Repeat Prescription
Key primary care updates for October 2026, including GP locum reimbursement, patient list cleansing, same-day access, the Health Bill and Autumn Budget.
Medical Accountants
Accountants for Doctors & Medical Professionals
Price Bailey provides specialist accounting and advisory services to GPs, GP practices, PCNs, federations, locums, and medical professionals operating within the NHS and wider healthcare sector. Support covers medical‑specific financial, tax, and regulatory matters, including NHS income structures, pensions, and evolving funding arrangements. Our work reflects how primary care organisations operate and the ongoing pressures affecting medical practices.
Guiding you and your practice through uncertain times
Our expert medical accountants understand the challenges facing medical professionals today whether that’s workforce shortages, lack of funding or the unprecedented demand for primary care. Amidst these complexities, staying on top of regulatory updates, changes to funding, pension tax implications, and compliance can prove particularly difficult.
With extensive experience supporting GP practices, partners, locums, and other medical professionals, our dedicated healthcare team offers tailored guidance to help you stay compliant with legislation, maximise financial opportunities, and remain informed about ongoing industry changes.
Who we support across the Medical Sector
GP Practices
Managing multiple income streams, pension tax exposure, PCN arrangements, staffing costs, and increasing scrutiny from NHS bodies and HMRC has made financial oversight for GP practices more demanding than ever, particularly in the context of the NHS 10‑Year Plan, evolving service models, and new contractual frameworks. Our specialist GP accountants work closely with practices to provide clear, practical support that reduces administrative burden, ensures compliance, and brings clarity to financial decision‑making. With extensive experience supporting GP practices through contractual change and long‑term NHS reform, we help partners and managers maintain financial stability, plan confidently for the future, and focus on delivering high‑quality patient care.
GP Partners
Becoming a GP partner is a significant career step that brings shared financial responsibility, with partners needing to manage drawings, capital accounts, profit allocations, and personal tax exposure alongside practice commitments. Changes to income, partnership agreements, and pension arrangements can directly affect financial outcomes if not carefully managed. Our specialist medical accountants provide clear, partner‑focused advice to help GPs understand their position, meet their obligations, and make informed decisions throughout their time in partnership.
Salaried GPs
While salaried GPs do not carry the same responsibilities as partners, managing income, tax obligations, and NHS pension arrangements can still be complex, particularly where there are additional roles, sessions across multiple practices, or changes to contracts and pay structures. Understanding tax codes, pension contributions, and how different income streams interact is essential to avoiding unexpected liabilities. We help ensure salaried GPs’ financial affairs are structured clearly and managed with confidence.
Locums
GP locums often work under multiple contracts across different settings, creating complexity around employment status, IR35 considerations, and how income should be structured and reported. Flexible working patterns and varied engagements can make accurate record‑keeping more challenging, while responsibility for personal tax affairs sits entirely with the individual. Our medical accounting team helps locums make sense of these arrangements, supporting efficient financial management and reducing the risk of errors or HMRC penalties.
Consultants
Consultants often have multiple income sources, each requiring different treatment for tax and national insurance, which can add complexity to managing overall finances. Alongside this, tax planning, returns, annual accounts, and accurate bookkeeping all need careful coordination to ensure obligations are met and income is managed efficiently.
Federations
GP federations continue to play a key role in delivering services at scale, but bringing together multiple practices creates added complexity around financial oversight, governance, and accountability. Managing separate income streams, shared costs, and reporting requirements across practices can place pressure on financial control and decision‑making. Clear, joined‑up accounting and planning is essential to ensure federations remain sustainable while supporting patient services across their communities.
Primary care networks (PCNs)
PCNs are an established part of primary care, but remain complex to manage due to multiple income streams, funding conditions, reporting requirements, and VAT considerations. As contracts, funding arrangements, and the NHS 10‑Year Plan continue to evolve, strong financial management remains essential. We support PCNs by advising as changes come into effect, helping ensure accurate reporting, compliant management, and smooth day‑to‑day operation.
With comprehensive experience across the medical and primary care sector, our expertise is built on a thorough understanding of the distinct challenges and pressures faced by GP practices and primary care organisations. Clients rely on us to take a proactive approach interpreting the complex regulatory, operational and financial demands that shape general practice today. We provide clear, practical guidance that supports informed decision making and long‑term stability, despite rising NHS pressures.
Holly Gibson, Healthcare Partner
The services we provide for medical practices include:
GP, PCN and medical accounts & tax returns
Preparation of accounts and tax returns that reflect how medical organisations operate, including NHS income, private work, partnership structures, and PCN or federation arrangements.
Personal tax and compliance services for medical professionals
Specialist tax advice covering the unique considerations faced by medical professionals and organisations, including NHS income, private work, partnerships, and evolving legislative requirements.
Employment and HR support for medical practices
Support with employment and HR matters that reflect the realities of running a medical practice, including staffing structures, contracts, payroll and ongoing compliance obligations.
VAT compliance for medical practices
Specialist VAT advice for medical practices, ensuring correct treatment across goods and services while protecting margins and cash flow.
Partner drawings and working capital management
Advice on partner drawings policies, cashflow forecasting and working capital discipline to support liquidity and reduce pressure on funding. This can include scenario modelling and practical controls aligned to your practice’s structure.
Partnership agreements and partner transitions
Support with partnership agreements, governance provisions and practice structures, including planning for partners joining or leaving. This is advisory support focused on commercial, financial and operational implications, rather than standard compliance work.
Outsourced finance function services for practices
Ongoing support to help practices and medical organisations produce meaningful management information, and meet company and statutory requirements efficiently and accurately.
Financial systems and software for NHS income and reporting
Advice on selecting and implementing financial systems that can handle multiple NHS income streams, reporting obligations, and practice‑level complexity, helping improve visibility and control without adding administrative burden.
NHS pensions and employer obligations support
Guidance on NHS pension obligations (superannuation), for both employers and individuals, helping medical organisations and professionals navigate complexity, meet requirements, and plan with greater confidence.
Why choose Price Bailey medical accountants?
In a sector where financial and regulatory demands are constantly evolving, Price Bailey provides specialist support to GPs, practices and wider primary care organisations. From NHS pensions and funding considerations to tax and compliance, our dedicated healthcare team offers practical guidance shaped by real experience in the medical sector. Book a free medical accounting consultation or speak to our Healthcare Accounting Team using the form below.
What FAQs do our experts receive?
Watch our experts answer the questions GPs, practice managers and medical professionals ask us most often. Select a question below to play the video.
The overall feeling in General Practice in 2026
How should GP Partners set drawings without creating cash flow pressures later?
What should new GP Partners check before joining a partnership?
What considerations should PCNs be aware of with the neighbourhood contracts and collaborative working changes?
Premises and ownership considerations for GP Partnerships
Do doctors need specialist medical accountants?
Yes. Doctors often face financial and regulatory considerations that differ from other professions, particularly when working within the NHS. Specialist medical accountants understand these sector‑specific complexities and can provide more relevant, accurate advice.
Do you work with locum doctors and limited companies?
Yes. We work with locum doctors operating as sole traders, through limited companies, or across multiple engagements, supporting the differing tax and reporting requirements involved.
Can you advise on IR35 for medical locums?
We advise medical locums on IR35 and employment status considerations, helping assess contractual arrangements and understand the potential tax and compliance implications.
Can you help with NHS pensions and superannuation?
Yes. We provide specialist support with NHS pension and superannuation matters, helping individuals and organisations understand their obligations and manage complexity.
Do you work with locum and consultant doctors?
We work with both locum and consultant doctors, including those with NHS and private income, supporting the financial and tax considerations associated with multiple income streams.
How do you onboard new medical clients?
Our onboarding process is structured and straightforward, designed to minimise disruption while ensuring we fully understand each client’s role, arrangements, and requirements from the outset.
Meet the team
Holly Gibson
Holly is a Partner who leads the Price Bailey Healthcare team. She advises doctors and medical practices on annual accounts, tax, remuneration planning and cashflow. She was previously nominated as an AISMA specialist, the association for independent specialist medical accountants.
Holly helps clients respond to changes that affect their income and pensions, including NHS contract amendments and the McCloud remedy. She also writes Repeat Prescription, the Price Bailey healthcare bulletin covering GP contract changes, NHS reform and practice finance.
Kirsty Beck
Kirsty is a Manager in the Price Bailey Business team, specialising in healthcare. She supports medical clients with year-end accounts, tax compliance, VAT and financial reporting, including for practices with more complex structures.
Kirsty has a strong background in outsourced finance. She often acts as the finance lead for a practice, either working with its own team or overseeing an outsourced finance function. Before moving into accountancy, she worked in clinical and practice management roles in dental primary care, so she understands how a practice runs day to day.
Speak to a specialist medical accountant today
Whether you’re managing a practice or building your career, our healthcare specialists can support you with practical, relevant advice.
We can help
Contact us today to find out more about how we can help you
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