Increasing Practice Profits
Increasing Practice Profits

FP34 Personally Administered Items

Personally Administered Items are the drugs and devices bought by the practice to be administered to patients. Not everything is claimable, but there are over 3,000 eligible items - click link to learn more and download the list.

The practice submits monthly claims via and FP34 for reimbursement of the costs, and on top of this the practice also receives an income in the form of a 'Dispensing Fee' for every item.


There are many issues and challenges to ensure the full income due is received including:

  • difficult to know what can be claimed
  • complex processes for submitting claims
  • ensuring all clincians follow the process
  • inconsistent use of clincial system templates
  • difficult to reconcile payments with claims.


These issues often leave practice managers and staff feeling out of control. As a result, many practices are experiencing a significant shortfall in their Prescribing Drugs income. 


Our research shows that practices often under-claim by £500 - £1,000 per 1,000 list per year, and this can lead to a shortfall of £tens-thousands that builds up over the years. Download our Fact Sheet to find out more.


Fact Sheet - PAI Income per Patient.pdf
Adobe Acrobat document [154.8 KB]


Ash Lane Consulting provides services to streamline practice processes and ensure PAI income is maximised, and historic missed income recovered.


In addition, practices are often over-charged by suppliers for their administered medicines. By working with practices across the country, we are aware of the correct prices and can identify where savings can be made, resulting in increased profits.


Personally Administered Items Review (PPA Review)

We will undertake a comprehensive review that will identify how much the surgery is under-claiming for PAIs, recommend the steps needed to maximise the Prescribing Drugs income and enable a retrospective claim to be made for missed income. We will implement our system for streamlining the management of PAIs which is proven to increase income year-on-year as well as saving staff time.



Annual income is increased, and additionally it is possible for missed income to be claimed retrospectively. The total amount varies greatly between practices, but it is not uncommon for us to increase Prescribing Drugs income for PAIs by 10% - 20%, and a restrospectively claim of £tens of thousands of pounds.


Costs for administered items are reduced by following our recommendations.


Additionally, practice staff have expressed their relief at understanding the process and getting back in control. The improved processes increase efficiency and reduce stress.

Case studies

Here are the financial results of some of our recent reviews, in each case showing the increase per year in PAI income identified in the review:

  • 55,000pt group running 6 practices: £25,000pa and retrospective claim of £71,000 
  • 14,000pt practice: £15,000pa and retrsopective claim of £47,000
  • 16,000pt practice: retrospective claim of £60,000
  • 20,000pt practice: £35,000pa
  • 10,000pt practice: £5,000pa
  • 12,000pt practice: £6,000pa

We are pround of our 100% positive customer reviews. Read what our customers have said about us on the Testimonials page.


Our fee is based on the list size of the surgery and the scope of the review. The fee is confirmed once the full scope of the review is agreed. To find out more and receive a quote, please get in touch.

Consultancy and Training

It is important to have an efficient end to end process within the practice, and ensure that everyone knows the part they play to maximise income for PAIs. Ash Lane Consulting has developed a methodology that has been proven to greatly increase PAI income. We are happy to provide advice on the changes needed within your practice and we can provide support to implement them. Contact us to discuss how we can help.


We can also run training for your practice staff – see the Training page for more information.