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Overcoming profitability problems in the residential care home sector

16 January 2020

In the first instalment of blogs looking at issues facing the residential care sector, we look at profitability, ownership structures and value in distressed situations.

Government review of NHS pensions – what are the options?

07 January 2020

The Conservatives pledged in their election manifesto that they would take measures to address the NHS pensions crisis. On 18 December they said that they would announce their solution on Budget day (11 March). What options could they be considering?

Graham Steele

Partner

Graham is a tax partner and leads RSM’s North West region innovation reliefs team.

Doctors unconvinced by NHS pensions fix

27 November 2019

NHS England has announced that clinicians affected by an NHS pensions Annual Allowance tax charge for the 2019/20 tax year would have any tax payable reimbursed to them on retirement. They may have been hoping for a positive reception to the plans but doctors remain wary.

Doctors offered sticking plaster to help with pensions tax bills

20 November 2019

Ministers appear to have agreed to a short-term fix to the NHS pensions crisis amid concerns about the impact on waiting times. However, the uptake of the new concession may be low because of heavy bureaucracy. Wouldn’t it be simpler if the annual allowance taper was abolished for everybody?

NHS under the microscope over the operation of off-payroll rules

30 October 2019

Over recent months we have been hearing about HMRC reviewing the current operation of the off-payroll rules in the public sector ahead of the new changes from 6 April 2020, which will impact both the private and public sectors. It has also recently emerged that NHS bodies are within the scope of this new approach.

RSM welcomes new partner in London and the South
James Gransby

10 October 2019

RSM is delighted to announce that James Gransby has joined the firm as a partner. James is a leading specialist medical accountant dealing with the accounts, tax and pensions for doctors with over 20 years’ experience and is also a board member of AISMA (The Association of Independent Specialist Medical Accountants).

James Gransby

Partner

James is a tax partner dealing exclusively with medical professionals, helping GPs and Hospital Doctors with accounts and tax compliance, adding value with advisory work. He is a Board member of AISMA.

NHS Heath Matters - Summer 2019
Audrey Fearing

09 September 2019

In the latest edition of Health Matters, we touch upon elements of the NHS Long Term Plan - in particular workforce, financial resilience and digital enablement.

VAT case threatens price hike for some cosmetic procedures

28 August 2019

A recent First Tier Tribunal decision has ruled that the procedures undertaken by health clinic Skin Rich Limited (SRL) were cosmetic in nature and were not exempt as either medical care or, given they were not regarded as a regulated clinic, as qualifying services provided by a hospital or similar institution.

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