Overview
The payments for M:CR use one of the more complex models in the financial package and are based on the number of people registered for the service (capitation model) at the end of a given month.
In order to get their full contribution from the MCR funding pool each month, each pharmacy must have a certain number of patients registered for the service and have completed a Stage 1 assessment for each. This number is calculated at the end of each month by counting the number of valid registrations across the whole country.
Because pharmacies cannot know exactly how many registrations to aim for, our ready reckoner tool gives as accurate an estimation as possible.
When pharmacies do not manage to register enough people, their monthly funding can be reduced by up to 10%. On the other hand, underpayments from under-registered pharmacies allow other pharmacies the opportunity to earn up to 10% more than their allocated funding if they register more people than expected.
At a Glance
Key Figures
From June 2022
MCR Pool Contribution Calculation
The current annual contribution amount per contract is based on 12 months of Part 7 non-zero discount gross ingredient cost (P7 non-zd GIC) between November 2020 and October 2021 as a proportion of the total national P7 non-zd GIC.
Adjustments have been made to remove significant levels of care home GIC (>2.5% of dispensing within a month). The annual contribution amount is then divided by 12 for the monthly pool contribution figure.
Calculation Formula
Important Context
The overall total P7 non-zd GIC between the original calculations in 2011/12 and 2020/21 increased by over 50% from £197m to £297m, so the distribution of increases and decreases in pool contribution vary across the network.
It is CPS's belief and intention that rebasing should be completed more regularly going forward. This should result in less significant change than the June 2022 rebasing (which had not been done in over 10 years).
CPS is working on a revised remuneration model for M:CR.
