Specialist Accounting & Financial Advisory Services for GP Practices and Primary Care Networks
CapShire provides specialist accounting and financial advisory services to GP surgeries, Primary Care Networks (PCNs), GP Federations and Training Hubs across the UK. Our primary care team brings 14+ years' experience in NHS finance — from GP contracts and PCN funding to NHS pension administration and practice financial management.
We help GP partners, practice managers, and PCN and Federation leads maximise NHS income, stay compliant, and get clear financial visibility over their organisation.
Our GP Practice Accounting Services
GP Surgery Financial Management
We help GP practices maintain strong financial oversight and planning.
Our services include:
• GP practice budget preparation
• Financial forecasting and planning
• Management accounts
• Practice financial performance monitoring
• NHS income reconciliation
• ICB and NHS England payment reconciliation
These services allow GP partners to make informed financial decisions and maintain practice sustainability.
GP Practice Accounts & Taxation
Our team provides specialist accounting support for GP partners and healthcare professionals.
Our services include:
• GP surgery annual accounts
• Partners’ profit allocations
• Tax planning and taxation of doctors
• VAT advice for medical practices
• Practice bookkeeping and financial reporting
We ensure practices remain fully compliant while optimising tax efficiency for GP partners.
NHS Payroll & Pension Administration
We support practices with the complexities of NHS payroll and pension administration.
Our services include:
• GP surgery payroll services
• NHS Pension Scheme administration
• PCSE Type 1 and Type 2 submissions
• PCSE estimates and pension adjustments
• PCSE joiner and leaver administration
• Pension reconciliation and reporting
This ensures accurate pension submissions and compliance with NHS requirements.
GP Reimbursements & NHS Funding Claims
NHS funding streams are complex and often require specialist knowledge to manage correctly.
We assist practices with:
• GP reimbursement claims
• ARRS funding claims
• Primary Care Network funding
• NHS contract entitlement reviews
• ICB funding reconciliations
Our experience helps practices ensure all NHS income streams are correctly claimed and recorded.
Primary Care Network (PCN) Financial Support
Primary Care Networks require specialised financial management and administration.
We support PCNs with:
• ARRS funding management
• PCN financial reporting
• NHS funding reconciliation
• PCN bookkeeping and payroll
• PCN contract financial oversight
Cloud-based Accounting Services
We help GP practices and healthcare organizations improve financial visibility with secure cloud-based accounting solutions.
Key benefits include:
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Real-time financial insights
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Streamlined invoice management
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Accurate financial records
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Staff training & support
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Smooth cloud migration
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Better compliance
Why Healthcare Organisations Choose CapShire
Every GP practice, PCN, Federation and private healthcare business runs differently — different funding mix, different governance, different pressures. So we don't start from a template. We start by understanding how your organisation actually works, then build our advice around that.
Here's what that looks like in practice:
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Deep sector focus, not generalist accounting. Healthcare finance is what we do — not a side-line alongside a dozen other sectors.
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14+ years in primary care, with a team that's seen practices, PCNs and Federations through funding changes, mergers, and everything in between.
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Fluency in NHS funding mechanics — contracts, PCN/ARRS allocations, Funding ICB reconciliations — the kind of detail that's easy to get wrong without specialist knowledge.
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Hands-on with the operational detail, not just the annual accounts: PCSE submissions, pension administration, and the regulatory paperwork that eats into a practice manager's week.
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Numbers you can actually act on. We translate financial data into decisions — not just a report you file away.
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Senior-level attention as standard. The people who understand your practice are the people advising you, not a handover to someone new every quarter.
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Advice built around you, not a fixed package — because a solo GP practice, a multi-practice Federation, and a private clinic need genuinely different support.
We're not just processing your numbers. We're technical accountants who happen to know primary care and healthcare finance inside out — and we use that combination to help you stay compliant, perform better financially, and plan your next move with confidence.
Speak to a GP Practice Finance Specialist
If you are a GP partner, practice manager, or PCN director looking for specialist financial support, our team would be pleased to assist.
Contact CapShire to discuss how we can support your practice with accounting, NHS funding management, and financial planning.