Association Structure

The Association of Independent Specialist Medical Accountants has a network of member firms located across the UK. An Executive Board meets monthly to discuss and agree the strategic direction of the Association, including the continual maintenance of quality and standards through the peer review process. Reports and recommendations on membership applications are discussed and decisions made on the acceptance of new members.


Deborah Wood


Debbie is a partner in the Preston office of MHA. A founder member of AISMA, Debbie leads her firm’s specialist healthcare services department across the North West and has worked in the health sector for over 25 years. Debbie is regularly invited to speak at seminars for doctors, practice managers and fellow accountants on a wide variety of financial management topics. She contributes regularly to the specialist medical journals.

James Granby


James is a partner at the Maidstone office of Azets with over 20 years sector experience. He frequently makes presentations to GP practices, Practice managers and trainee GPs on topical issues. Advising clients on the tax aspects of their NHS Pension is a key focus which means keeping up to date with ever more complex legislation.

Abi Newbury


Abi is Managing Director of Honey Barrett Limited and heads up the medical team at the Bexhill office, working closely with Liz Densley, founder member of AISMA. Abi has many years’ experience looking after all types of medical professionals, including locum doctors, consultants and newly qualified doctors needing guidance as they start their careers. Abi particularly enjoys working with GP practices to improve their profitability, and is a regular columnist for AISMA Doctor Newsline.

Fiona Wood


Fiona is a founder member of AISMA and works with the medical services team at Nottingham firm Page Kirk. She has over 30 years’ experience of working in the health sector and acts for GPs, locums and hospital consultants. She works with practice managers to help them optimise their practice efficiency and has contributed to a number of publications over the years.

Board Members

Sue Beaton

Sue is a director at Reigate firm Coveney Nicholls and has been instrumental in developing the firm’s successful medical accounting service. She works with a growing number of GP practices in London and the South East. As well as presenting lectures to GPs, practice managers and registrars, Sue also writes articles for the medical press.

Seamus Dawson

Seamus is a principal at Belfast firm Bridge, Chartered Accountants and is recognised as being Northern Ireland’s leading specialist medical accountant. As a Chartered Accountant and Chartered Tax Adviser he has provided advice and guidance for over 20 years to GP practices, locums and hospital consultants.  He organises and delivers his own seminars for general practitioners and practice managers in the region. He also speaks regularly at events across Northern Ireland including those organised by the Royal College of General Practitioners.

Jim Duggan

Jim became a Partner in Albert Goodman in August 2018 following the merger with MW Medical in Bristol. Prior to this Jim had been a partner in MW Medical since 2001 having originally qualified in London. Jim is a nationally recognised expert on advising members of the medical profession.

Kieran Hancock

Kieran Hancock is a Director in the Plymouth office of PKF Francis Clark with over 14 years’ experience, a large majority within the healthcare sector. Kieran has a passion for General Practice and enjoys supporting practices with their financial needs. Kieran is enthusiastic about sustainability and is keen to support his own firm, as well as AISMA.

Pauline Hogg

Pauline has been Managing Director at Condies since 2016 but remains very involved in further developing Condies Health, a specialist division of the firm providing the highest quality of financial and accountancy advice to medical professionals. As the only Scottish member on the AISMA board, Pauline represents the needs of GPs and practice managers north of the border. Pauline looks after a substantial portfolio of GP practices and frequently presents at seminars and runs workshops on the financial aspects of general practice.

Lizzy Lloyd

Lizzy is a healthcare partner with Larking Gowen LLP. She has specialised in the medical sector for over 25 years, advising GP practices, primary care networks and other emerging models of primary care. Being CTA and TEP qualified, she advises on personal taxation for doctors in both primary and secondary care and UK taxes to international clients.

Andy Pow

Andy is a healthcare director at Mazars. His specialist areas include appraising the performance of GP practices, changes in GP structures and the NHS pension scheme. Andy has a keen interest in maintaining rural GP services and has campaigned to highlight the funding issues facing small GP practices in isolated areas. He regularly appears in the medical press with commentary on the issues of the day. He also is involved in training doctors to help them take control of their finances.

Libby Pritchard

Libby is a partner of Hall Livesey Brown and has specialised in advising GP practices and other medical professionals for over 15 years. Based in Wrexham, North Wales, Libby enjoys working with GP practices to ensure that they fully understand the accounts and can use them, and AISMA’s benchmarking information, to improve their financial performance.

Co-opted advisers

Jonathan Main

Co-opted VAT specialist

Jonathan is a partner at MHA. Jonathan qualified with the Chartered Institute of Taxation as a chartered tax adviser in 1994 and as an accredited mediator with the Centre for Effective Dispute Resolution in 2016. He speaks regularly at seminars for GP federations, GP practices and members of the ICAEW. He has advised AISMA and the BMA on VAT matters as they affect primary care networks and represented AISMA in discussions on VAT policy with HMRC.

Liz Densley

 Co-opted survey officer

Liz is a founder member of AISMA and works closely with Abi Newbury, who leads the medical team at Honey Barrett Limited. With over 50 years’ experience of dealing with doctors, Liz now concentrates on retired doctors and consultancy work but still looks after a small portfolio of GPs. As someone who loves Excel, dealing with the AISMA survey each year is an enjoyable challenge.