AISMA in the news

AISMA members regularly write in the specialist GP and practice management publications, offering expert advice to doctors on the key issues of the day.

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Practice Management: Accounting deadlines for 2013

January 1, 2013

Planning ahead is key to ensuring 2013 deadlines for tax, National Insurance and pensions are met. There are some significant changes afoot; not least the disappearance of primary care trusts on March 31 as CCGs start operating. April will also see a radical change to the way in which PAYE information has to be reported to HMRC which will require monthly submissions of consistently accurate employee information.

Sue Beaton explains the key financial deadlines Read more

Pulse Finance Diary: January 2013

January 1, 2013

Many GPs prefer not to think about their tax bill, but putting it off can increase costs. Accountant Bob Senior offers tips on how to lessen the pain. Read more

Autumn 2012 AISMA Doctor Newsline published

October 5, 2012

The latest issue of AISMA Doctor Newsline, the newsletter for GPs and practice managers published by the Association of Independent Specialist Medical Accountants has been published today.

With many GPs considering their retirement options, this issue leads with succession planning advice from AISMA committee member Luke Bennett to help practices ensure a smooth transition when GP partners change.

AISMA’s Northern Ireland committee representative, Seamus Dawson, reflects on funding issues in the light of the major consultation announced by the Royal College of General Practitioners on the future of general practice across the UK.

Alison Oliver, a solicitor specialising in GP partnership and contractual matters has answers to the legal questions most commonly asked by GPs, while organisational trouble-shooter Dr Chris Hewitt offers advice to practices on how to run effective meetings.

Finally, management guru Kathie Applebee explains where GPs and practice managers can find specialist advice without paying expensive consultancy fees on areas such as human resources, health and safety and CQC registration.

AISMA Doctor Newsline is available exclusively to clients of AISMA accountants.

Doctors wishing to contact their local AISMA accountant can find details on the find an accountant page of this website.

Careful what you sign, warns GPC

April 27, 2012

GPs are being advised to do more to look after their constitution. Their CCG one.

According to the GPC, some doctors’ practices have been put under pressure to sign up to documents that would impose certain duties upon them with proper involvement from LMCs.

Chairman Dr Laurence Buckman warned: ‘We are concerned that practices are being pushed into signing up to inter-practice agreements’.

Now GP leaders have produced a seven-point ‘voluntary, fair commissioning charter’ and are urging all CCGs to adopt it:

It asks CCGs to:

1 Work to improve the quality of and access to local services and to cut health inequalities
2 Develop a culture of genuinely clinician-led commissioning
3 Engage with patients and the public
4 Operate transparently and openly and not engage in any contracts/negotiations that impose conditions of commercial confidentiality
5 Resist any qualified provider being imposed from external sources
6 Consider relationships between individual GPs and patients
7 Establish and strengthen working relationships with LMCs.

27 APRIL 2012

GPs and The Budget 2012

March 23, 2012

Chancellor George Osborne promised a Budget that rewards work, backs business and is on the side of aspiration.

But there were no tax giveaways – any cuts in what GPs have to pay to HM Revenue and Customs are to be paid for by increases elsewhere.

Here’s a round-up of the main changes:

Personal Allowance

The tax free personal allowance is £8,105 for 2012/13 and will be £9,205 for 2013/14.

But most GPs take a hit as their personal allowance tapers away when their income exceeds £100,000. The marginal rate of income tax in 2012/13 is much higher than many realise. Effectively it is a whopping 60% on income between £100,000 and £116,210.

The age allowance will wither on the vine. The allowance for individuals aged 65-75 is £10,500 for 2012/13 and will not rise thereafter. For individuals aged 75+ it will be £10,660 for 2012/13 and will not be increased.

Higher Rate Threshold

The higher rate threshold, at which the 40% rate starts to bite, will be reduced from £42,475 in 2012/13 to £41,450 in 2013/14.

Top Rate of Tax

The 50% rate on income above £150,000 will continue for 2012/13, and reduce to 45% in 2013/14. No further reductions have been announced so far.

Child Benefit

From 2013/14, Child Benefit will be effectively tapered away when the higher earner in the household earns more than £50,000. The Benefit will be gradually reduced to nil as income reaches £60,000. The Benefit payment itself will not reduce, but will be clawed back through an additional income tax charge.

Company Taxation

Corporation Tax Rate

Further reductions will be made to the main rate of corporation tax, as follows:

  • from 1 April 2012 – 24% (an additional 1% reduction on the rate previously announced)
  • from 1 April 2013 – 23%
  • from 1 April 2014 – 22%

The small profits rate will remain at 20% from 1 April 2012.

Employment tax


The scale charges for cars provided to employees will be increased by one percentage point from 2012/13, subject to a maximum of 35%, and by a further two percentage points from 2015/16, subject to a maximum of 37%

The fuel benefit charge will be increased to £20,200 x the car benefit percentage from 2012/13.

Share Option Schemes – Enterprise Management Incentives (EMI)

From 6 April 2012, the limit on the value of shares that can be awarded through an

EMI share option will be increased from £120,000 to £250,000.

Shares acquired after 6 April 2012 will qualify for Entrepreneur’s Relief, and benefit from the 10% rate of Capital Gains Tax.

Indirect taxes


From 1 April 2012, the VAT registration threshold will increase from £73,000 to £77,000 and the VAT deregistration threshold will increase from £71,000 to £75,000.

The Finance Bill 2013 will introduce legislation to include certain NHS bodies in the section 41 refund scheme.

Stamp Duty Land Tax on Residential Property

From 22 March 2012, SDLT on the purchase of a residential property exceeding £2 million will be charged at a rate of 7%.

Additionally, SDLT on the purchase of such property by certain types of companies, collective investment schemes and partnerships will be charged at a higher rate of 15%. This measure will take effect from 21 March 2012.

In the latter case, the government will also consult on the introduction of an annual charge on such properties with a view to introducing new legislation from April 2013.

Other Budget announcements

Tax Simplification

The Government is proposing to allow small unincorporated businesses to use the cash basis of accounting. This will apply from April 2013 to businesses operating below the VAT threshold.

Tax Avoidance

General anti-avoidance rule

The HMRC’s interest in doctors shows no sign of diminishing. Now a General Anti Avoidance Rule is to be introduced in April 2013 to tackle ‘artificial and abusive tax avoidance schemes’. Draft legislation will be published as to what this means in practice and a consultation process will follow.


The so-called ‘IR35’ rules will be clarified and tightened up. These rules apply to individuals providing their services through limited companies. The updated rules will be published later this year and will apply from April 2013.

Cap on Tax Reliefs

From 2013, the maximum saving from certain types of tax relief will be capped. This will not apply to pension contributions or Enterprise Investment Scheme investments. The cap will be the greater of £50,000 and 25% of income.

Income tax and NIC rates and allowances for 2011/12 and 2012/13

This document is produced for general guidance only. Personal advice should always be sought before taking any action. No responsibility is accepted by the author or the publisher for actions taken or refrained from being taken as a result of reading this document. Tax legislation and interpretation change continuously and the information herewith is only accurate at the time of writing

Should you require any further information or advice arising from reading these guidelines please do not hesitate to contact your nearest AISMA member.

Prepared for AISMA by Moore and Smalley LLP

(c) Moore and Smalley LLP

Spring 2012 AISMA Doctor Newsline published

March 23, 2012

The Spring 2012 issue of AISMA Doctor Newsline, the publication of the Association of Independent Specialist Medical Accountants, is published today with an essential mix of advice and commentary on the business of running a busy GP practice.

This month’s lead article is by specialist healthcare lawyer, Andrew Lockhart-Mirams, who describes new case law that could impact on restrictive covenants, used by GPs to protect their business, but now with the potential to handcuff them.

Practice management guru Kathie Applebee focuses on restructuring and redundancy in her article. While few practices would choose to make staff redundant, the unpalatable truth is that rising costs and falling income may well make this inevitable for some. Kathie’s advice could make the process more bearable for all concerned.

If your tax bill came as a nasty shock back in January AISMA chairman Bob Senior explains exactly why GPs are feeling the pinch, while pensions experts Gareth Rose and David Walker give their assessment of the impact of the new annual and lifetime allowances for pension savings and outline some tax planning options ahead.

Finally, there are some tax and profit-making tips for GPs and practice managers to ponder for the financial year ahead.

Bob Senior says: “This year’s tax bills were bad enough for many GPs, yet things could get even worse once the new rules on annual and lifetime allowances kick in. It is essential that doctors take steps now to understand their own position with regard to pension growth by talking to a specialist medical accountant.”

AISMA Doctor Newsline is available exclusively to clients of AISMA accountants.

Doctors wishing to contact their local AISMA accountant can find details on the find an accountant page of this website.

AISMA Doctor Newsline Winter 2012 published today

January 10, 2012

The Winter 2012 issue of AISMA Doctor Newsline, the publication of the Association of Independent Specialist Medical Accountants, is published today with an essential mix of advice and commentary on the business of running a busy GP practice.

With practice managers getting to grips with changes to the QOF, Kathie Applebee’s lead article on what’s new for 2012 will be welcomed by many. Giving a run-down of indicator changes and some tips on how to maintain high scores for your practice, this is a must-read article for all.

Elsewhere, Chris Howe gives an A-Z of tax planning to guide you in the lead up to the tax year end and solicitor Andrew Lockhart-Mirams discusses fixed retirement ages in partnerships and warns how they can lead to legal disputes on the grounds of age discrimination.

CQC registration expert Martha Walker gives an update on progress, with some welcome guidance that should help practices with their planning. Finally, David Walker brings some timely advice on pensions and the action GPs need to take now to manage the changes about to take place.

Deborah Wood, AISMA vice-chairman, says: “Running general practice is not going to get any easier in the coming year. It is essential that GPs and practice managers understand where their practice is now and what changes need to be made to maintain profitability. The articles in this issue of AISMA Doctor Newsline will help everyone plan for some tough times ahead.”

AISMA Doctor Newsline is available exclusively to clients of AISMA accountants.

Doctors wishing to contact their local AISMA accountant can find details on the find an accountant page.

Unnecessary tax letters spark alarm among doctors

December 13, 2011

The Association of Independent Specialists Medical Accountants (AISMA) is alerting doctors to letters sent in error by HM Revenue & Customs (HMRC) demanding action over failure to submit tax returns. This follows an announcement in November by HMRC that it will be sending final warnings to 2,500 doctors and dentists with unpaid tax bills. AISMA members have been contacted by several doctors whose tax returns have been received by HMRC, but have received a letter demanding outstanding information.

Liz Densley, AISMA Secretary and director at Sussex accountancy firm Honey Barrett, says: “Our client was alarmed to receive a letter from HMRC threatening potential fines and even criminal prosecution, despite his tax returns being up-to-date. When we called the Revenue to confirm this, we received no apology for the error, simply a confirmation that everything was in order.”

AISMA advises all doctors receiving similar letters from HMRC to talk to a specialist accountant immediately so that errors can be highlighted and outstanding issues resolved. Liz Densley says: “It is essential for doctors whose tax returns have not been submitted on time to address the situation immediately to avoid fines and prosecution.”

To find your nearest AISMA accountant go to the Find an Accountant page.

Autumn 2011 AISMA Doctor Newsline published

October 10, 2011

The Autumn 2011 issue of AISMA Doctor Newsline, the publication of the Association of Independent Specialist Medical Accountants, is published today with an essential mix of advice and commentary on the business of running a busy GP practice.

In this issue the focus is on CQC registration, with two must-read articles written by expert contributors, Martha Walker and Andrew Lockhart-Mirams. In the first, Martha Walker shows how practices can take advantage of the pause in the registration process by starting to prepare and gather evidence to demonstrate compliance.

Next, leading lawyer Andrew Lockhart-Mirams has a warning for GPs on the new legal traps arising from CQC registration and explains what the implications are for partnerships.

Regular Newsline columnist Kathie Applebee has some words of advice for practices considering a change in their computer systems while employment law adviser Janice Sibbald gives her ten top tips on how to avoid contractual disputes with your employees.

Mike Gilbert, AISMA committee member, says: “With pensions, commissioning and the new NHS bill leading the health agenda for many, GPs and practice managers must avoid the distractions and focus on the business of running their own practices. This latest issue of AISMA Doctor Newsline is full of practical advice to help practices stay ahead of the game.”

AISMA Doctor Newsline is available exclusively to clients of AISMA accountants.

Doctors wishing to contact their local AISMA accountant can find details on the find an accountant page.

HMRC sharpens its focus on doctors

July 11, 2011

Doctors are being warned to keep their tax affairs in first class working order as HM Revenue & Customs (HMRC) tightens its grip on the medical profession. Delegates at the annual conference of the Association of Independent Specialist Medical Accountants (AISMA) heard Bob Trunchion, tax principal at MacIntyre Hudson and member of the firm’s Healthcare sector group, outline the latest in a series of measures taken by HMRC that will pile the pressure on doctors.

These include a stringent late filing penalty regime, introduced in April this year. Replacing the standard one-off £100 penalty for late filing of self-assessment tax returns, a staged system introduces fines that mount up the longer the length of delay. Doctors sending their tax return one day late will pay £100 and then £10 a day up to a maximum of £900 for the first three months. Delays of six months mean doctors paying a further £300 or 5% of the tax due, which could be a considerably higher sum for doctors, and another £300 or 5% of tax due for 12 month delays. These penalties for late filing are in addition to the surcharges for late payment of tax and the penalties for errors in tax returns which can amount to 100% of the tax due in cases of deliberate understatement and concealment.

Bob Trunchion said: “HMRC put the medical profession under the spotlight last year with the introduction of the Tax Health Plan, which was an attempt to identify doctors who are deliberately avoiding tax. It has signalled its intention to keep a close eye on consultants and specialists who are increasingly likely to face enquiries and investigations.” Mr Trunchion said that if doctors do not have the evidence to support income and expenses, HMRC is likely to come down extremely hard.

Delegates at the AISMA conference heard Mr Trunchion describe different examples of how doctors could fall foul of HMRC rules, including the area of continuing professional development (CPD). While CPD fees would normally be considered an allowable expense, if the CPD led to an additional qualification it could be described as ‘betterment’ allowing the doctor the potential to earn more in the future. Consequently this could not be deemed an allowable expense. This was just one of several areas where doctors need to take care, said Mr Trunchion.

Luke Bennett, AISMA committee member and partner at accountancy firm Winter Rule, said: “Tax returns that include inaccuracies, through careless mistake or deliberate error, will incur substantial penalties that could be as much as 100% of the potential lost revenue. Doctors are facing unprecedented pressure from HMRC and should turn to a competent specialist medical accountant to help them keep their affairs in order.”

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