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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

Head of Healthcare, Partner
James Gransby
+44 (0)3330 100 221
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Enquire now

Meet the team

Photo of James Gransby

James Gransby

Head of Healthcare, Partner

James qualified as a Chartered Accountant in 2003 and became partner in 2009.

James is head of the Healthcare sector at MHA MacIntyre Hudson and has a diverse portfolio in the healthcare sector comprising a range of GP Practices, Locum GP’s, Dentists, Hospital Consultants and other healthcare professionals.

He is also the nominated specialist for the Maidstone office’s membership of AISMA “The Association of Independent Specialist Medical Accountants” of which he also sits on the Board of Directors.

James spends an  increasing amount of time presenting to the healthcare sector, including trainees, GP Practices (including advising those looking to join a Federation) and in hospitals, around the country.

Outside of his sector specialism James’ client base comprises of charities (including Academies) and regulated businesses alongside other various mainstream audit, accountancy and tax work.

James prides himself on getting to know his clients, looking past the numbers at their aspirations and family dynamics and recognises that tax efficiency needs to be weighed up with overall objectives.

Outside of work he enjoys spending time with his growing family (he and his wife have four young sons), along with fishing, golf and playing pool (having represented Kent at county level for the latter). 

Get in touch with James Gransby
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
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Bob Trunchion

Tax Partner

Whilst Bob qualified in the audit department of a big four firm, he soon moved to their Corporation Tax Department,  His move to MacIntyre Hudson in 1985 has rounded off his knowledge so that he is well versed in all aspects of tax. As well as advising clients on a consultancy basis, Bob is mainly involved in heading up tax training both in the firm and in our specialist training arm (www.mhasllp.com). He also spearheads the firm’s offering in training non financial managers and directors in understanding accounts (Financial Training Services)  on all manner of transactions. Whilst he is deeply involved in training, he has appeared on national radio and television talking about IHT. Bob believes that simple solutions are often the best ones with taxation.

Get in touch with Bob Trunchion
Photo of  Robert Nelson

Robert Nelson

Partner

Robert has a diverse portfolio of clients ranging from sole traders and personal tax clients to owner-managed groups of companies.  Robert also has a particular interest in the not-for-profit sector.  His clients include a number of large household name charities in Leicestershire and further afield, members' clubs and associations.  Robert particularly enjoys the varied nature of this work and has gained wide experience advising clients in the sector over many years. In all of his client dealings Robert enjoys getting to grips with the detail and working closely with clients and their senior staff.   

Leicester born and bred, Robert is a loyal, if some-what frustrated season ticket holder at Leicester City Football Club, and a keen golfer.

Get in touch with Robert Nelson

What they say about us

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

What they say about us

The team at MHA MacIntyre Hudson have taken away the burden of the day to day bookkeeping, payroll and CIS work off me. This has enabled me to spend more time working on my business, finding new work, new ideas and ways to be more profitable. Thanks to the help I’ve received, I can see a bright future for me and my company. Luke Day - Complete Wiring Solutions