Specialist GP Accountants for Practice Partners, Partnerships & Surgeries
Running a GP practice means running a business the Government keeps redesigning. Global sum, QOF, enhanced services, PCN funding, ARRS reimbursements, dispensing income and partner drawings all have to reconcile before anyone can tell you what the practice actually earned. Our accountants for GP practices prepare partnership accounts, calculate profit shares, complete superannuation certificates and file every partner’s tax return — so the partnership meeting starts with answers instead of arguments.
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We act for single-handed surgeries, large multi-site partnerships, dispensing practices and PCN host practices across London and the UK. Your funding mix, your premises position and your partner structure are different in each case, so the accounts and the advice should be too.
Full partnership accounts, partner profit-share statements, current account reconciliations, drawings schedules and Type 1 superannuation certificates prepared and agreed before the deadline.
Dispensing profit analysis, drug reimbursement reconciliation, stock valuation and VAT treatment for practices with a dispensary, so you can see exactly what dispensing contributes.
ARRS reimbursement tracking, PCN income held on behalf of member practices, clinical director payments and clear separation of PCN funds from core practice income.
Streamlined bookkeeping, payroll for clinical and admin staff, cash-flow forecasting and personal tax planning for sole practitioners and two-partner surgeries.
Every service below is built around the way a GP surgery is actually funded — monthly Open Exeter statements, QOF achievement, enhanced services, PCN allocations and partner drawings — not around a generic small business template.
Annual accounts with a full income analysis by funding stream, notional rent, dispensing and private fees, plus a clear partner-by-partner profit share you can actually explain at a partners’ meeting.
Type 1 and Type 2 certificates, estimate of pensionable profit forms, seniority reconciliation, annual allowance and pension input amount checks with Scheme Pays advice where a charge is likely.
Xero, QuickBooks or Sage set up around your practice ledger, with Open Exeter statements, PCN income and prescribing reimbursements coded consistently every month.
Self assessment for every partner, payments on account managed, tax reserves calculated and advice on incorporating non-clinical activity such as training or private services.
RTI payroll for salaried GPs, nurses, HCAs and administrators, NHS pension deductions handled correctly, plus partial exemption VAT reviews for practices with non-exempt income.
A GP surgery carries financial problems most businesses never meet: income arriving from a dozen different NHS streams, superannuation deducted at source, and partners whose drawings rarely match their eventual profit share. These are the issues we fix:
Global sum, QOF and enhanced service income that never reconciles
Partner drawings that drift away from actual profit share
Type 1 and Type 2 superannuation certificates filed late
PCN and ARRS money mixed in with core practice income
Annual Allowance charges landing years after the event
Notional rent, premises costs and last partner standing risk
Staff payroll, pension tiers and auto-enrolment errors
GP practice finances take specialist knowledge. Our team already knows how a profit share works, why your superannuation figure looks wrong and what a PCN host practice must keep separate. Here is what you get:
We prepare partnership accounts for surgeries across London and the UK and understand GMS, PMS and APMS funding in detail.
Type 1 and Type 2 certificates, estimates of pensionable profit and annual allowance checks completed and submitted on time, every year.
Clear, itemised partner statements showing prior shares, drawings, tax reserves and current account balances in plain English.
Correct treatment of PCN income, clinical director payments and ARRS reimbursements, with full transparency for member practices.
Accounts, certificates, payroll and partner tax returns filed on time, with reminders well in advance so penalties never happen.
One agreed annual fee for the practice, quoted up front, with no hourly billing and no surprise invoices after a phone call.
Managing the financial side is not why you went into general practice. Our three-step process gets the surgery set up quickly and keeps the partners informed all year:
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Chartered, experienced and genuinely specialised in healthcare. Here is what working with us looks like in practice:
We use Xero, Quickbooks, Sage & many other online software.
Meet, call or email the same qualified accountant who knows your practice and your pension position.
Free telephone & email support
throughout the year.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our specialist healthcare accountants handle everything. Changing accountant part way through the practice year is straightforward and you never need to speak to your old firm:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Yes. A general accountant can prepare accounts, but GP practice income is unlike any other business. Superannuation certificates, notional rent, QOF accruals, PCN funds and partner current accounts all have their own rules. A specialist gets the profit share right first time and spots pension and tax problems long before HMRC or PCSE does.
A Type 1 certificate is completed by GP partners and single-handed GPs to declare pensionable profit for the year. A Type 2 form is completed by salaried and locum GPs who are members of the NHS Pension Scheme. Both must be submitted to PCSE, and errors here follow you for years, so we prepare and check them as part of the annual accounts.
A GP partnership is tax transparent. The practice files a partnership return, but each partner pays income tax and National Insurance personally on their share of profits through self assessment. That is why we prepare a partner-by-partner statement showing profit share, drawings, superannuation and a recommended tax reserve.
PCN income received by a host practice is generally held on behalf of the network rather than earned by the practice. It should be recorded separately, with ARRS reimbursements matched to the relevant staff costs, so core practice profit is not overstated. We set the ledger up so this separation is automatic.
Yes. We calculate your pension input amount, check whether tapering applies once all income is included, and tell you whether Scheme Pays is the better option. Getting an Annual Allowance charge is not always avoidable, but being surprised by one always is.
Practice running costs, staff salaries and employer pension contributions, clinical supplies, premises costs, professional indemnity, GMC and royal college subscriptions, training, accountancy fees and the business proportion of motor and home costs where relevant. We review these annually so nothing is left unclaimed.
Core GMS and PMS contract income usually stays in the partnership, but some practices incorporate separate activity such as training, research, private services or a subsidiary that supplies staff. We model the tax position both ways before you commit and explain the pension consequences clearly.
Yes. We run RTI payroll for salaried GPs, nurses, healthcare assistants and administrative staff, apply the correct NHS pension tier for each employee, handle starters and leavers and manage auto-enrolment duties for staff outside the NHS scheme.
Most medical services are VAT exempt, but dispensing, some private and medico-legal work, room hire and certain reports are not. Practices with significant non-exempt income may need to register and apply partial exemption. We review your income mix and tell you where you stand.
We quote one fixed annual fee based on the number of partners, the size of the practice and whether dispensing, PCN hosting or payroll is included. You get the quote before any work starts and it covers unlimited telephone and email support through the year.
Yes. Switching mid-year is common and straightforward. We contact your existing accountant for the handover information, obtain professional clearance and pick the records up from wherever they stopped. You do not need to have an awkward conversation with anyone.
No. We are based in Morden, South London and act for many London surgeries, but we work with GP practices across England and Wales using secure cloud accounting, video meetings and electronic signatures.
Please double-check the figures before you act. The tax, NHS pension and accounting information on this page is general guidance for UK doctors and healthcare professionals, not personal advice. Tax rates, allowances, thresholds and NHS pension rules change regularly, including at each Budget and at the start of every tax year on 6 April. Global sum, QOF, PCN and ARRS funding values, and GP superannuation tiers, are all reset annually. Always cross-check any rates or figures against HMRC, the NHS Business Services Authority and the latest Budget announcements, or speak to one of our qualified accountants before acting. CruseBurke cannot accept liability for decisions made solely on the basis of this page. Last reviewed: August 2026.
