Healthcare Practices and General Practitioners

Specialist Accounting Support for GP Practices

GP practice accounting is highly specialised and requires a deep understanding of NHS funding, partnership structures, pensions and healthcare regulation.

Practice partners are managing increasingly complex financial responsibilities while also dealing with rising operational pressures, staffing challenges and growing patient demand. At the same time, practices need accurate financial reporting, strong compliance processes and strategic advice that supports long-term sustainability.

At DSK, we understand these pressures and provide specialist accounting and advisory support tailored specifically to GP practices.

We combine decades of experience with a practical, forward-thinking approach to help practices remain financially healthy, compliant and commercially resilient.

Understanding the Complexities of GP Accounting

GP practices operate very differently from standard businesses.

Most practices function as partnerships, meaning partners are self-employed rather than salaried employees. This creates additional complexity around drawings, profit shares, personal tax planning and National Insurance.

Practices also receive funding through NHS contracts and other healthcare arrangements, all of which require careful accounting treatment and financial oversight.

Our range of customised accounting services for GPs include:

• Meeting your tax obligations
• Capital allowances
• Compliance with legislation
• Annual and periodic accounts
• Personal & business tax returns
• Bookkeeping and payroll
• Budgeting and forecasting
• Management accounting
• Practice mergers and acquisitions

Our role is to help practices manage these financial responsibilities clearly and efficiently.

Supporting Financially Sustainable Practices

General practice is operating in an increasingly challenging financial environment.

Rising staffing costs, operational pressures and changing funding structures mean practices need stronger financial visibility than ever before.

At DSK, we help practices understand how they are performing financially and where improvements can be made.

We support practices with budgeting, forecasting and benchmarking, allowing partners to compare performance, identify trends and make more informed business decisions.

We also help practices assess the financial impact of recruitment decisions, expansion plans, financing arrangements and operational changes.

Our advice is practical, commercially focused and designed to support long-term sustainability.

PCN Accounting Support

Primary Care Networks have introduced another layer of financial complexity for many GP practices.

PCNs require accurate accounting records, separate reporting and careful financial management to ensure compliance and transparency.

We help practices manage PCN accounting requirements properly while ensuring reporting remains clear and compliant with accounting standards.

This includes support with financial systems, reporting structures and the practical management of shared resources and funding arrangements.

Guidance Through Partner Changes and Succession

Changes in partnership structures can create both financial and tax complexities for GP practices.

Whether a partner is joining, retiring or exiting the practice, careful planning is essential to ensure fairness, compliance and continuity.

At DSK, we support practices with partner transitions, valuation considerations and succession planning.

We also work with practices planning for the future, helping partners prepare for retirement or long-term restructuring well in advance.

More Than Compliance

At DSK, we believe practices benefit most from having advisors who understand both the financial and operational realities of general practice.

We do more than prepare accounts.

We provide year-round strategic support that helps practices:

• Improve financial visibility
• Manage cash flow confidently
• Plan for growth and change
• Strengthen profitability
• Navigate tax efficiently
• Reduce financial risk

Our approach is relationship-led, practical and tailored to the needs of each practice.

Why GP Practices Work With DSK

For nearly 40 years, DSK has supported professional and healthcare businesses with trusted accounting and advisory services.

Our clients value the combination of technical expertise, responsive support and practical commercial guidance.

We understand the pressures facing general practice and provide advice that helps practices stay compliant, financially strong and prepared for the future.

At DSK, we help GP practices focus on delivering excellent patient care while we take care of the financial foundations behind the scenes.