Healthcare Accountants

Expert healthcare accountants and tax advice delivered by our highly qualified team

Our dedicated healthcare accountants have over 40 years of experience with the NHS and healthcare sector.

Our expert healthcare accountants at Darnells specialise in NHS Superannuation, tax planning, and more for locum GPs and consultants. At Darnells we understand the unique challenges and aspects that medical practices face in the unpredictable climate of the NHS.

We are one of the few accounting firms in the Southwest to be members of the Association of Independent Specialist Medical Accountants (AISMA) since 1996. As a member, we are well equipped to provide specialised advice and support in navigating the complexities of government legislation and policy decisions made locally by primary care and acute trusts, ensuring that medical practitioners receive the most current and relevant financial guidance.

At Darnells Healthcare, we pride ourselves on delivering a top-class product which we put in front of our clients at every accounts meeting. We explain in detail, trends, concerns, potential risks and how to implement improvements. Our reports are easy to follow and deliver a comprehensive financial picture to help you make better decisions.

GP Practices

Every client is unique, so we work closely with your practice team to tailor our services to your requirements, enabling you to have a better understanding of the surgery’s finances so that you can focus on other aspects of your practice.

We offer a comprehensive range of services including (but not limited to):

Annual Accounts

We can provide support to practice managers on the completion of annual accounts, showing your annual results and Partners’ individual positions. Our accounts package includes a written commentary and a face to face meeting with all the partners and finance team.

PCN Accounts

We can work closely with PCN’s to provide clear understanding and transparency of the annual accounts and work together to help assist on the allocation of income for the PCN members.

Succession Planning

We can provide calculations for new Partners wishing to buy into the surgery premises, as well as Partners leaving a Partnership that need to sell their share.


We can produce Partnership and Partners individual tax returns calculating Capital Gains Tax (CGT) where required regarding any property sales, whether surgery or personal.

Management Accounts

We can provide interim accounts, if required, on a monthly or quarterly basis including a meeting with you.

Budgeting Drawings Model

We can assist you with producing a budget for the year ahead, forming the basis of the Partners drawings, including tax planning.

NHS Superannuation

We can complete the Type 1 Annual Pension Certificates for each Partner along with the Estimate of Pensionable Pay forms. We can also submit Scheme Pay Elections. We work closely with a financial advisor who specialises in NHS Pensions and can assist you with any enquiries which the Partners may have regarding their NHS Pension.


We can offer on-site visits on either a monthly or quarterly basis to process the surgery’s records and can calculate and file VAT returns where necessary.

We also have staff experienced in commercial non-medical areas whose expertise we can call on at any time, especially in areas such as practice mergers, acquisitions, and disposals.

We work closely with lawyers in such deals and have many years experience in this field.

Locum GPs and Consultants

• NHS Superannuation – We can complete the Type 2 Annual Pension Certificates and we can also submit Scheme Pay Elections. We work closely with a financial advisor who specialises in NHS Pensions and can assist you with any enquiries you may have regarding your NHS Pension.

• Tax – We can produce individual tax returns including self-employment accounts and advice on which expenses you can claim against your income and assist with future tax planning.

If you would like to know more about working with us and how we can help make your practice run as smoothly as possible in financial terms, please contact us and one of our friendly team will be in touch.

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