NHS charges · DHSC

NHS charges

Free at the point of use, except for the bits that are not. Prescriptions are frozen. Dentistry is not.

NHS prescription charge in England, 2026/27
£9.90/item

Frozen for a second year. It last rose on 1 May 2024. Free everywhere else in the UK.

Change
Prescriptions frozen, dental up 1.66%

Source: DHSC

Prepayment certificate, 3 months
£32.05
Worth it from 4 items
Prepayment certificate, 12 months
£114.50
Worth it above 11 items
HRT certificate, 12 months
£19.80
Any number of HRT items
Dental band 1
£27.90
Up 1.66% in April
What a prepayment certificate is. It is a season ticket for prescriptions in England. You pay once and then get as many items as you need for nothing more. £32.05 covers three months and £114.50 covers a year, so it pays for itself at four items a quarter or twelve a year. There is no income test and anyone can buy one. More words explained →

These charges are the same across England, and different in Wales, Scotland and Northern Ireland. They do not vary by postcode, so there is nothing to look up.

What you might be owed

Routinely unclaimed. We do not administer any of these and take nothing for pointing at them.

Prepayment certificate

£32.05 for 3 months or £114.50 for 12, payable by instalments

Anyone in England. No income test. Straight arithmetic: 4 items in 3 months cost £39.60 against a £32.05 certificate, and 12 items in a year cost £118.80 against £114.50.

Medical exemption certificate

All prescriptions free

Cancer or its effects or treatment, a permanent fistula, hypoadrenalism including Addison's, diabetes insipidus and other hypopituitarism, diabetes mellitus unless diet controlled, hypoparathyroidism, myasthenia gravis, hypothyroidism needing replacement, epilepsy needing continuous therapy, or a continuing physical disability meaning you cannot go out unaided. Apply through your GP. It is backdated one month.

Maternity exemption certificate

Free prescriptions and free NHS dental treatment

Pregnant, or you have given birth in the last 12 months. Apply through your midwife, GP or health visitor.

NHS Low Income Scheme

Full help through an HC2 certificate, or partial help through HC3. Covers prescriptions, dental, sight tests, glasses, travel to treatment and wigs.

Income assessed. You cannot apply with over £16,000 in savings, or £23,250 if you live permanently in a care home.

What you need to know

The things that stop the headline figure being misread.

  • The prescription charge in England has been frozen at £9.90 for two years running. It last rose on 1 May 2024, by 25p.
  • A 12 month prepayment certificate costs £114.50 and pays for itself at 12 items. If you take a regular medicine you are almost certainly better off with one.
  • The HRT certificate is separate and cheap at £19.80 a year, covering any number of listed HRT items.
  • Everyone aged 60 or over gets free prescriptions and free sight tests in England.
  • Universal Credit exemption is assessed per assessment period, so it can switch on and off month to month. That is a common cause of penalty charge notices for people who assumed they were covered.
  • Contraceptives are always free, and so is anything given to you as a hospital inpatient.
  • Wigs and fabric supports were also frozen for 2026/27: a surgical brassiere is £32.50 and a full bespoke human hair wig £310.55.

What is changing, and when

Already dated. Nothing here is a forecast.

218days 1 April 2027 · NHS

NHS dental charges are typically uplifted. Whether the prescription freeze continues into 2027/28 has not been announced.

The detail

The full published figures, for anyone who wants to check our working or find their own line.

Prescription charges in England

Frozen for 2026/27, confirmed by written statement in November 2025. This is the second successive freeze. Prescriptions are free for everyone in Wales, Scotland and Northern Ireland.

Scroll sideways to see every column

WhatPriceWorth buying if
Single item£9.90You need one or two items occasionally
Prepayment certificate, 3 months£32.05You need 4 or more items in 3 months. Four items cost £39.60.
Prepayment certificate, 12 months£114.50You need more than 11 items in a year
HRT prepayment certificate, 12 months£19.80You are prescribed any listed HRT medicine. No income test, no limit on the number of items.

NHS dental charges in England, from 1 April 2026

Up about 1.66% on 1 April 2026. Urgent treatment is charged at one band 1 fee even if it needs more than one appointment.

Scroll sideways to see every column

BandPriceCovers
Band 1£27.90Examination, diagnosis, advice, X rays, scale and polish if needed
Band 2£76.60Everything in band 1 plus fillings, root canal, extractions
Band 3£332.10Everything in bands 1 and 2 plus crowns, dentures, bridges
Urgent treatment£27.90One band 1 charge however many appointments it takes

What you pay across the four nations

The gap between England and everywhere else is the single most useful thing on this page. Wales replaced its band system with a percentage contribution on 1 April 2026.

Scroll sideways to see every column

NationPrescriptionsDental
England£9.90 an itemBands at £27.90, £76.60 and £332.10
WalesFree for all residents since 200750% of the value of your care package, capped at £384, from 1 April 2026
ScotlandFree for all since 2011Examinations free to everyone. Treatment is 80% of cost capped at £384, and all treatment is free under 26.
Northern IrelandFree for everyone, including wigs and appliances80% of gross cost capped at £384. Free under 18, and at 18 in full time education.

Recent changes

The whole log →
10 Mar 26Increase
NHSDHSCEffective 1 Apr 26 Link

Dental charges up 1.66% while prescriptions stay frozen

NHS dental charges in England rose on 1 April 2026 to £27.90 for band 1, £76.60 for band 2 and £332.10 for band 3. The prescription charge was frozen at £9.90 for a second successive year, along with prepayment certificates at £32.05 for three months and £114.50 for twelve. Prescriptions remain free for everyone in Wales, Scotland and Northern Ireland.

Source: DHSC

Where this comes from, and where it could be wrong

Known limits of this page

The Welsh dental figures here come from the Welsh Government's press release republished elsewhere, because gov.wales refused every automated request. The 50% and £384 cap structure is sound but we have not published per treatment Welsh figures, because we could not read them at source.

NHSBSA's own HC11 leaflet still shows the 2025/26 dental charges. The figures on this page are the 2026/27 ones from the ministerial statement and the NHS England poster.

Optical voucher values are the amounts currently published, but we could not confirm an April 2026 uprating date for them, so treat them as current published rather than confirmed 2026/27 figures.

Sources

30 price changes logged. Every one had a date you could have known in advance.

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