Medical Accounting and Advice

Our team of specialist medical accountants, the largest in East Anglia, looks after the finances of hundreds of GPs (including partners, salaried and locums), hospital doctors, primary care networks, federations and over 160 GP practices.

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Larking Gowen's comprehensive medical accounting and tax advice services allow health and medical professionals more time to spend on their patients.

Medical professionals, including GP practices, GP practitioners, Primary Care Networks and hospital doctors, have unique accounting needs. Ongoing changes in NHS structure and regulations make this a complex area that takes up valuable time and energy for people in the medical profession.

Larking Gowen is a member of AISMA (Association of Independent Specialist Medical Accountants).

We provide a full service offering, including annual accounts preparation, bookkeeping, partnership and personal taxation, pension guidance and reviews, and benchmarking.

We provide:

A free initial meeting, with no obligation
Contact with a named partner and client manager
A personalised service based on your requirements
Digital accounting for easy access, adaptability and security
Periodic updates throughout the year on relevant changes through webinars, podcasts, blogs and newsletters

Scroll through our webinars below:

Webinar

Personal and legal tax essentials for medical professionals, with Mills & Reeve

Medical partner Andrew Burwood chairs this conversation between Private Client, Trusts & Probate partner Sally Farrow and solicitors Frances Bailey and David Catchpole, both partners at Mills & Reeve.

Webinar

Understanding the NHS pension scheme for GPs

In this medical webinar, medical specialists Lizzy Lloyd, Andrew Burwood and Louise Dean help GPs understand the basics of how their pension is built up within the NHS pension scheme.

Webinar

Understanding the NHS pension scheme for hospital doctors & non-GP principals

This presentation covered understanding the basics of how your pension is built up within the NHS pension scheme.

Webinar

Tax charges in relation to the NHS pension scheme for GPs

A series of webinars on the NHS pension scheme, covering the basics, the obligations, the McCloud remedy, tax charges, lifetime allowance and access. There will be separate webinars focused on GP's, hospital doctors, and non-GP principles.

Webinar

Tax charges in relation to the NHS pension scheme for hospital doctors

Specialists Andrew Burwood and Louise Dean discuss the tax charges in relation to the NHS pension scheme for hospital doctors and other non GP principles

Webinar

Is a corporate structure the best for the medical sector?

Medical specialist George Crowe presents on the pros and cons of a company structure and detail the circumstances in which a company can be used.

Webinar

Maximising tax claims for GPs

Medical specialists Lizzy Lloyd and Jamie Butcher presented a back to basics review of personal expense claims for GP's

Webinar

Maximising tax claims for hospital doctors & private practices

Medical specialists Louise Dean and Jamie Butcher presented an overview of tax considerations including; what expenses can be claimed and how they reduce taxable income and considerations around setting up a limited company for private practice

Webinar

Primary Care Networks – where are we now?

This webinar covered current funding, VAT exposure, how Clinical Directors are remunerated, the pros and cons of operating through a limited company, and the future of primary care.

We also offer accounting services to:

Primary Care Networks

Larking Gowen's comprehensive medical accounting and tax advice services allow health and medical professionals more time to spend on their patients.

Larking Gowen is a member of AISMA (Association of Independent Specialist Medical Accountants).

Federations

Larking Gowen has wide experience helping clients set up GP-providing companies and federations to bid for NHS contracts. These firms keep local care and health services in the hands of GPs.

Our specialist medical knowledge and corporate expertise means we're able to provide a comprehensive service, including support re access to NHS Pension schemes.

Larking Gowen will give you all the support you need, in accounting and financial matters, including:

Annual accounts and tax returns
Advice on corporation tax liabilities
Tax planning advice (including VAT)
Administration (including bookkeeping and payroll)
Company secretarial service
Pension scheme access and contributions (NHS and private)

Pharmacies

Larking Gowen acts for a number of pharmacies and we can offer advice to support the financial management of the pharmacy. You will have a named partner and client manager to assist you with day-to-day enquiries and provide support throughout the year, including:

Preparing annual accounts, including a breakdown of PPD income, and review of gross profit percentage.
Advice on tax liabilities
Tax planning advice
Reviewing VAT and appropriateness of calculation method used.
Assistance with producing templates for reporting KPI’s

Relevant Insights:

Blog

MTD compliant software within the medical sector

Wednesday, 1 April 2026

Making Tax Digital for Income Tax is approaching, and medical professionals need to be prepared. This blog outlines MTD-compliant software options and what to consider when choosing the right solution for your needs.

Video

NHS contract changes and Neighbourhood Health developments

Larking Gowen and Mills & Reeve

Rob Day, from Mills & Reeve, and Andrew Burwood, from Larking Gowen, recap the content from their recent seminar, discussing the NHS contract changes and Neighbourhood Health developments.

Blog

Partnership - What is the difference between a GP’s drawings and profit?

Tuesday, 31 March 2026

Legally, the partners are the partnership and, unless the partnership is set up as an LLP, the partners are jointly and severally liable.

Brochure

AISMA Doctor Newsline | Spring 2026

Read AISMA's Spring issue of Doctor Newsline.

News

Larking Gowen Partner appointed Chair of AISMA

Lizzy Lloyd, Medical Partner at Larking Gowen, has been appointed Chair of AISMA. Lizzy aims to shape AISMA’s future through new initiatives like AISMA NextGen and the AISMA Academy.

Podcast

NHS pensions - The remedial pension saving statements

In this episode, George Crowe and Abi Davis discuss NHS pensions, focusing on the remedial pension saving statements and the implications of the McCloud remedy.

Blog

VAT implications for community pharmacies

Monday, 28 April 2025

Medical accounting specialist, Jo Benton, discusses some of the unique complexities of VAT returns for community pharmacies and how to make sure that you’re getting it right to maximise income and cashflow.

Blog

Making Tax Digital for Income Tax within the medical sector

Friday, 6 March 2026

Making Tax Digital for Income Tax will change how many medical professionals report their income. Manager, Jamie Butcher, explains who needs to comply, what the rules mean for GP locums and partnerships, and the steps you can take now to prepare.

Blog

Is a partnership the right option for medical professionals?

Tuesday, 10 September 2024

Our medical accounting team discusses the benefits and drawbacks of medical professionals joining or forming a partnership.

Blog

Budgeting & cashflow planning for GP practices

Thursday, 22 May 2025

A practical guide for GP practices on budgeting and cashflow planning, including why forecasting matters, how to estimate drawings, tax, and pension contributions, and how to stay in control of your finances year-round.

Podcast

Maximising expense claims for GPs

Louise Dean and Jamie Butcher discuss how GPs can make the most of their expense claims while staying compliant with tax rules. They share practical guidance on common claim areas and highlight key points to be aware of when managing income, expenses, and tax codes.

Blog

Thinking of retiring early from the NHS pension?

Friday, 8 May 2026

A simple guide to taking early retirement from the NHS Pension Scheme and how actuarial reductions work. Manager, Jamie Butcher, outlines eligibility, reductions and key rules to help you plan ahead.

Blog

NHS Pensions: Contingent decisions

Wednesday, 25 March 2026

NHS Pension members who opted out between 2015 and 2022 may now be able to reinstate their benefits under the McCloud Remedy. Director, Jan McLean, outlines what you can do, the costs involved, and the key tax considerations to review before making a decision.

Blog

Transitional tax-free amount certificates (TTFAC) and further pension savings

Wednesday, 15 April 2026

If you accessed your pension before April 2024 without taking the full tax-free lump sum, a Transitional Tax-Free Amount Certificate (TTFAC) could allow you to access more tax-free cash. Director, Jan McLean, explains how the new rules work and what to consider before making further pension decisions.

Podcast

Navigating Contract Changes in General Practice

In this episode, Andrew Burwood and Louise Dean discuss the recent changes in contracts affecting general practices, focusing on financial implications and the importance of budgeting and financial planning for practices while looking ahead to the future of primary care networks.

Blog

Key performance indicators (KPIs) for community pharmacies

Friday, 24 April 2026

A practical guide from Assistant Manager, Jo Benton, for community pharmacy owners on using key performance indicators (KPIs) to monitor financial performance, optimise revenue streams, and stay in control amid ongoing NHS funding uncertainty.