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 

Beyond Compliance Medical practices are no longer expected to just deliver healthcare services, but are now required to perform as a business with strategic measures in place. Partners and Practice Mangers have to focus on cashflow, budgets, tendering and strategic plans, alongside their other day-to-day commitments. We frequently help our clients with bespoke projects that are above and beyond the normal ‘compliance’ services. Whether you are already a client of MHA Moore and Smalley, or have services with another firm, we can provide an independent opinion on a range of different areas. We provide services to practices, including:

• Restructuring, mergers and federations
• Online accounting software
• Payroll
• Strategic sessions and away days
• Profit, drawings and cashflow forecasts
• Incorporation
• Bids and tendering
• Benchmarking
• Management information reports

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. We can help by providing:

• 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 

Other Beyond Compliance services GPs are no longer expected to just deliver healthcare services, but are now required to perform as a business with strategic measures in place. Partner and Practice Mangers now have to focus on cashflow, budgets, tendering and strategic plans, alongside their other day-to-day commitments. We frequently help our clients with bespoke projects that are above and beyond the normal ‘compliance’ services. Whether you are already a client of MHA Moore and Smalley, or have services with another firm, we can provide an independent opinion on a range of different areas. We provide services to individuals, and can help in all aspects of a professional’s life; from training through to retirement, including:

• Financial planning
• Annual and Lifetime Allowance
• Retirement options and pension projections

• Reviewing and advising on the financial aspects of your PCN agreement. 
• Advising on your PCN structure, considering the long-term strategy over the 5-year contract plan. 
• Assisting with the set up of tailored cloud accounting book-keeping software to manage the PCN funding through the nominated payee bank account. 
• Preparing an annual statement of the transactions to enable the correct figures to be allocated into the member practice partnership accounts. 
• Providing personal tax and pension advice in respect of the role of the PCN Clinical Director, including assessment of the different ways the role can be paid for. 
• Advice on the VAT implications of transactions across the PCN, review cost sharing group provisions and help meet HMRC requirements to ensure the PCN operates within the VAT rules. 
• Advice in respect of staff employed by the PCN or hosted by a PCN member on their eligibility for access to the NHS pension scheme. 
• Liaison with specialist healthcare solicitors who can prepare and update the PCN agreements and manage the restructuring that might be needed with respect to Federation involvement or PCN companies. 

Our team provide a tailored service to a range of independent pharmacy businesses, including dispensing practices, community pharmacy owners and pharmacy companies. MHA Moore and Smalley provide advice on a number of areas affecting the Pharmacy sector, including; 

• Preparing management accounts 
• Cash flow planning 
• Tax issues 
• Benchmarking 
• Pensions planning 
• Corporate finance 
• VAT and employer issues 
• Payroll services 
• Independent financial planning and wealth management

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 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.  Our team of medical accountants work closely with our in house specialist medical Independent Financial Advisors, when appropriate, to ensure you get the best advice for your circumstances and will explain the options, allowing you to make an informed decision about the way forward.  How we can help: 

• Check the accuracy of your membership history and details on your annual pensions savings statement. 
• Establish your current position and assess your exposure to a pension tax charge. 
• Review any Lifetime Allowances protections to ensure they are still valid and advise on current protections and how to apply for them. 
• Predict the Lifetime Allowance at your planned date of retirement. 
• Forecast the Annual Allowance for each tax year and as part of a long term planning strategy. 
• Planning for retirement (incorporating predicting the optimum time to take 24 hour retirement). 
• Full financial review alongside a specialist medical Independent Financial Advisor. 
• Discuss and explore alternative options to the NHS Pension Scheme if appropriate and subject to your personal circumstances. 

The McCloud Judgement  Confused about the impact of the McCloud Judgement on your pension? Visit our Hub for more information. 

• Preparing management accounts. 
• Tax advice and minimising liability. 
• Cash flow advice. 
• Benchmarking. 
• Payroll services. 
• VAT changes. 
• Buying and selling care homes. 
• Independent financial planning and wealth management.