Prescriptions Charges and Exemptions

Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs).

The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication.

NHS charges

These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge.

  • Prescription (per item): £9.65
  • 12-month prepayment certificate (PPC): £111.60
  • 3-month PPC: £31.25

If you will have to pay for four or more prescription items in three months, or more than 15 items in 12 months, you may find it cheaper to buy a PPC.

There is further information about prescription exemptions and fees on the NHS website


Exemption forms are available at the surgery and are available to anyone who can declare that they have:

  • A permanent fistula (i.e. colostomy, laryngostomy, ileostomy) requiring continuous surgical dressing or requiring an appliance
  • Epilepsy for which continuous anti-convulsive therapy is required
  • Diabetes mellitus which is not solely controlled by diet 
  • Myxoedema (that is, Hypoparathyroidism requiring thyroid hormone replacement)
  • Hypoparathyroidism
  • Diabetes insipidus or other forms of hypopituitarism
  • Forms of hypoadrenalism (incl. Addison's disease) for which specific substitution therapy is essential
  • Myasthenia gravis
  • A continuing physical disability which means you cannot go out without the assistance of another person(s). Temporary disabilities do not count even if they last for several months
  • Cancer and are undergoing treatments for the effects of cancer or the effects or current or previous cancer treatment

Forms must be first filled out by the patient and then will be handed to the GP for signing. Once the GP has completed their part, we will contact you to inform you the form is ready to collect and you can then post it on to the NHSBSA. 

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