Retrospective top-up payments confirmed (England & Wales)

A retrospective top-up payment for concessionary prices, will be implemented from April 2024 for dispensing GPs, NHS BSA has confirmed.

Under new arrangements, every quarter, where appropriate, a retrospective top-up payment will be applied to the concessionary prices granted three quarters before.

The top-up will be applied automatically each quarter by the NHSBSA, according to the corresponding monthly item volume the contractor was paid for, in the month that the margin survey indicates that the concessionary price paid that month was a significant under payment compared to the average price paid by contractors to suppliers during that month.

This table shows which payment will reflect which months activity.
Items dispensed in the following months	Top-up payment month
April - June	January in the following year
July - September	April in the following year
October - December	July in the following year
January - March	October in the following year

The first retrospective top-up will apply from April 2024 to reflect activity during April to September 2023 (quarter 1 and 2) and will appear in the April 2024 Schedule of Payment (as an adjustment) which will be paid in July 2024.