Local Services Monthly Claim Form V3
The format of this is a excel spreadsheet, which is required to be completed on a monthly basis. There are in-built calculations to make this easier for you. Only the cells in green require to be completed. Any section which has “Office Use Only” can be ignored. When entering values etc £22.68, only the numeric digits are required i.e. 22.68, not £22.68.
Please note – It is absolutely vital that only one form is submitted in any one month. Any late forms require to be notified to the Community Pharmacy Services office by either telephone (01463 706886) or email (nhsh.cpsoffice@nhs.scot). Multiple entries will result in payment errors.
As normal, this form has to be submitted no later than the 10th of the month (except December when that is usually required by the 5th) along with a copy of the Care Home visit form, copy invoices for claim of replacement palliative care drugs, Board committee & locum claim or Champions MS form. It is preferred if all paperwork be received in one email, not multiple emails and not by post.
Below is a step-by-step guide for each of the tabs (services being claimed for).
Cover Sheet
Once your community pharmacy name is entered in row 11, this will automatically be carried throughout the remainder of the spreadsheet. Therefore, this need only be entered once. The Checklist section on the right can be used as a quick direction to the required tab, if not all tabs are relevant for your pharmacy. This can be accessed by a single click.
Needle Exchange
Only row 13 is required to be populated. Rows 14 through 16 do not require to be populated.
Vaccination
Only Travel vaccination details are required to be completed by community pharmacies i.e. rows 13 and 14. Flu, Covid and Co-admin will be completed by the Community Pharmacy Services office.
Collection & Delivery
Only rows 10 and 11 are required to be populated.
Palliative Care
If claiming for replacement drugs, only row 14 is required. However, a copy of the invoice is still required to be sent to the Community Pharmacy Services office.
MDS
Only row 11 required to be completed.
Advice to Care Homes
Only rows 13-15, 19-21, 25-27, 31-33 (Quarterly claims). Row 12 (annual fee) will be paid automatically by Community Pharmacy Services. The Advice to Care Homes visit form is required to be completed and sent to Community Pharmacy Services along with the monthly claim form.
Care at Home
Rows 13 and 16 requires to be populated. Row 10 (annual fee) will be paid automatically by the Community Pharmacy Services Office.
Clozapine
Only row 14 requires to be completed. Training fee (row 10) is not required.
OST
Only rows 11, 15 and 19 require to be completed.
Other Services
Hep C – Nothing required
Prostate – Nothing required
Board Committee/Locum Costs – Expenses form has to be completed as usual and sent to Pharmacy Services Office along with the claim form.
Pharmacy Champions – Expenses form (MS Form) has to be completed as usual and sent to Pharmacy Services Office along with the claim form.
Paperwork required to be sent to Pharmacy Services Office (if appropriate) by the 10th of the month include :
- Excel spreadsheet (one month only) Missed claims may only be permitted on advice from CPS office
- Copy invoices for replacement drugs (palliative care)
- Care Home visit form
- Champion MS Form
- Board Committee/Locum Costs form
Any queries please contact Community Pharmacy Services by telephone (01463 706886) or email (nhsh.cpsoffice@nhs.scot )