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Alex Hire

Senior Manager

Alex is an FCCA accountant with over 19 years internal audit experience. Alex works predominantly in the not for profit public sector including NHS, education and social housing, but also has experience of working with financial services clients, private and charity sectors.

New £15 billion VAT refund scheme for NHS and central government could impact net funding and supporting businesses

02 September 2020

The Government has announced plans to simplify the way public bodies, including the NHS, recover VAT they are charged on outsourced activities and infrastructure projects. While this may seem welcome news upfront, the proposed full refund model could radically change the market for contractors and private sector competitors and may have a net effect on core public funding.

Is the NHS facing a big tax bill for keeping us safe and well?

04 August 2020

Many NHS trusts have made accommodation, food, transport and parking available to staff in order to keep them safe and well and to enable them to do their jobs. However, the NHS and these staff could be facing a large tax bill under current rules.

RSM agrees new VAT relief with HMRC to cover fire authorities and NHS fighting coronavirus

21 April 2020

In these exceptional times, our emergency services are working tirelessly to help in the fight against coronavirus. Following a request from RSM, HMRC has agreed to a new VAT relief for fire authorities collaborating with the NHS in coronavirus activities.

Free hospital car parking could produce massive VAT bills for NHS trusts

29 January 2020

The government recently announced that many NHS patients and visitors in England will be able to access free NHS hospital car parking from April this year. To many this is great news, but the changes may have unintended tax consequences for embattled NHS Trusts with implications for frontline services.

Proposed NHS Primary Care Network specifications may be unworkable warns RSM
James Gransby

14 January 2020

James Gransby, a partner who specialises in GP practice accounting comments ahead of the 15 January closure of NHS England's (NHSE) consultation on the service specifications required of GP practices working within Primary Care Networks (PCNs).

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.

NHS pensions tax row: government was warned as long ago as 2012

07 August 2019

As long ago as 2012 the government was warned that public sector employees, including doctors, would be adversely affected by a complex range of pensions tax changes which were then being debated. Seven years later, it’s time for the Treasury to clear up the mess by scrapping the annual allowance taper.

The NHS launch High Court action for huge £2.35bn tax rebate

23 July 2019

Should the NHS, which is funded by taxation, pay tax? On the face of it, this would seem a simple question with an obvious answer, but not so.

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