White logo - Duncan & Toplis


We support GP and medical practices with a full range of accountancy and advisory services. We are able to provide expert advice tailored specifically for the medical sector - from financial performance management and bookkeeping to tax planning advice, forecasts, cash flows and profit projections.

Our specialist healthcare team understand the critical financial challenges surrounding the medical sector, therefore we also provide an extensive and thorough payroll service to assist with all your financial demands.

Choose Duncan & Toplis as your trusted partner.

Why choose Duncan & Toplis?

As well as business service support in respect of accounts, taxation, expenses claims, and pension certificates we offer advice on a full range of financial and taxation matters as they affect general medical practices including:

  • NHS payroll services
  • Bookkeeping
  • Management Accounting
  • Forecasting
  • Pension form support
  • VAT reviews and training seminars
  • Partnership deeds/changes and financing arrangements
  • Property financial matters including sales, purchases, new builds, extensions, and funding
  • Federate working and business structures
  • PCN bookkeeping, accounts, and VAT advice
  • Tax advisory work including IHT reviews, general business tax planning, and capital allowance reviews

We also offer HR support to several of our practices on an ad-hoc basis, undertaken by our qualified HR team.

Duncan & Toplis are on hand to make your healthcare finances a little less stressful.

At the heart of medical finance

Through our AISMA membership, we're part of a UK network of over 75 businesses providing expert advice to medical practices, sessional GPs, and hospital doctors.

You can download the association's helpful 10-part tutorial for Practice Index here.

Access to finance

From GP surgeries and pharmacies to dental practices, increasing registrations requires investment which may not be manageable without a healthy cash flow, but is essential in meeting the needs of your patients.

Our experts can review your cash flow and suggest suitable lenders to ensure your practice can make investments when they are needed.

Book your free access to finance consultation today!

Contact us