Once NHS England creates the business framework (see paragraph 3.26 of VPAS 2019), all new business flexibilities, which resemble simple confidential and complex patient access systems, will operate in accordance with the new business framework. Apparently, the Formulas of Interest and Simple Discount are similar; There is, however, an important difference: the amount at which the formula is applied is the initial capital in the interest rate formula, while the corresponding amount is the final capital in the rebate formula. PV: Current value, the discounted amount must be paid before the original due date The search for the current value or discount, as it is commonly called, is not simply the opposite of the search for future value by the rate formula Simple discount systems can be either a fixed price agreement below the list price of the treatment or a percentage reduction in the list price. Because these systems are less complex and are easier to implement in the NHS (compared to complex systems), PASLU review can be continued with a lower degree of consultation with the NHS. As a result, the check can be done quickly by PASLU usually within 4 weeks. Simple Discount – Basics In the simple discount situation, there is a lot of money (future value) that arrives at a given future date, usually within one year; the debtor can apply for the down payment and, if the creditor agrees with him, the money (current value) to be paid is less than the principal owed; In fact, the future value is subtracted by the discount calculated relative to the time and discount rate. The Pharmaceutical Price Regulation Scheme (PPRS) 2014 provides that companies can submit proposals for patient access systems to NHS England. These systems include innovative pricing agreements to improve cost-effectiveness and facilitate patient access to certain drugs or other technologies. A simple discount rate, r, is applied on the final amount FV and gives the formula The company should then complete the proposal model for the patient access scheme, either for a complex scheme or for a simple discount system. The model is the tool by which PASLU collects the information needed to assess the feasibility of the access system offered to patients within the NHS in England and Wales. The company completes the draft proposal and then forwards it to NHS England (with all the supporting evidence), which is then forwarded to PASLU for verification.