In our previous private practice post we set out some points for you to consider as the lockdown eases and there is some return to normality. This is available on our website.
Independent Practitioner Today has also kindly published our pointers here.
Towards the end of the article we highlighted some tax planning opportunities and advice that will be set out below and for which further detailed guidance can be provided on a personal basis.
The tax planning will be split between those who practice as individual practitioners or in partnership say with their spouse or partner and those of you that have limited companies.
If you have a 31 March or 5 April financial year end then for the year 2020/21 the first part of the year will have seen little or no private practice activity.
The Revenue will allow the 31 July 2020 tax payment (your second payment on account for the tax year 2019/20) to be deferred until 31 January 2021.
Many of you will have reflected over the past few weeks of the impact of COVID19 and the change to your practice in its everyday dealings with patients, staff and your own interactions.
The government has published some case studies of how various organisations within the NHS dealt with the pandemic and may assist you in your own COVID 19 debriefing.
Details of the various case studies published on 5 June 2020 can be found here
The general public, ourselves included, have been acutely aware from the news and government announcements of the number of individuals infected and sadly the number of people who have lost their life due to COVID. Little is heard of those that survive and what changes to their lives and care they will need following their recovery from the infection.
On the 5 June the government published guidance on the aftercare of inpatients recovering from the virus. Details can be found here.
Updated guidance (6 June 2020) on the management of staff and exposed patients or residents in health and social care settings has been published and is available here.
Finally, flow charts relating to symptomatic and asymptomatic workers return to work following a SARS-COV-2 test have been published and can be found here:
With the NHS and private hospitals triggering the de-escalation clause to allow some private work and NHS elective surgery, we take a look to the future from a financial perspective of how private practice can survive during the pandemic.
Income for all practitioners has taken a huge hit in the last couple of months and will continue over the coming weeks.
New protocols to deal with patient consultations, investigations and procedures will mean less patients can be seen, investigated and operated on within the time span compared to pre COVID 19.
This means less income unless fees are reassessed upwards.
The private hospitals by way of the NHS block booking of their facilities effectively received a subsidy to assist them over the 3 month period that in most cases saw little use of their facilities.
The private hospitals will be acutely aware of the huge list of NHS patients needing treatment and will no doubt seek contracts to treat them for the NHS. This will provide an opportunity for additional private work but at what rates?
Last week we released the first two of a series of training videos on how to use Xero.
Our Xero trainers have been busy and the next two videos are now available! The latest videos explain how to create bank rules and how to manually post purchase invoices.
Click here to see all of the training videos we have released so far
Next week we will release new videos which will explain how to create sales invoices and how to post purchase invoices from scanned documents, cutting down on data entry and saving space.
During this period of constant change we wanted to draw your attention to the latest guidance from HMRC on the Coronavirus Statutory Sick Pay Rebate Scheme that is available to employers who meet the criteria for the scheme.
Your practice may be eligible to make a claim.
You can use the scheme as an employer if:
- you’re claiming for an employee who’s eligible for sick pay due to coronavirus
- you have a PAYE payroll scheme that was created and started on or before 28 February 2020
- you had fewer than 250 employees on 28 February 2020
On this basis, most if not all GP Practices should be eligible. The online service to reclaim Statutory Sick Pay (SSP) should be available from today 26 May 2020.
Friends and colleagues of Dr Saad Al-Dubbaisi, a respected doctor from Bury, Manchester, have following his untimely death produced a safety assessment and decision score card based on a number of factors including age, ethnicity, gender and other medical factors. The scoring system is named after him.
We felt this tool will be invaluable in assessing the risk to your staff as mild, moderate or high risk when interacting with patients.
Click here for details of the card and how to use it
We at Sandison Easson & Co hope you keep well and safe and trust we have in some small way helped in bringing to your attention this invaluable asset to help keep you and your staff safe.
The topic of annual allowance has always been a complicated one and in light of the healthcare crisis we have recorded a new webinar which explains the changes to the Annual Allowance from 6 April 2020. We also touch upon the announcements made by NHS England and NHS Scotland in 2019/20 together with a recap on the basics of the Annual Allowance and Tapering.
As many of you will know we have spent many years understanding how the growth arises in the NHS Pension Scheme for Annual Allowance and Lifetime Allowance purposes. In a number of cases we have identified incorrect Annual Allowance statements which have then been rectified following our intervention to avoid erroneous tax liabilities that were either too high or not due at all.
If you require any assistance with your Annual Allowance reviews or Scheme Pays Elections then please get in touch.
Primary care networks or PCNs have been with us for a year or so now in England and we are now at the stage where the PCNs will need to produce an account of its finances. Over the last 12 months there has been much talk of how monies will be spent and in some cases the PCNs will have a surplus of funds which needs to be considered as HMRC may treat this as income earned by the practice and expect individual practices to pay tax on this surplus.
The accounting treatment of the PCN monies from an individual practice perspective is therefore important as is the sharing of resources and the clinical director role.
We can help with the preparation of the PCN finances and can discuss the best approach to minimise the tax impact on practices. If you would like to engage us to prepare the finances of the PCN, please get in touch.
Click the webinar above to hear details of the new bounce back loan scheme.
If you need any assistance at all then please do not hesitate to contact any of the partners or associates here at Sandison Easson & Co.
Finally, thank you for listening to our webinar and also the wonderful job you are doing for all of us and our families during this difficult time.
The government announced yesterday a new type of loan that is 100% guaranteed by the state.
The initial details suggest that you can borrow between £2,000 and £50,000 with no fees or interest for the first 12 months with no repayment for the first 12 months and a loan term of up to 6 years.
This new scheme is a follow up to the criticism over the Coronavirus Business Interruption Loan (CBIL) where banks were slow to respond and the take up was low as detailed information was needed based on ‘normal’ lending requirements.
More details of the new loan will be available from Monday 4 May 2020.
Very few details have been released but what we know so far is that to be eligible for this new loan you must be:
1. Based in the UK
2. Have been negatively impacted by the coronavirus
3. Were not in ‘difficulty’ on 31 December 2019