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Management Accounts & Cash Flow for GP Practices
Management Accounts & Cash Flow for GP practices. No clear view of profit? We fix it: fixed fees, ICAEW-regulated specialists. Free quote.
What does management accounts & cash flow for GP practices involve?
Our management accounts & cash flow service for gp practices covers monthly/quarterly management accounts, kPIs, cash-flow forecast. It solves the problems we see most often — gp practices: No clear view of profit, margins or cash; lender and CQC information requests — on a fixed monthly fee agreed in writing before any work starts.
Fixed fees, specialist healthcare accountants, and every HMRC and NHS Pensions deadline handled.
- Fixed monthly fee — no surprises
- Specialist in NHS pension and healthcare tax
- Onboarding within 48 hours
- ICAEW & ACCA regulated
- 5,000+ clients served by ACCOTAX
- Specialist healthcare accountants
Reviewed by Waqas Sagar ACA FCCA FMAAT, Founder of ACCOTAX, 18+ years' experience · Last reviewed: 8 October 2026 · Updated for the 2026/27 tax year
Medical.Accountants by ACCOTAX, ICAEW/ACCA-regulated chartered accountants, London, serving clients across the UK. Over 5,000 clients served.
Key takeaways
- Problems solved: Gp practices: No clear view of profit, margins or cash; lender and CQC information requests.
- Included: Monthly/quarterly management accounts.
- Included: KPIs.
- Included: cash-flow forecast.
Free guide: The Doctor's Tax & NHS Pension Handbook 2026/27
Get the free guideWhich accountancy support fits your income?
Start with how you are paid. Different income sources can need different accounts, returns and expense checks.
| How you work | What we check | Support to explore |
|---|---|---|
| Employed or umbrella (PAYE) | Tax codes, eligible employment expenses and whether a tax return is needed. | Healthcare tax refund support |
| Genuinely self-employed | Business income and expenses, Self Assessment and MTD eligibility. | Healthcare Self Assessment service |
| Your own limited company | Company accounts, Corporation Tax, director income and off-payroll status where relevant. | Healthcare limited company accounts |
| Partnership | Practice accounts, allocated profit and each partner’s personal tax position. | Healthcare partnership accounts |
Sound familiar?
Problems we fix for GP partners and practices
- "Our partnership accounts and profit shares are a headache every year."
- "The Type 1 certificate and pension year-end deadline always sneak up on us."
- "I've received an annual allowance charge letter."
- "Partners draw too much and there's nothing left for tax."
- "A partner is leaving and a new one is joining."
- "Reconciling PCN and ARRS funding takes forever."
What it's costing you
Leaving it unfixed is rarely free
- Overpaid tax
- Unclaimed expenses and wrong tax codes mean paying more than you owe, year after year.
- HMRC penalties and interest
- Late returns attract automatic penalties, plus interest on tax paid late.
- Lost evenings
- Hours spent on forms, invoices and spreadsheets after a long shift.
General examples — your position depends on your own figures.
How we solve it
What we actually do for you
Partnership accounts
Clear profit-share schedules and accounts every partner understands.
Pension certificate service
Type 1 and Type 2 certificates prepared ahead of the deadline.
Drawings planning
Monthly drawings set against a realistic tax reserve.
PCN reporting and payroll
ARRS reconciliation and practice payroll run for you.
How we help
01
Monthly/quarterly management accounts
Part of our management accounts & cash flow service for gp practices, delivered on a fixed fee.
02
KPIs
Part of our management accounts & cash flow service for gp practices, delivered on a fixed fee.
03
cash-flow forecast
Part of our management accounts & cash flow service for gp practices, delivered on a fixed fee.
04
budget vs actual
Part of our management accounts & cash flow service for gp practices, delivered on a fixed fee.
Your questions answered
What are management accounts?
Management accounts are financial reports produced regularly to reflect the current performance of your healthcare business. They typically include a profit and loss statement and a balance sheet. These reports differ from statutory accounts by focusing on internal decision-making. They help clinicians monitor their financial health in real-time.
Want us to check this for you? Get a free review →How often should I get them?
The frequency of management accounts depends on the size and complexity of your healthcare practice. Many clinicians opt for monthly or quarterly reports to maintain tight control over their finances. Regular reporting helps identify trends and potential tax liabilities early. Medical.Accountants provides these reports based on your needs.
Want us to check this for you? Get a free review →Which KPIs matter for my healthcare business?
Key Performance Indicators for healthcare businesses often include staff cost ratios and average revenue per patient. Monitoring clinical room utilisation and overhead percentages is also essential for profitability. These metrics provide insights into operational efficiency beyond simple bank balances. We help you identify the most relevant data for your specialty.
Want us to check this for you? Get a free review →How do cash-flow forecasts help?
Cash-flow forecasts help you predict future bank balances by timing anticipated income against planned expenditure. They are vital for planning large tax payments or equipment upgrades. These projections allow for informed decisions regarding recruitment and expansion. Maintaining accurate forecasts reduces the risk of unexpected liquidity issues.
Want us to check this for you? Get a free review →What do lenders expect to see?
Lenders typically expect to see historical accounts and detailed financial projections. They require evidence of consistent clinical income and sound debt management. Management accounts and tax returns are standard requirements for healthcare financing. Medical.Accountants prepares professional financial packs to support your lending applications.
Help with this question: Mortgage References & SA302s for Doctors & Healthcare Professionals
Want us to check this for you? Get a free review →Can management accounts support CQC applications?
Management accounts can demonstrate financial viability during the Care Quality Commission registration process. They provide evidence that the provider has sufficient resources to maintain safe and effective services. Accurate financial reporting supports the 'Well-led' domain of the inspection framework. We assist in generating reports that reflect your business stability.
Want us to check this for you? Get a free review →How much do management accounts cost?
The cost for management accounts is determined by the complexity and frequency of the reporting required. Medical.Accountants operates on a fixed-fee basis, which is always agreed in writing before work commences. This ensures full transparency and aids your practice budgeting. Fees are tailored to the specific needs of your healthcare business.
Want us to check this for you? Get a free review →Can you work with Xero or QuickBooks?
We work with doctors, dentists, nurses, pharmacists, allied health professionals, aesthetic practitioners and healthcare businesses including care homes, clinics and agencies across the UK.
Want us to check this for you? Get a free review →How are GP partners taxed on their profit share?
Gp practices pay income tax on taxable profit at 20%, 40% and 45%, plus Class 4 National Insurance on self-employed profit. Payments on account mean your first bill can include half of next year's tax too. Where income also comes from overseas, residence status and split year treatment decide what the UK taxes.
Help with this question: Partnership Accounts for GP Practices
Want us to check this for you? Get a free review →What is a Type 1 pension certificate and when is it due?
GP partners report NHS pensionable profit to the scheme each year on a certificate based on the practice accounts; locum GPs use the locum A and B forms to pay contributions on each piece of pensionable work. Late or wrong forms cause missing service and incorrect pension records. We prepare the figures and check them against the accounts before submission.
Check the official guidance · www.gov.ukHelp with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals
Help with this question: Payroll & Pensions for GP Practices
Want us to check this for you? Get a free review →How much should GP partners set aside for tax from drawings?
GP partners should generally set aside a significant portion of their monthly drawings to cover future tax liabilities. Payments on account are due on 31 January and 31 July each year. Your specific percentage depends on your total earnings and other income sources. We calculate these liabilities in advance to help you manage cash flow.
Help with this question: Partnership Accounts for GP Practices
Want us to check this for you? Get a free review →What costs qualify for R&D relief?
Qualifying R&D costs generally include staff salaries, employer NICs, pension contributions, and consumable materials used in research. Software licenses and certain subcontracted activities may also be eligible for relief. The expenditure must be directed towards resolving scientific or technological uncertainties. Healthcare businesses should maintain detailed records to support these claims.
Want us to check this for you? Get a free review →How does the merged R&D scheme work?
The merged R&D scheme provides a unified expenditure credit for companies of all sizes undertaking qualifying research. Tax relief is calculated as a percentage of your eligible research and development spending. This credit is taxable and is offset against your corporation tax liability. It simplifies the process by replacing previous separate systems.
Want us to check this for you? Get a free review →What is SEIS and EIS advance assurance?
Advance assurance is a statement from HMRC confirming that a proposed share issue should qualify for tax relief. This gives potential investors confidence that they can claim SEIS or EIS benefits. Medical startups often seek this before raising capital. The process involves submitting detailed business plans and share structures to HMRC for review.
Want us to check this for you? Get a free review →Quick quote
See what you could save — get a fixed fee in one working day
Three fields. No obligation. A specialist replies, not a sales team.
Packages for your working life
Accountancy packages for GPs
Self-employed income, a limited company, PAYE or a mixture: start with the support that matches how you actually work. We check your status and agree the scope and fee before starting.
Self-employed accountants for GPs packages
For genuine sole-trader income. We prepare your business accounts and Self Assessment, review allowable expenses and explain payments on account.
- Sole-trader accounts and personal tax return
- Allowable business expenses reviewed
- Tax reserve and payment deadline guidance
- MTD support scoped separately where required
Fixed fee quoted after a review
Discuss this packageLimited company accountants for GPs packages
For clinicians working through their own company. Choose Essential/Compliance, Core/Complete or Growth according to your accounts, bookkeeping and payroll needs.
- Statutory accounts and Corporation Tax return
- One director return for salary and dividends from the same company
- Confirmation statement support; filing fee extra
- Bookkeeping, VAT and payroll according to your chosen plan
Company packages from £45.83 + VAT / month
Compare company packagesPersonal tax return packages for GPs
For employed clinicians, partners and people with mixed income who need a return. We check whether Self Assessment is required and reconcile the relevant income, expenses and pension tax information.
- Self Assessment requirement checked
- PAYE and other income reconciled
- Eligible employment expenses reviewed
- Pension tax work agreed separately where needed
Fixed fee quoted after a review
Discuss this packageEmployment status is determined by the facts, not the package you choose. PAYE, umbrella and partnership arrangements may also apply. A limited company does not override IR35 or off-payroll rules, and not every employed clinician needs a tax return.
Overpaid tax?
Tax refund support for GPs
We review tax codes, eligible professional expenses and overpaid tax, then prepare a claim where you qualify. A refund is not guaranteed; HMRC decides the claim.
£249 + VAT
For refunds up to £5,000, our fee is £249 plus VAT. For refunds above £5,000, add 5% of only the amount above £5,000 to the £249 fee. VAT applies to the total professional fee.
Example: a £6,000 refund means £249 + £50 = £299 plus VAT.
Professional fee, excluding VAT
£249
This illustrates the fee only, not whether you qualify or how much HMRC will refund. We agree the claim scope and payment terms before work starts.
What's included
Limited company packages — compare what's included
Essential/Compliance
For locums, salaried GPs and dentists with a limited company
from £45.83 + VAT /month
- FRS 105 or FRS 102 1A statutory accounts
- Corporation tax return (CT600) and tax computation
- Confirmation statement preparation and filing support
- One director Self Assessment return
- Deadline reminders ahead of every filing date
Core/Complete
For private practice, consultants and associate dentists
from £62.50 + VAT /month
- Everything in Essential/Compliance
- Monthly bookkeeping and bank reconciliation
- Quarterly Making Tax Digital VAT returns
- Director payroll with RTI filing and pension submissions
- Quarterly review call on numbers and tax position
Growth
For clinics, dental practices and growing medical teams
from £75.00 + VAT /month
- Everything in Core/Complete
- Payroll for up to five employees
Prices exclude VAT. Making Tax Digital quarterly updates available as an add-on. Compare fees
Why clinicians trust us
Chartered accountants who know the NHS
- ACCOTAX has served over 5,000 clients.
- Regulated chartered accountants (ICAEW and ACCA).
- Founded by Waqas Sagar ACA FCCA FMAAT, with 18+ years' experience.
Reviewed by Waqas Sagar ACA FCCA FMAAT
Chartered accountant and founder of ACCOTAX. Last reviewed October 2026.
Get my fixed-fee quoteHow it works
- 01
Free call
A 15-minute chat about your income, structure and deadlines.
- 02
Onboarding in 48 hours
We set up your records, software and HMRC agent access.
- 03
We handle the rest
HMRC, NHS Pensions and every deadline, with reminders before each one.
Free resource
Get the GP year-end deadline calendar free
Tell us where to send it and we'll email it to you.
Your questions, answered
- Do GP practices need management accounts & cash flow?
- It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for gp practices in writing as part of your fixed-fee service.
- What does management accounts & cash flow for GP practices include?
- It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for gp practices in writing as part of your fixed-fee service.
- How much does it cost for GP practices?
- Our packages for gp practices start at £45.83 + VAT a month, with Core at £62.50 and Growth at £75 + VAT. The right package depends on your income sources, whether you trade through a company and any payroll, VAT or pension work. We confirm the exact fee in writing before any work begins, so there are no surprise invoices.
- What are the deadlines for GP practices?
- Many gp practices must file a Self Assessment return: you need one if you have untaxed income such as private, locum or self-employed work. A high PAYE salary alone does not require Self Assessment for 2026/27; check HMRC's current criteria and any notice to file. The online filing and payment deadline is 31 January after the tax year ends. Under the non-MTD rules, late filing normally triggers an initial £100 penalty, with further penalties for longer delays. A different regime applies from the tax year you join MTD for Income Tax.
- Can I switch to you mid-year?
- Switching takes minutes on your side. You sign our engagement letter, we contact your previous accountant for professional clearance and records, and we take over HMRC and Companies House authorisations. You can switch mid-year; we pick up from the last filed return.
Speak to a specialist today
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Book a free 15-min tax reviewRelated healthcare expertise
General information for the 2026/27 tax year, prepared from the official guidance linked below. It is not personalised tax or regulated financial advice. Rules and circumstances can change; confirm your position before acting.
Official sources referred to on this page: NHSBSA: GP pension certificates (Type 1/Type 2); HMRC partnership guidance (SA800); BMA GP finance guidance; NHS England PCN/ARRS guidance.