Fixed-fee accounting and tax support for GP surgeries in Leicester and across the UK, covering partnership accounts, NHS income and staff payroll.
Running a GP surgery brings together partnership accounting, NHS contract income and a team of clinical and support staff, each with its own reporting requirements. We work with GP practices across the UK, preparing partnership accounts, reconciling NHS income and keeping your practice compliant and ready for whatever comes next.
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We prepare annual partnership accounts and support each partner’s personal Self Assessment return, allocating profit shares correctly and bringing together every income stream.
From notional rent to GMS, PMS or APMS contract payments, we help you reconcile what you are paid against your records throughout the year, not just at year end.
Medical care provided by a GMC-registered doctor for a therapeutic purpose is generally VAT-exempt, though certain non-therapeutic or cosmetic work is not. We review your income and advise accordingly.
From receptionists and practice nurses to healthcare assistants and other clinical support staff, we run your payroll so PAYE, National Insurance and pension auto-enrolment are calculated and reported correctly and on time.
We keep your day-to-day records up to date on Xero, QuickBooks, Sage or FreeAgent, reconciling NHS income, private fees and expenses so your accounts are always current.
Running a GP surgery brings its own accounting considerations, from partnership profits to NHS contract income. Here is what matters most.
GP partners are self-employed, not employed by the practice, and are taxed on their share of partnership profits through Self Assessment rather than PAYE. Where a practice owns its premises, NHS England or the ICB pays “notional rent”, based on a District Valuer’s assessment, which is treated as practice income for tax purposes, with the associated running costs relieved against it. We prepare the partnership accounts used to allocate each partner’s profit share correctly.
Most GPs can currently save up to £60,000 a year into their pension without an annual allowance tax charge, with a reduced, tapered allowance applying if your threshold income is over £200,000 and your adjusted income is over £260,000. These figures can change at future Budgets, so we review your pension savings statement each year to flag any charge before it becomes a surprise.
Medical care provided by a GMC-registered practitioner for a therapeutic or preventive purpose is generally exempt from VAT. Non-therapeutic work, such as some medico-legal reports, and purely cosmetic treatment with no health purpose, can be standard-rated instead. We review your practice’s full range of income to confirm the correct treatment.
Many GP practices take part in a Primary Care Network alongside neighbouring practices, bringing in additional funding streams such as the network contract and additional roles reimbursement, alongside your core GMS or PMS income. We help make sure this is recorded and reported correctly in your partnership accounts.
We offer fixed-fee packages whether your practice operates as a partnership or through a limited company. Each package covers the core compliance work below, with optional extras you can add as needed.
If you would like to discuss our fees for the services you require, please get in touch.
Get in TouchStraightforward answers to the questions we’re asked most.
GP partners are self-employed, not employees of the practice. Each partner is taxed individually via Self Assessment on their share of the partnership’s trading profit, and the practice must produce annual partnership accounts to support this.
Notional rent is paid by NHS England or the ICB where a GP practice owns its own premises, based on a commercial rent assessment. It is treated as practice income for tax purposes, with the associated running costs relieved against it.
Medical care provided by a GMC-registered doctor for a therapeutic purpose is generally exempt from VAT, but some non-therapeutic work, such as certain medico-legal reports or purely cosmetic treatment, can be standard-rated. We review your specific income streams and advise accordingly.
If your practice is part of a Primary Care Network, additional funding streams such as the network contract and additional roles reimbursement need to be recorded and reported alongside your core NHS income. We build this into your partnership accounts so nothing is missed.
Yes. We run payroll for receptionists, practice nurses, healthcare assistants and any other staff you employ, calculating PAYE, National Insurance and pension contributions and reporting to HMRC each pay period.
Tell us about your circumstances and we’ll come back to you with clear next steps, typically the same working day. Our support is available in person, by phone, email or a virtual video meeting, whichever suits you best.