Our healthcare team works with GP practices, dental surgeries, medical consultants, locum practitioners and care providers across the UK. We understand how the sector operates, from NHS contract structures and superannuation through to CQC requirements and partnership accounting.
We have been members of the Association of Independent Specialist Medical Accountants (AISMA) since 1996, one of the few firms in the Southwest to hold this membership. AISMA membership gives our clients access to sector benchmarking data and keeps our team connected to developments affecting medical practices nationally.
At every accounts meeting, we present clear reports that set out financial trends, flag areas of concern and identify where improvements can be made. The aim is to give you a full picture of your practice finances so you can make better decisions without having to interpret the numbers yourself.
We prepare annual accounts that show the practice’s overall results alongside each partner’s individual financial position. The accounts cover all income streams, from GMS or PMS contract payments and QOF funding through to enhanced services, PCN contributions and private fees.
Every set of accounts includes a written commentary explaining the key figures, and we present them in a face-to-face meeting with the partners and your finance team so there is time to discuss anything that needs attention.
We can prepare interim accounts on a monthly or quarterly basis, depending on what the practice needs. These give you an up-to-date view of income, expenditure and profitability between year ends, helping you track performance and respond to changes before they become problems. Each set is accompanied by a meeting to talk through the figures.
Primary Care Network accounting requires clear records that show how income has been received and allocated across member practices. We work with PCNs to prepare annual accounts that give all members a transparent view of the finances, and we can assist with the allocation of funding so that each practice understands its position.
We prepare budgets that set out expected income and expenditure for the year ahead, forming the basis for partner drawings. This includes tax planning so that each partner has a realistic picture of what they can draw while meeting their personal tax obligations. Having a clear budget in place avoids the cash flow difficulties that can arise when drawings are set without proper forecasting.
When a new partner is buying into the surgery premises or a departing partner needs to sell their share, accurate calculations are needed. We provide valuations and financial modelling for partnership changes, covering property shares, goodwill where applicable and the tax implications for all parties involved.
We complete the Type 1 Annual Pension Certificates for each partner along with Estimate of Pensionable Pay forms, and we can submit Scheme Pay Elections on your behalf. Getting superannuation calculations right matters because errors affect both your tax position and your pension record.
We also work closely with a financial adviser who specialises in NHS pensions and can assist with any questions partners may have about their pension position or retirement planning.
We prepare the partnership tax return and each partner’s individual self-assessment return, including capital gains tax calculations where required on property disposals, whether surgery premises or personal. We also advise on tax planning opportunities throughout the year so that partners can optimise their position rather than dealing with it retrospectively.
We offer on-site visits on a monthly or quarterly basis to process the surgery’s financial records, and we can prepare and file VAT returns where required. This keeps your books accurate and up to date without adding to the workload of your practice team.
Every practice is different, so we work closely with your partners and practice manager to fit our services around how your surgery runs. Whether you need full accounts preparation and tax planning or support with a specific area such as superannuation or partnership changes, we can put the right level of service in place.
Our team has many years of experience advising on practice mergers, acquisitions and disposals. We work closely with specialist healthcare lawyers on these transactions, handling the financial due diligence, valuations and tax implications so that the commercial side of the deal is properly accounted for.
• NHS Superannuation – We complete Type 2 Annual Pension Certificates for locum GPs and consultants and can submit Scheme Pay Elections on your behalf. We also work with a financial adviser who specialises in NHS pensions for any questions about your pension position.
• Tax – We prepare individual tax returns including self-employment accounts, and advise on which expenses you can claim against your income. Whether you are working across multiple sites or a mix of NHS and private engagements, we can help you keep your tax affairs in order and plan ahead.
NHS contract income, superannuation, partnership profit sharing and CQC compliance all follow sector-specific rules outside standard business accounting. An accountant unfamiliar with these structures may prepare compliant accounts but miss planning opportunities around pensionable profits or partnership allocations. Specialist healthcare accountants work within these frameworks routinely, reducing the risk of errors that affect both your tax position and your pension record.
NHS superannuation is the pension scheme for NHS practitioners. Contributions are tiered, currently ranging from 5.2% to 12.5% depending on your pensionable earnings. For GPs and dentists, those contributions are based on pensionable profits rather than total income, so the way your accounts are prepared has a direct effect on what you pay. If the figures are wrong, it affects both your tax and your pension.
GP partnerships share profits according to ratios based on sessions worked, seniority and responsibilities, and those ratios can change during the year. Each partner is taxed on their own share, so the accounts need to accurately separate allocations across contract income, QOF payments, enhanced services, private fees and NHS reimbursements. Partners joining or leaving mid-year add further complexity.
NHS dental income is subject to superannuation deductions, UDA performance targets and potential clawback if activity thresholds are not met, while private income follows separate billing and expense arrangements. The split between the two affects superannuation calculations directly, and HMRC expects reported figures to reconcile with NHS Dental Services records. Associate dentists have further obligations managing self-employed returns across multiple practices with different contract terms.
Care homes must meet their financial reporting obligations and pass CQC financial viability assessments. Income comes from local authority placements, NHS continuing healthcare and private residents, each paid differently. Staffing is usually the biggest cost, and payroll needs to account for shift patterns, sleep-in compliance and auto-enrolment. Care services are VAT exempt, so input VAT on running costs cannot be fully reclaimed.
Yes. Your current accountant is required to hand over your records and cooperate with the transition. A new accountant will handle the professional clearance process and request everything needed to take over your affairs, so there is very little for you to arrange yourself.
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