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Primary Care Networks, Federations and the Brave New World – Learning Lessons from Past Failures

April 27, 2019 //  by admin

The imminent creation of Primary Care Networks which in turn will be expected to expand into larger organisations in the future, will place some GPs into the nature of organisations with which they may be unfamiliar. My own experience so far is that a number of PCNs will be looking to work with their local …

Primary Care Networks, Federations and the Brave New World – Learning Lessons from Past FailuresRead More

Category: Primary CareTag: Federations, NHS Trusts, Primary Care Networks

Don’t Worry About Hard or Soft Brexit – Think About Hard or Soft GP Mergers

April 22, 2019 //  by admin

The current preoccupation with Primary Care Networks will encourage some practices who will be working closely together to consider merging together. Last week I visited two practices, one PMS and one GMS, to help facilitate the merger by looking at each practice’s finances. One word of warning – mergers are not always a good idea. …

Don’t Worry About Hard or Soft Brexit – Think About Hard or Soft GP MergersRead More

Category: GPs, PCNS, Practice ManagersTag: gps, mergers

HMRC Changing the Way GPs Claim Their Personal Expenses – and Changing Their Mind – Phew!

April 19, 2019 //  by admin

by Laurence Slavin, Partner For as long as I can remember (30 years+!) GP claim their personal expenses as a deduction from their profit share outside the practice accounts. To explain – let’s say there are two partners sharing profits equally and profits are £100,000. Partner A has personal expenses of £5,000 and Partner B …

HMRC Changing the Way GPs Claim Their Personal Expenses – and Changing Their Mind – Phew!Read More

Category: Consultants, GPs, LocumsTag: expenses, hmrc

Tax Advice – Sorry – Information About Tax and Pensions

March 28, 2019 //  by admin

by Laurence Slavin, Partner Visited a high earning GP today. Still in his 40s, he has already exceeded his lifetime allowance, and has an annual allowance tax liability every year. So why, I asked him, has he taken no action. Is it because he is committed to get the maximum NHS pension at retirement or …

Tax Advice – Sorry – Information About Tax and PensionsRead More

Category: Consultants, GPs, LocumsTag: pensions

What Lorraine Kelly Can Teach Locum GPs About Tax and IR35

March 21, 2019 //  by admin

by Laurence Slavin, Partner HMRC’s IR35 campaign which is designed to push individuals into employed roles rather than self-employed suffered a rather public defeat yesterday with Lorraine Kelly, the television presenter winning a case brought by HMRC. The judgment is interesting…..”for the time Ms. Kelly is contracted to perform live on air she is public …

What Lorraine Kelly Can Teach Locum GPs About Tax and IR35Read More

Category: Consultants, Entrepreneurs, GPs, LocumsTag: IR35

Unintended Consequences of the Clinical Negligence Scheme for GPs

March 21, 2019 //  by admin

by Laurence Slavin, Partner Visited a large practice yesterday who have a mixture of salaried GPs, some of which have their indemnity payments paid by the practice and others who receive a higher rate of pay and pay the indemnity themselves. The welcome reduction of the indemnity costs now creates a division as those with …

Unintended Consequences of the Clinical Negligence Scheme for GPsRead More

Category: Consultants, GPs, Locums, Practice ManagersTag: Clinical Negligence Scheme

Final Pay Control – A Nasty Charge for GP Practices and Employers

March 19, 2019 //  by admin

by Laurence Slavin, Partner Unlike GPs whose pensions are based on their lifetime earnings, GP staff have their pensions based on their final year’s salary. You might see that there is an opportunity here to hike up the salary of good and loyal staff in their final years, which will reward them with a larger …

Final Pay Control – A Nasty Charge for GP Practices and EmployersRead More

Category: Consultants, GPs, Locums, Practice ManagersTag: pay control

An Interesting Chat About the Use of Companies for GPs

March 17, 2019 //  by admin

by Laurence Slavin, Partner Last week I visited a client who had attended a course in London last year in which the speaker, an accountant, asked the audience why they were not all practicing through companies, and paying just 19% corporation tax. The audience were sold, and my client was irritated. Why hadn’t I told …

An Interesting Chat About the Use of Companies for GPsRead More

Category: Consultants, GPs, Limited Companies, LocumsTag: consultants, gps, Limited companies, locums

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