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Medical exemption certificates
It is the medical exemption certificate that entitles you to free NHS prescriptions, not the medical condition. If you do not have a valid medical exemption certificate, you may be liable for a penalty charge.
Find out if you’re entitled to NHS…
Maternity exemption certificates
It is the maternity exemption certificate that entitles you to free NHS prescriptions, not being pregnant or having given birth in the last 12 months. If you do not have a valid maternity exemption certificate, you may be liable for a penalty charge…
NHS Pensions Opt-out data
Publication date: 23 June 2025
The ‘Opt-out rates for ESR employees eligible for the NHS Pension Scheme’ report provides insight about eligible employees choosing to opt out of the NHS Pension Scheme. The report provides estimates about:
opt-…
Serious shortage protocols (SSPs)
In February 2019, the Human Medicines Regulations 2012 were changed to introduce SSPs.
Further changes came into force in July 2019, in the NHS (amendments relating to serious shortage protocols) Regulations 2019.
If the Department of…
Respond to your letter
It’s quick and easy for you to:
challenge your enquiry letter
challenge your Penalty Charge Notice
pay your Penalty Charge Notice
All you need to do is answer a few simple questions. It should take less than 5 minutes.
To pay your Penalty…
NHS Prescription Prepayment Certificate (PPC)
A PPC could save you money if you pay for your NHS prescriptions.
The certificate covers all your NHS prescriptions for a set price. You will save money if you need more than 3 items in 3 months, or 11 items in 12 months.
The prescription charge…
NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC)
If you pay for NHS prescribed HRT medicine 3 or more times in 12 months, an HRT PPC could save you money.
Each item on an NHS prescription usually costs £9.90. You can buy an HRT PPC for a one-off payment of £19.80 (the cost of two single items).…
NHS Low Income Scheme
Tax Credit payments made by HMRC ended on 5 April 2025
People receiving tax credits were moved to Universal Credit. After your tax credits were stopped, you must meet the Universal Credit conditions to be entitled to full help with health costs.…
Check if you have an NHS exemption
Tax Credit payments made by HMRC ended on 5 April 2025
People receiving tax credits were moved to Universal Credit. After your tax credits were stopped, you must meet the Universal Credit conditions to be entitled to full help with health costs.…
Digital maternity exemption service
If you're a midwife, practice nurse, or health visitor you can register online to issue maternity exemption certificates.
Mothers will get their digital exemption certificate straight away if they give you an email address.
To register online you'…