MTA
Medical Tax Accountants
Specialist accountants for GP practices

Practice accounts, run by
someone who runs a practice.

Accounts, partnership tax, payroll, pensions and benchmarking for general practice — from a firm founded by a practising GP partner who sits in the same practice meetings you do.

Book a free practice review See what we cover
The practice accounting problem

A GP practice is one of the most complicated small businesses in Britain.

A dozen NHS income streams, a payroll spanning two pension regimes, partners taxed as individuals on a shared profit, and an annual pension reconciliation for every one of them. Generalist firms do their best — but general practice punishes "their best."

Income from every direction

Global sum, QOF, enhanced services, PCN and ARRS flows, reimbursements for rent, rates and drugs, private and non-NHS fees — each stream needs recognising correctly, or the accounts quietly stop reflecting reality.

Pension admin for everyone

Type 1 certificates for every partner, estimates of pensionable profit, contribution tiers that move with earnings, plus the NHS scheme running through the staff payroll. Miss a piece and someone's pension record is wrong for years.

Accounts you can't act on

Most practices get a set of year-end accounts nine months after the fact and nothing in between. No benchmarking, no forecasting, no early warning on drawings — just history, delivered late.

How we help GP practices

Everything the practice needs, from one firm that gets it.

We work exclusively with medical professionals — and the firm is run by a practising GP partner. Practice accounts aren't one client type among hundreds. They're the centre of what we do.

Annual practice accounts

Full partnership accounts with every NHS income stream recognised properly — prepared to the standard lenders, incoming partners and the pension agencies expect, and delivered promptly rather than nine months late.

Partnership & partner tax

The partnership return plus every partner's personal self-assessment handled together — so profit shares, superannuation and payments on account stay consistent across the whole partnership.

Payroll & NHS pensions

Monthly payroll for salaried GPs, nurses and practice staff — NHS Pension deductions and submissions, auto-enrolment for staff outside the scheme, and starters and leavers handled without drama.

Partner pension certificates

Type 1 Certificates of Pensionable Profits prepared from the accounts and filed with PCSE for every partner, every year — with estimates and contribution tiers managed in between.

Management info & benchmarking

Quarterly figures the partners can actually use — income per patient, staff costs and profit per partner benchmarked against comparable practices, with drawings forecasts so nobody's ambushed in January.

Partner changes & succession

Admissions, retirements and profit-share changes handled properly — capital accounts, tax elections, pension implications and the figures your partnership deed and solicitors need.

The comparison practices ask about

A generalist firm or a medical specialist?

Plenty of capable high-street firms act for GP practices. Here's the honest picture of where the difference actually shows up — and where it doesn't.

Generalist firm
Medical specialist
Practice income streams
Can record what arrives, but global sum, QOF, enhanced services and reimbursements often land in generic categories — fine for tax, useless for insight.
Recognised stream by stream, so the accounts show exactly where practice income is growing or leaking.
Type 1 certificates
Often unfamiliar territory — certificates done late, outsourced, or left to the partners to sort.
Routine annual work — prepared from the accounts and filed for every partner as standard.
PCN & ARRS money
Frequently sits in a suspense account nobody quite reconciles.
Reconciled properly between member practices, so PCN balances don't become partner disputes.
Benchmarking
Rarely offered — there's nothing to compare against without a base of similar practices and published data.
Built in — your figures against national and regional practice data, per patient and per partner.
Basic compliance
Perfectly capable. Accounts filed, tax returns done — a good generalist gets the compliance right.
The same compliance — the difference is everything layered on top of it.
Cost
Sometimes cheaper on headline fee.
Comparable fixed fees — the value difference is in the pension work, benchmarking and advice included rather than billed separately.
The honest answer: if all a practice wants is accounts filed and tax paid, a good generalist does the job. The specialist case is everything general practice adds on top — pension certificates, PCN reconciliation, benchmarking, partner changes — which is precisely the work that generates fees, delays and errors at a generalist. That's the work we do all day.
Beyond the year-end

Accounts your practice meeting can actually use.

Most practices see their numbers once a year, months after the year ended — by which point every decision the figures could have informed has already been taken blind. The accounts confirm the past instead of shaping the year ahead.

We run it differently. The practice gets quarterly management figures in plain English: income by stream, staff costs against budget, profit per partner, and a rolling drawings forecast — benchmarked against published data for practices of similar size and contract type.

What that changes in practice:

  • Drawings stay aligned to real profits — partners aren't over-drawing against a year that's quietly underperforming, and January tax bills are known months in advance.
  • Staffing decisions get numbers — the true cost of a new salaried GP or nurse, modelled before the advert goes out, not discovered on the payroll.
  • Under-claimed income surfaces — enhanced services and reimbursements the practice is entitled to but not receiving show up as gaps against benchmark.
  • Partner meetings shorten — a one-page quarterly summary beats a debate about figures nobody trusts.

If your current accounts arrive late and prompt no decisions, that's not a compliance problem — it's a missed management tool. This is the gap we were founded to close.

PCN money & premises

The two areas that cause the most friction.

PCN & ARRS income

Primary Care Network funding has added a whole layer to practice finances: money flowing through a lead practice, ARRS reimbursements that must match the staff costs they fund, and year-end balances split between member practices.

Handled loosely, PCN money becomes the classic source of friction — between practices in the network, and between partners wondering where their share went. Handled properly, it's clean: recognised in the right practice, reconciled every year, with the inter-practice position documented.

We act for lead practices and member practices, and we'll untangle a PCN position that's drifted — it's a common starting point for practices that switch to us.

Premises, notional rent & property capital

Practice premises bring their own accounting: notional rent or cost rent reimbursement, property capital accounts for the owning partners, borrowing secured on the building, and the valuation questions that surface whenever a partner joins or retires.

The property-owning and non-owning partners often sit in different positions inside the same partnership — and the accounts need to show each fairly, or resentment builds quietly until a partner change forces the issue.

We keep property capital accounts current, model buy-ins and buy-outs before they're agreed, and make sure reimbursements actually cover what they're meant to. Individual partners weighing up a premises buy-in can start with our GP partner accountants page.

Frequently asked

Questions practices ask us.

What does a GP practice accountancy service include?
A full service covers the annual practice accounts, the partnership tax return, payroll and NHS pension administration for practice staff, Type 1 certificates for every partner, drawings and profit forecasting, and management information for practice meetings. Most practices also add the partners' personal tax returns so everything joins up. We quote a fixed annual fee for the whole package after reviewing your practice.
Can we switch practice accountants mid-year?
Yes. Practices usually switch at their accounting year end for a clean handover, but a mid-year switch works fine too — we handle the professional clearance letter and records transfer, and pick up payroll and pension submissions without a gap. Most transfers complete within a few weeks.
Do the partners need their own accountants as well?
Not necessarily. We can act for the practice and prepare each partner's personal tax return and pension certificate as part of the same engagement — which keeps profit shares, superannuation and personal tax consistent because one firm sees the whole picture. Partners who prefer independent personal advice can keep their own accountant; we work alongside them.
How do you handle practice payroll and NHS pensions?
We run the monthly payroll for your practice staff — salaried GPs, nurses, reception and admin — including NHS Pension Scheme deductions and submissions, auto-enrolment duties for staff outside the NHS scheme, and starters and leavers. Payslips go out on time every month and the pension contributions reconcile to the schedules.
How is PCN income accounted for?
Primary Care Network income needs careful handling: funding flows through a lead practice or a separate entity, ARRS reimbursements must match the staff costs they fund, and each member practice's share needs recognising correctly in its accounts. Done loosely, PCN balances become a source of partner disputes. We account for PCN income cleanly and reconcile the inter-practice position each year.
Can you benchmark our practice against others?
Yes — benchmarking is where practice accounts become genuinely useful. We compare your income per patient, staff costs, and profit per partner against published national and regional data for similar practices, so the partners can see exactly where the practice over- or under-performs and what's driving it.
How do you support partner changes?
Partner admissions and retirements are where practice finances get most sensitive. We prepare the capital and current account positions, model the incoming or outgoing partner's share, handle the tax elections and pension implications, and produce the figures the partnership deed and solicitors need — so changes complete smoothly and nobody is left arguing about the numbers afterwards.
What do GP practice accountants cost?
Fees depend on practice size, list size and what's included — accounts and tax only, or the full service with payroll, pensions and partner personal work. We quote a fixed annual fee after a free initial review of your practice, so the cost is known upfront with no hourly billing surprises.
Ready when you are

Two ways to get started.

Whether you'd rather pick a time and chat, or write to us first — we're set up for both.

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Prefer to talk? Call 01709 224982 or message us on WhatsApp.