Jeff Smith – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Jeff Smith on 2016-06-06.

To ask the Secretary of State for Health, pursuant to the Answer of 26 May 2016 to Question 37876, what (a) number and (b) proportion of penalty charge notices issued between January and December 2015 related only to medical exemption certificates.

Alistair Burt

Between January and December 2015, a total of 34,142 penalty charge notices were issued to patients declaring they held a valid medical exemption certificate, which the National Health Service Business Services Authority (NHSBSA) was unable to verify. This equated to 7.92% of all penalty charge notices issued.

During the same period, a total of 9,170 of these were subsequently retracted when the patient proved their right to exemption. This equated to 26.86% of all penalty charge notices issued for medical exemption certificates.

Often the reason the penalty charge notice is retracted is because the patient has not informed the NHSBSA of a change of address or surname. This means the record of the medical exemption does not match the patient information on the prescription form. If a patient provides details of a valid medical exemption certificate, the penalty charge notice is retracted and the medical exemption record is updated to ensure further notices are not issued in error.

Following the introduction of prescription charge exemption checking, it became apparent some people receiving penalty charge notices had a qualifying medical condition, but had not applied for a medical exemption certificate. In response, a new process was introduced in early spring 2015. This means that if someone submits a valid application for a medical or maternity exemption certificate within 60 days from date of the penalty charge notice, the outstanding penalty charge is cancelled but the prescription charge is still recovered.