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Healthcare

The healthcare sector is in a constant state of flux - even in private practice, compliance needs are huge. Our specialist healthcare accountants have been working with GPs, dental practices, care homes and other healthcare professionals for many years, providing business management, accountancy and taxation services. Our Leicester and Maidstone offices are members of the Association of Independent Specialist Medical Accountants (AISMA).

How we can help

Each area of the healthcare profession has subtle differences in their accounting and advisory requirements; our team understands those differences and advises accordingly.

GP practices

We can help by providing:

  • Regular management and year-end accounting
  • Tax compliance and planning 
  • Advice on alternative business structures 
  • Specialist capital allowance claims for surgeries
  • Superannuation certificates
  • NHS pension reports and projections for annual allowance and lifetime allowance planning
  • Planning of partner drawings and cash flow management
  • Succession planning, partnership changes and property ownership
  • Software selection and training

As well as acting for the practice, we can also provide guidance to individual GPs in relation to tax planning and wealth management. 

If  you’re a locum or salaried GP, a hospital consultant or doctor, we can assist with your very specific accounting needs:

  • Annual accounting and tax returns
  • Assistance with NHS pension returns 
  • Advice on tax deductible expenses and requirements around business record-keeping
  • Retrospective tax claims of professional and examination fees
  • NHS pension reports and projections 
  • Alternative business structures including limited companies

Dentists

Our team can support you with:

  • Regular management and year-end accounting
  • Tax compliance and planning 
  • Alternative business structures, including limited companies
  • Capital allowances planning for surgery equipment
  • Specialist capital allowance claims for existing and new-build surgeries
  • Superannuation annual reconciliation reports 
  • NHS pension reports and projections for Annual Allowance and Lifetime Allowance planning.
  • Practice acquisitions and disposals 

NHS Pensions

For some members, the NHS Pension Scheme will be one of their most valuable assets. Due to its complex nature, it is helpful to have a specialist adviser that understands the intricacies of the scheme. Our experienced medical accountants can help you make sense of your personal situation and advise you on what to do to safeguard and maximise your financial future.

If you need help or more information take a look at our NHS Pensions page.

Care home owners

A care home is a highly specialised business, with distinct accounting needs. We have experts in-house who can help you with:

  • Annual accounts, payroll, bookkeeping and management reporting
  • Tax planning and business structure review
  • Personal, partnership and corporation tax returns, and partial exemption VAT calculations

Let us look after the accounts, tax and business strategy, so you can focus on looking after your patients. Get in touch for a consultation.

Key contact

Partner
Andrew Leal
+44 (0)3330 100 220
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Enquire now

Meet the team

Photo of Martin Ramsey

Martin Ramsey

Partner

Martin joined MHA MacIntyre Hudson in 2017 having spent 16 years working in the assurance team of a top 5 firm and having been in the profession for 27 years.  Martin deals with a mixed portfolio of clients but has particular sector specialisms in healthcare and professional practices. 

In addition to his audit and accounting work Martin has been involved in many other areas of advice such as in the areas of client money accounting and the related regulatory issues, mergers and acquisitions particularly in the professional’s space, funding, business structuring and incorporations, benchmarking and so on.

Martin’s preferred way of working is through face to face client relationships where he has the opportunity to really understand the clients business and offer support and advice based on both the personal and corporate aspirations of the client.

Outside of work Martin is married with three children who keep him busy.  He is also a keen cyclist and enjoys a day’s fly fishing when the weather is fair.

Get in touch with Martin Ramsey
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Rakesh Shaunak

Partner and Group Chairman

Rakesh is currently Group Chairman as well as Chairman of the City Office. Rakesh qualified as a Chartered Accountant with a top five firm, gaining experience of large corporate audits and qualifying as a Member of the Institute of Taxation. He devotes much of his time to business advisory work and has a large portfolio of commercial clients. He is also the Managing Partner of the firm's education unit acting for a substantial number of colleges, academies, free schools, and other schools and education bodies.

He acts for a number of Leisure and Hospitality providers and understands the challenges facing the sector. Rakesh is keen to follow the ever changing landscape of Leisure and Hospitality in order to anticipate the needs of his clients.

He believes that people accept inefficiency and complacency far too easily and everyone should be encouraged to test their boundaries.

Get in touch with Rakesh Shaunak
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Steve Cosford

Healthcare Director

Steve has worked in the profession since 1988 and is a senior manager who leads a team specialising in servicing the accounting and business needs of general medical practitioners.

He works with GP Partnerships and GP Federation companies, along with other associated businesses including GP owned pharmacies and locum companies.

Steve has also recently been involved in the formation of a number of super partnership mergers.

Get in touch with Steve Cosford
Photo of James Dickman

James Dickman

Accounts Manager

James started with MHA MacIntyre Hudson in 2009 where he completed his training and has worked his way up to Accounts Manager. James is a specialist in the Healthcare sector and assist his clients with a variety of services, including:

  • Partnership and sole trader accounts and tax returns
  • VAT returns, including partial exemption calculations
  • Preparing superannuation certificates for the NHS pension scheme
  • Bookkeeping and management accounts
  • Due diligence and reviews of GP practices for merger and profitability purposes, including for local CCGs
  • Implementing, training and advising on cloud accounting solutions for all organisations nationally

James qualified as a chartered accountant in 2014 and is a part of the ICAEW Healthcare Sector Group. He looks after a large number of GP practices and a wide variety of medical consultants mainly in the Kent and London, but works with clients both nationally and internationally too.

James is a Xero certified advisor and a certified QuickBooks Online advisor which he uses as part of his nominated Digital Solutions contact role for the firm.

In James’ spare time he enjoys playing snooker and pool as well as a round of golf and watching the Formula 1.

Get in touch with James Dickman

What they say about us

With MHA MacIntyre Hudson’s support, our business has been very successful since we started three years ago. Simon Burke - Dalbergia Group

What they say about us

SilverLining UK very highly recommends MHA MacIntyre Hudson for all your company’s financial accounting needs.Our corporation has worked with MHA MacIntyre Hudson for the last 4 years. They are truly the best at what they do.They continually provide timely and excellent service and go ‘above and beyond' for their client. Their knowledge, communication skills and professional qualifications are of the highest quality and standards. SilverLining UK - Construction Sector