iiinova — where your digital self keeps evolving

Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 09/10/2026

2/2 #AISMA sincerely hopes SFE relaxation of the practice-level GP reimbursement scheme rules means partner locum sessions are now also reimbursed. This should be a big boost to the scheme’s uptake ahead of the busy winter ahead

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 07/10/2026

1/2 #AISMA has welcomed SFE changes to the practice-level GP reimbursement scheme, allowing use of self-employed locums. It makes sense and is something we argued for in our talks NHS England

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 01/10/2026

Thinking of taking early action to ‘beat the Budget’? Do take professional advice before you leap

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 29/09/2026

Coming soon and free for #AISMA clients – the Autumn issue of #AISMA Doctor Newsline, packed with tips, advice, and views on big current issues affecting GPs, practice managers and their teams

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 24/09/2026

2/2 Practices engaging early with neighbourhood working are more likely to understand what is coming, shape the model and protect their own position. Early adopters often benefit because they are at the table while decisions are still being made

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 22/09/2026

1/2 Neighbourhood working involvement is likely to provide commercial benefits for GP practices, including future service developments, premises opportunities and local funding

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 17/09/2026

At #AISMA we are increasingly being asked by GP partners if Making Tax Digital (MTD) applies to them. While it does not yet apply to GP partnerships you could still be affected. Check with your #AISMA accountant

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 15/09/2026

For GP practices sourcing flu vaccines from new suppliers: check the price against the drug tariff reimbursement and if you expect delays then you may not need so many if other providers without shortages are vaccinating more people

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 11/09/2026

The rules for England’s GP reimbursement scheme are too inflexible, risking a postcode lottery for GP practices. #AISMA is calling for a relaxation of requirements so take up can be maximised

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 09/09/2026

GPs want sustainable general practice but that needs clear policy that works within the tax and legal framework. At #AISMA our experts are always happy to assist in making sure healthcare policies work as intended

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 07/09/2026

AISMA has submitted its response to the NHS England consultation on the proposed contracting models to support neighbourhood services. There's still time to respond to the consultation if you want to make your voice heard.

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 04/09/2026

Make your influence count! GPs, PCNs, and other interested parties have only until 10 September to give NHS England their views on the 10-Year Health Plan’s proposed Multi-Neighbourhood Provider (MNP) and Single Neighbourhood Provider (SNP) contracts

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 02/09/2026

#AISMA has written to NHS England offering to discuss two big ‘beefs’ currently affecting GPs badly - namely the GP reimbursement scheme funding issues and unfair financial aspects of the list cleansing exercise

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 28/08/2026

Two months today (28 October) we will all know how the new Chancellor’s first Budget is likely to affect us but ahead of that we will issue an #AISMA tax specialist’s opinion about what GPs might like to consider in advance

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 25/08/2026

Beware: Your GP partnership deed may need an overhaul considering the move to Neighbourhood Health Centres, along with other key documents governing current leases and premises

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 20/08/2026

The ‘McCloud remedy’ continues to shape #AISMA’s NHS pension discussions with GP partners. Talk to your accountant to ensure you are not missing out on any benefits

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 18/08/2026

Don’t be shy – there are no silly questions you can ask your #AISMA accountant. The simplest query can spark transformative discussions that help you see your practice’s current trajectory in a new light

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 14/08/2026

The issue for GP practices is not whether change is coming. It is whether you are involved early enough to influence it

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 12/08/2026

Neighbourhood working could provide quick thinking GP practices with several interesting opportunities – and problems for the unwary. It is worth having a chat with your #AISMA accountant

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 10/08/2026

Reminder: GPs, PCNs, and other interested parties now have just a month to give NHS England their views about the 10-Year Health Plan’s proposed Multi-Neighbourhood Provider (MNP) and Single Neighbourhood Provider (SNP) contracts. Deadline 10 September

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 06/08/2026

#AISMA accountants are already modelling what changes in weighted list size could look like for practices, given the current list cleansing exercise, to give an insight into what their possible future weighted income might be

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 04/08/2026

Many employers offer enhanced contractual sick pay schemes, but it is essential to apply these fairly, consistently, and in line with agreed terms. Inconsistent application of sick pay policies can cause disputes and overlap with Equality Act 2010 claims where disability is a factor

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 30/07/2026

On 7 August, for those doctors affected, the first Making Tax Digital (MTD) submission is due to HMRC, reporting on the quarter 6 April 2026 to 5 July 2026. Subsequent submissions are due on 7 November, 7 February and 7 May

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 28/07/2026

To improve communication channels with your #AISMA accountant, not just at the year-end, share cashflow numbers, staff costs, drawings, and income changes regularly to you can get fast support when needed

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 23/07/2026

Conforming to National Minimum Wage requirements for practice staff can be a complex minefield for the unwary, with severe HMRC penalties for getting it wrong. Many GP practices would benefit from taking advice

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 21/07/2026

Don’t forget: NHS Pension Scheme members with an annual allowance tax charge can elect for the pension scheme to pay it instead of paying personally. Election deadline is 31 July following the January in which the charge must be declared on their tax return

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 16/07/2026

Local Variation Arrangements (LVAs) may not amount to a full neighbourhood contract structure but are a clear signal that practices and PCNs should prepare for localised service redesign and, potentially, funding flowing away from their core contract

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 14/07/2026

Pay in lieu of notice (PILON) and notice periods are often overlooked. Practice owners need clear, well-understood policies and arrangements, ensuring they and practice managers understand requirements and communicate clearly with departing employees

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 09/07/2026

Being unable to plan is now the biggest challenge ahead for our medical practice clients. Regular contact with your #AISMA accountant has never been more important

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 07/07/2026

Don’t miss #AISMA Doctor Newsline’s summer issue now available from your #AISMA accountant! It features vital guidance to cope with new GP contract requirements, good news about GP pensions, advice on Making Tax Digital rules, plus more tips to help you manage and save money

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 02/07/2026

Make sure you get the best out of your #AISMA accountant. We show how in the summer issue of #AISMA Doctor Newsline – available soon from your #AISMA member firm

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 25/06/2026

Will you have the money ready? Just over a month to go for the second payment on account towards next year’s tax liability. It must be paid by Friday 31 July

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 23/06/2026

Profit warning: two more ways some GP practices are losing money. Having a reactive and unstructured appointments system and dealing with a high demand for repeat prescriptions

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 18/06/2026

HMRC’s move to Making Tax Digital for sole traders requires some preparation and cannot be ignored. Do contact your #AISMA accountant for assistance

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 16/06/2026

Get employment status right from the start. There are huge tax and NIC implications if HMRC finds a ‘self-employed’ doctor should have been employed. Your #AISMA accountant can help

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 11/06/2026

Avoid drug confusion. Separate reimbursable drugs from medical consumables when preparing figures for your accountant. Combining them makes it much harder to see if the practice is fully recovering its full entitlement

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 09/06/2026

Something we found worth remembering from the recent #AISMA annual conference: ‘Most financial anxiety in general practice isn’t about numbers, it’s about uncertainty, and not knowing if you’re missing something.’

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 04/06/2026

Avoid pay slip ups: many workplace disputes and formal claims against GP employers arise not from misconduct, but from uncertainty, inconsistency, or errors in administrating pay and financial entitlements

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 02/06/2026

Profit warning: two ways some GP practices are losing money. Using GP time for protocol driven work and underutilising enhanced access

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 28/05/2026

Hunt the money down. It’s worth seeing if your GP practice could be losing income due to underutilised enhanced access, high repeat demand or limited engagement in pathway redesign

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 26/05/2026

Beware: National Minimum Wage (NMW) requirements mean employers could be underpaying even when they pay above minimum rates. There are costly penalties for getting it wrong. See your #AISMA accountant

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 22/05/2026

A practice manager told our recent conference: ‘Most financial anxiety in general practice isn’t about numbers, it’s about uncertainty, and not knowing if you’re missing something.’ We are pleased to say #AISMA accountants are constantly relieving this sort of pain

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 20/05/2026

Hunt the money down. Check if your GP practice could be losing income due to GP time being used for protocol driven work or having reactive, unstructured appointments

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 18/05/2026

There is a widespread mood of ‘We’ve lost the joy in general practice.’ So why not give us your suggestions for getting it back?

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 15/05/2026

The surprise ‘must read’ update to the PCN DES in late April, allowing ICBs to locally vary the contract if PCNs submit a request, heralds a big shift in the GP contract and may have huge implications. Consult your #AISMA accountant

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 13/05/2026

With no guarantee the practice-level reimbursement scheme will continue after 31/3/27, #AISMA advises GP practices agreeing employment contracts to ensure they can be re-structured if funding ceases. Ask your specialist medical accountant about other related pay implications

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 11/05/2026

#AISMA fears deprived area GP practices in England face more financial woes due to restriction of new practice-level GP reimbursement scheme to extra salaried GP sessions. Partner or locum work is not covered.

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 30/04/2026

At this week's AISMA conference we thanked everyone who played their part in launching the AISMA Academy. The video training programmes provide technical training for AISMA member firms and their teams, helping them provide the very best specialist medical accountancy service for their GP clients.

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Association of Independent Specialist Medical Accountants @aismanewsline.bsky.social · 28/04/2026

#AISMA accountants are gearing up for our two-day annual conference where over 200 of us will be enlightened by speakers, technical knowledge will be updated, and we will share and solve problems with our colleagues

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