The client A city-centre GP practice in the South-East discovered it was underclaiming significant amounts of funding through the Additional Roles Reimbursement Scheme (ARRS). With four GP partners, three salaried GPs and a list of around 8,500 patients, the practice had made no changes to ARRS staff that may have explained the situation. The dilemma … Continue reading →
£37,000 funding gap avoided through specialist accountancy know-how
AISMA accountant uncovers £180,000 VAT refund for dispensing practice
The client A dispensing practice in Northamptonshire had been using a non-specialist accountant to submit their VAT returns. An initial review of the practice’s backdated partial exempt VAT claims, carried out by the practice’s newly appointed AISMA accountant MHA Nottingham, revealed a significant volume of errors. The dilemma ‘A conservative estimate was that the practice … Continue reading →
£42,000 tax saving found for GP partner
The client A GP partner received an unexpectedly large tax bill. With his own accountant unable to provide an explanation, he turned to the specialist medical accountancy firm in Manchester appointed by the practice. The dilemma Wanting to save money, the doctor used a sole trader, non-specialist accountant to prepare his personal tax return. Due … Continue reading →
Benchmarking unlocks profitability for practice at risk of collapse
The client A two-partner GP practice based in London with nine salaried GPs and 12,500 patients had out-of-control spending on staffing and locum costs. The dilemma When AISMA accountancy firm Ramsay Brown was appointed by the GP practice in May 2023 they found it in a perilous financial position. There were no financial controls in … Continue reading →
Potential VAT issues untangled for practice claiming ARRS funding
The client A two-partner practice in South East England received surplus ARRS funding, potentially pushing it over the VAT threshold. The dilemma For many medical practices, including the practice in this case study, there is no need to go through the hassle and expense of registering for VAT. However, when the Additional Roles Reimbursement Scheme … Continue reading →
Forensic analysis of pension records puts GP’s retirement plans back on track
The client A GP partner in the East of England submitted their retirement benefits claim form 10 months prior to their planned retirement date in August 2023. Despite submitting it in good time, a year-long delay in processing the form by Primary Care Support England (PCSE) led to financial distress for the partner and a … Continue reading →
Specialist knowledge uncovers £60,000 drugs reimbursement shortfall
The client The client, a GP partnership in south-east England, holds two practice contracts. Two partners and 9.5 FTE salaried GPs provide services for around 24,000 patients, with weighted list sizes of around 18,000 and 3,000 representing a young, affluent patient demographic. In 2017 the partnership had merged with another practice, and a third contract … Continue reading →
Are you at risk of losing tax-free childcare?
The client A new partner at a long-established GP practice in Kent was at risk of a £4,000 claw-back relating to the government’s tax-free childcare scheme. The dilemma The tax-free childcare scheme was introduced in April 2017 to help working parents fund childcare costs. Earnings for the year must remain below a threshold of £100,000 … Continue reading →
How re-financing the practice premises turned out to be a win-win for all the partners
The client A fast-growing GP practice in South Yorkshire had more and more patients coming through the doors and the partners decided to extend one of their two surgery sites. The work was financed through a combination of cash in the partnership and a large overdraft facility. The dilemma One of the doctors, previously a … Continue reading →