Last reviewed: 3 July 2026

Quick summary

  • A GP practice should keep payroll records that show pay, deductions, PAYE submissions, pension contributions, starters, leavers, contracts and any adjustments that affect the accounts.
  • The useful accountant pack should show the source reports, timing, owner or partner share and any pension or payroll records.
  • Ask the accountant to check the record trail before relying on a tax, drawings or pension estimate.

Direct answer

A GP practice should keep payroll records that show pay, deductions, PAYE submissions, pension contributions, starters, leavers, contracts and any adjustments that affect the accounts.

For the accountant conversation, the useful question is not only whether a tax rule exists. It is which records prove the figure, who prepared them, how they reconcile to bank movements, and what needs checking before the return, accounts or pension paperwork are finalised.

The gp practice payroll money model

Payroll affects both compliance and practice profitability. Nurses, reception staff, managers, admin staff, pharmacists and PCN-funded staff may have different funding or pension arrangements, so the accountant needs more than monthly net wage totals.

GP accounting is rarely just a normal sole-trader or limited-company workflow. NHS income, partnership profit shares, drawings, PCN funding, superannuation, premises and sessional income can all sit in different reports.

Examples where this gets messy

  • A practice manager receives back pay and the payroll journal is not posted to the accounts correctly.
  • A PCN-funded staff member is paid by the practice but reimbursed by another body.
  • Workplace pension contributions do not reconcile to payroll reports.
  • A leaver is paid holiday and the cost is posted to the wrong period.
  • Partner drawings are confused with staff payroll in management accounts.

Records to gather before asking for help

  • Payroll reports for each pay period.
  • Full Payment Submission and Employer Payment Summary records.
  • PAYE payment records and HMRC account statements.
  • Workplace pension contribution reports.
  • NHS pension contribution records where relevant.
  • Starter, leaver and contract change records.
  • Holiday, overtime, sick pay and back-pay calculations.
  • Payroll journals posted into bookkeeping software.

How to brief an accountant

Brief the accountant with payroll provider details, pay frequency, headcount, pension schemes, PCN-funded roles and any corrections. Ask whether payroll journals are being reviewed in the accounts rather than left as unexplained bank payments.

A good brief should say what changed in the year, what is still uncertain, which deadlines are close, and which numbers are estimates. That saves the first call from becoming a vague price conversation and lets the accountant quote for the real work: bookkeeping cleanup, accounts, tax return, payroll, VAT, pension forms, management accounts or one-off advice.

Situation notes

  • Practices with PCN-funded staff need payroll and reimbursement records together.
  • Workplace pension duties still apply even where staff are part-time.
  • Payroll corrections can affect management accounts and partner profit share.

These situations are exactly where generic accountancy pages become too shallow. The page should help you name the issue, collect evidence and ask the accountant a practical question rather than asking for a broad opinion.

A simple monthly workflow

For gp practice payroll, monthly discipline is usually more valuable than a long year-end cleanup. Start with the source report, not the bank feed. For this topic, that usually means checking payroll reports for each pay period., full payment submission and employer payment summary records. and paye payment records and hmrc account statements. before the numbers are summarised. Then reconcile the report to money received or paid, label any deductions, and keep a short note for anything that looks unusual.

The note does not need to be polished. A useful note might say that a payment was a prior-month adjustment, a deduction was taken before the bank receipt, a partner's drawings changed from a certain date, a clinician moved practice, an invoice included equipment and installation, or a pension statement has not arrived yet. Those notes make the accountant's work faster because they explain why the bank movement and the tax figure may not match.

At year end, build one folder for source documents and one summary sheet. The source folder proves the figures; the summary sheet helps the accountant navigate them. If you only keep the summary, the accountant may still need to ask for the original documents. If you only keep the originals, the accountant may spend extra time rebuilding the story from scratch.

What a useful accountant answer looks like

A useful accountant answer should be more specific than "that should be fine". For gp practice payroll, ask for a short explanation of the treatment, the records relied on, the assumptions made and the items still uncertain. If the question affects VAT, payroll, pension, employment status, goodwill, capital allowances or partner profit share, ask whether the answer should be reviewed again before filing or before a transaction completes.

The best output is a decision trail. It might say which report was used as the gross income source, how deductions were treated, which costs were excluded, how a partner or associate figure was allocated, whether an official threshold or relief was checked, and what should be monitored next month. That decision trail is useful for the current return and for future years, because the same issue often returns with slightly different numbers.

Common mistakes

  • Keeping payslips but not payroll submissions.
  • Not reconciling PAYE liabilities to HMRC payments.
  • Posting wages from the bank feed without payroll journals.
  • Assuming pension-provider reports and payroll reports always match.

The safer approach is to keep source reports and accountant notes together. If a number is later queried, you want to show how the figure moved from the original report into the accounts or tax return.

When to speak to an accountant

Speak to an accountant before the tax return or accounts deadline if the figures affect drawings, partner profit share, NHS pension records, payroll, VAT, premises, capital accounts or a change in role. Waiting until all reports are closed can make the cleanup more expensive.

Questions to ask an accountant

  • Do payroll journals reconcile to the accounts?
  • Are PAYE records retained for the required period?
  • How are workplace pension and NHS pension contributions checked?
  • How should PCN-funded payroll be shown?
  • Who handles payroll corrections?
  • What monthly payroll reports should partners review?

Related guides

Key takeaway

GP accounting works best when the records explain the real income route before the accountant starts the tax calculation.

Official guidance checked on 3 July 2026

Use the official links below as a starting point, then ask an accountant to check the exact treatment against your records.

FAQs

Is this just a Self Assessment issue?

Not always. GP pages often involve partnership accounts, pension records, payroll, VAT, premises or practice-management records as well as the personal tax return.

Do I need a specialist medical accountant?

A specialist can help where NHS pensions, partnership accounts, PCN income or practice accounts are involved. The key is to confirm scope and experience.

What should I prepare first?

Prepare source reports, bank records, agreements, prior accounts and a list of changes in the tax year.