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.
Officers
Lizzy Lloyd
Chair
Lizzy is a medical 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.
Abi Newbury
Vice-Chair and Secretary
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.
Jim Duggan
Vice-Chair
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.
Fiona Wood
Treasurer
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.
Kay Botley
Kay is Head of Healthcare and Director at Duncan & Toplis, with more than 30 years’ experience specialising in the healthcare sector. She works predominantly with GP practices, federations, Primary Care Networks (PCNs), and a range of companies and associated businesses led by medical professionals.
She supports clients with strategic financial planning, helping them maximise profitability while managing tax liabilities effectively and planning confidently for the future.
Kay is a regular webinar presenter and guest speaker, frequently collaborating with specialist solicitors, surveyors, and Local Medical Committees (LMCs). She also delivers annual training for GP registrars, newly qualified professionals, PCNs, and training hubs.
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.
Pete Farrier
Pete leads Morris Crocker’s highly skilled Medical team, providing comprehensive financial guidance to medical practitioners. His expertise covers partnership accounts, superannuation, tax planning, incorporation, and succession planning. Since joining the firm in 2001, Pete has made significant contributions and became a member of the AISMA Board in 2025. His extensive experience and dedication make him a valuable asset to the team and clients alike.
Kieran Hancock
Kieran Hancock is a Director in the Manchester office of Forvis Mazars 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.
Laura Nicoll
Laura Nicoll is a Director in the Accounting & Business Advisory team at Dains, specialising in advising GP practices, locums, consultants, dentists and other healthcare providers across Scotland.
She supports clients on a wide range of financial and operational matters, including practice accounts, NHS pensions, partnership changes and the wider challenges facing primary care.
Laura trained and qualified with the former William Duncan + Co and now leads the Healthcare team in the West of Scotland. As a member of the AISMA Board, she represents healthcare clients and practices across Scotland and is committed to supporting the long-term sustainability of the primary care sector.
Libby Pritchard
Libby is a partner of Kinch & Co 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.
Daniel Tremain
Daniel is the lead Partner for the Healthcare sector at Xeinadin, supporting medical clients across the UK from the Sittingbourne and Eastbourne offices.
Since 2004, he has specialised in advising the primary care sector, with a strong focus on innovation, people, and technology. Daniel looks ahead to the next phase of his career with enthusiasm and is proud to work with AISMA to help develop and promote the outstanding support it has delivered since its formation in 1997.
Guy Vine
Guy is a healthcare partner at MHA and has been assisting GP practices for well over a decade. When starting to work with GPs, he benefitted extensively from the kindness, knowledge and technical skills of many industry specialists who were all happy to provide guidance and support to a new specialist medical accountant trying to find his way. Guy is keen to extend gratitude to those by joining the AISMA Board in 2025 and seeking to continue this culture of peer support and collaboration to both ensure high standards are maintained now, and to help tomorrow’s medical specialists on their journey.
Co-opted advisers
James Davies
Co-opted VAT specialist
James is a VAT Director and is responsible for leading MHA’s VAT advisory team in North-West England. He provides practical VAT advice to a broad range of clients across all sectors. His specialist focuses include healthcare, social care, not for profit organisations and tax disputes. He is responsible for leading the VAT healthcare offering nationally for MHA. James has extensive experience in the healthcare sector, having advised on many different VAT issues. These include PCN formation, cost sharing exemption and grouping, VAT liability of non-core income streams, VAT registration and VAT compliance matters and many other issues affecting the sector. Prior to joining MHA, he worked at Mazars LLP, where he worked closely alongside the healthcare team (formerly Hall Liddy) to advise a wide range of healthcare clients. James previously worked at HMRC where he developed an in-depth knowledge of HMRC’s approach to tax disputes, and their statutory powers.
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.