew I pay monthly and it does for that. Does it not just take a year amount out if you've done it before? Maybe check past payments on your bank

The annual one doesn't auto renew

Hollyel · 12/03/2024 18:30

Hello, I’m in a similar situation as this but with a missed 3 month certificate. Did you have to pay multiple fines in the end or did they cancel it? Thanks in advance 😩

HappyHolidai · 13/03/2024 03:38

EnglishRain · 14/03/2023 07:36

It is rolled out in 95% pharmacies now. I work for the NHS. I have experience of working with the exemption checking process, so what I say is probably more up to date/accurate than most posts on here. It's also interesting to see the variation in how pharmacies are operating. There have been comms about all this stuff but I wonder how effective they have been.

Interesting to read this 12m on. My pharmacy has changed hands and I asked them a few weeks ago whether there is an automatic check as I noticed my prescription label now has an F for prepayment certificate. I've just recently renewed mine.
They told me that no, there is no automatic check/link, they just put F on because they know I generally tick that box. Seems highly error-prone to me but this is why they said.

Deebee90 · 13/03/2024 04:01

It’s an innocent mistake but you need to pay the fines. You are both adults. Why should the nhs lose money because you didn’t do something correctly.

Tinydancer123 · 12/09/2024 17:20

EnglishRain · 14/03/2023 06:37

@Knickerbockerglories

You will not be getting a PCN charging you for anything above the prescription charge unless you have not responded to an Enquiry Letter within 28 days of it being issued.

Call them and explain. Only if you ignore an Enquiry Letter will the PCN charge come. Only if you ignore that PCN for 28 days will an additional surcharge be added.

The service is very busy currently but ring them and talk to them.

What is the number ?

Mahoo · 28/09/2024 22:35

Hey so did you get successive fines or just one, I want to try dispute the second month fine that we have been give separately

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