Provider Assurance Pharmaceutical Services

Activities we carry out 

Provider Assurance Pharmaceutical Services supports NHS pharmacy contractors to submit accurate claims for services, including: 

• Appliance Use Reviews (AURs) - see guidance on submitting your claims for Appliance Use Reviews (Word: 75KB)
• Covid Vaccination Service
• Hypertension Case Finding Service (HCFS)
• Discharge Medicines Service (DMS)
• Influenza Vaccination Service
• Lateral Flow Device (LFD) Test Supply Service
• New Medicine Service (NMS)
• Out of Pocket Expenses (OOPE)
• Pharmacy Contraception Service (PCS)
• Pharmacy First Service
• Smoking Cessation Service (SCS)

We also support community pharmacies with: 

• Community Pharmacy Assurance Framework (CPAF)
• Community Pharmacy Workforce Survey (CPWS)
• Pharmacy Quality Scheme (PQS)
• Pre-Reimbursement Checks (PRC)

Post-payment verification (PPV)

Our post-payment verification (PPV) process provides assurance to NHS England that the services pharmacies deliver have been performed in line with the regulations of the service. We do this by requesting evidence to substantiate claims.

PPV process

Evidence will be reviewed in line with the service specification or Drug Tariff. Once we’ve reviewed your claim, we’ll contact you to let you know one of three outcomes:

1. Payment claims are verified by submitted evidence. No further action is required.
2. We provide best practice feedback and payment claims are verified by submitted evidence.
3. We provide feedback because the evidence provided does not match the submitted payment claims.

If the evidence provided does not match the payment claims, you may be asked to agree to a financial adjustment for those claims.

If any investigation concludes an overpayment has been made, you will receive notification of the payment recovery and will be given the option to appeal.

We share our findings with NHS England Integrated Care Boards (ICBs). Sometimes, ICBs might contact you to discuss our findings.

Contact us