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NHS costs and exemptions

Entitlement to help with health costs (NHS prescription and dental charges, optical and hospital travel costs) is based on the principle that those who can afford to contribute should do so, while those who are likely to have difficulty in paying should be protected. Copies of the publications below can be obtained from the Department of Health, PO Box 777, London SE1 6XH; telephone 08701 555 455, fax 01623 724524, email dh@prolog.uk.com. The HC10 Student poster and the HC11 Student Quick Guide leaflet are available from the Prescription Pricing Authority by faxing 0191 203 5507: the maximum order number is 10.

NHS charges from 1 April 2007

New charges for NHS prescriptions, surgical supplies and dental and optical services were announced in a Written Ministerial Statement by Rosie Winterton, Minister of State for Health Services, on 2 March 2007.



Help with NHS costs

Basics about help with NHS charges

Help with NHS prescription and dental charges, optical fees and hospital travel costs, for people on benefits, tax credits or low incomes.

HC12: Charges and optical voucher values (1 April 2006)

This leaflet outlines the charges and optical voucher values effective from 1 April 2006. Information covered includes prescriptions, wigs and fabric support, hospital travel costs, dental treatment, sight tests, glasses or contact lenses, and penalty charges.

Help with health costs -HC11 Leaflet in English and various other languages

Help with health costs - HC11 quick guide

This is a short summary of the HC11 leaflet.

Help with health costs: HC11 student's guide

Leaflet produced with the National Union of Students as a short summary of the HC11 leaflet, Help with health costs.

Prepayment of NHS prescription charges

People who have to pay prescription charges can buy a prepayment certificate, which offers considerable savings to those who need regular prescriptions.

HC11 (TC) New tax credits: help with health costs

Help for people who get Working Tax Credit (WTC) or Child Tax Credit (CTC).

Pension credit

Entitlements and changes in documentation following the introduction of Pension Credit in October 2003.



Help with NHS costs - poster

This newly redesigned A3 sized poster is for GPs, Dentists, Pharmacists, Opticians and NHS Hospitals to display. The poster informs patients that they may be able to get help with a range of health care costs.



Prescription charge exemption: practitioners' guides

Procedure for dispensers issuing and pharmacies refunding FP57 forms (receipt & prescription charge refunds) in England

New arrangements for paying prescription charge refunds have been agreed with the PSNC and are being introduced in England. Pharmacists will pay prescription charge refunds from 1 April 2005. The Post Office will stop paying refunds from that date. This notice replaces all previous notices/guidance about FP57s.

Dispensing doctors' guide to prescription exemption

Introduction of a check of entitlement to exemption from the prescription charge in order to reduce unacceptable losses to the NHS.

Pharmacists' guide to prescription exemption

Introduction of checks of entitlement to exemption from the prescription charge at the point of dispensing, in order to reduce unacceptable losses to the NHS.

Prescription charges in the UK: guide for dispensing contractors - devolution, don't get caught out!

Note to pharmacists setting out how they should deal with differences in the arrangements for prescription charges between Wales and the rest of the UK from 1 April 2001.

Clarification of guidance on exemption from prescription charges for renal dialysis patients

This clarification of guidance on exemption from prescription charges for renal dialysis patients was issued in the Chief Executive’s Bulletin of 1-7 December 2000, Issue 44.



Forms HSA5 and WF1 (hospital outpatients)

Revised hospital out-patient forms HSA5 (supply of drugs or elastic hosiery) and WF1 (supply of wigs or fabric supports): for hospital pharmacies and suppliers of wigs, elastic hosiery or fabric supports.



Prescription charges: exemption certificates

Since 1 October 2002 the Prescription Pricing Authority (PPA) has been responsible for issuing prescription prepayment certificates (PPCs), medical (MedEx) and maternity (MatEx) exemption certificates in England.



FP92/96 statistical returns

Since the transfer of responsibility for exemption certificates to the PPA, the Department of Health is no longer collecting information for the FP92/96 statistical returns.




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Prescriptions and prescribing

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Procedure for dispensers issuing and pharmacies refunding FP57 forms (receipt & prescription charge refunds) in England

New arrangements for paying prescription charge refunds have been agreed with the PSNC and are being introduced in England. Pharmacists will pay prescription charge refunds from 1 April 2005. The Post Office will stop paying refunds from that date. This notice replaces all previous notices/guidance about FP57s.


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