VerbatimParliament, as it happens

Prescriptions: Fees and Charges

Asked by Mr Andrew SnowdenConservativeDepartment of Health and Social CareTabled Answered 10 November 2025UIN 86820

The question

To ask the Secretary of State for Health and Social Care, whether he will review the current appeals process for NHS prescription penalty charges to ensure that reasonable discretion is applied in cases of (a) genuine mistake and (b) hardship.

Answered by Dr Zubir Ahmed

There are no plans to review the appeals process. The Real Time Exemption Checking Service in England (RTEC) helps pharmacy teams confirm whether a patient holds a valid exemption from National Health Service prescription charges quickly while in the pharmacy. The RTEC provides assurance to patients and pharmacy teams that exemptions are being claimed correctly.

It is also a patient’s responsibility to be aware of their entitlement and to ensure they take appropriate steps to legitimately enable them to claim exemption from charges. Further information on this is available on the NHS.UK website and the NHS Business Services Authority (NHS BSA) website, which are available, respectively, at the following two links:

https://www.nhs.uk/nhs-services/prescriptions/check-if-you-can-get-free-prescriptions/

https://www.nhsbsa.nhs.uk/nhs-help-health-costs

Patients can also use the NHS BSA eligibility checker, which is available at the following link:

https://www.nhsbsa.nhs.uk/dont-get-caught-out-penalty-charges/check-you-tick

Where a patient is unsure if they are entitled to exemption from NHS prescription charges, they should pay the applicable charges and request an FP57 receipt and refund form at the point at which they pay the prescription charge. They can then claim a refund from the pharmacy within three months of paying the prescription charge once they have evidence of exemption.

Verbatim has judged this answer against the question that was actually asked — answered, partly answered, or evaded. Sign in to see the verdict →

Open this question in Verbatim →

Every written question, searchable

155,000 questions tabled since the election, with the answer each department gave — and the ones still unanswered, with the clock running. Free to search.

Search written questions →Read on Verbatim