In this episode of Beyond the Balance Sheet, Katie Collin sits down with Graham Crossley, founder of Medifintech and an NHS pension specialist, to unpack one of the most persistent and misunderstood issues facing NHS professionals today: whether their pension record can actually be trusted.

With widespread missing service, administrative errors and ongoing delays linked to the McCloud Remedy, many GPs and consultants are unsure where they stand or what action they should be taking. Graham explains why these issues are far more common than most people realise and why making decisions without first checking the underlying data can be costly.

In this episode, they explore:

• Why NHS pension records frequently contain missing or incorrect service

• The first document members should request to sense-check their pension record

• McCloud Remedy explained in practical terms

• The difference between RPSS and RSS and why so many members are still waiting

• Why large tax bills should not be viewed in isolation

• The risks of opting out or “opting in and out” without proper modelling

• Contingent Decisions and reinstating service: when it can help and when it can go wrong

• What NHS pension members should do next

Guest:

Graham Crosley

Founder of Medifintech. Graham specialises in NHS pensions, supporting members, accountants and advisers with pension analysis, error correction and complex issues including McCloud Remedy, annual allowance and service reinstatement.

Resources and links:

Connect with Katie Collin

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Learn more about Medifintech

Disclaimer

This podcast is for general information only. Ramsay Brown are chartered accountants, not financial advisers. NHS pension and tax decisions can have significant long-term consequences and advice should be taken based on individual circumstances.

In this episode of Beyond the Balance Sheet, Katie Collin sits down with Diane Holden, Senior Partner Success Manager at Xero, to break down one of the biggest changes to income tax in decades. Making Tax Digital will transform how locums, clinicians, landlords and sole traders manage and report their income.

Diane explains what MTD really involves, who will be affected first, and how Xero can make the transition smoother and far less stressful.

• What Making Tax Digital is and why HMRC is changing the system

• Who falls into scope and how the new thresholds will be phased in

• Why your 2024 to 2025 tax return determines if you are captured

• How quarterly digital submissions will replace the annual tax return

• How Xero, bank feeds, Hubdoc and a separate business account keep digital records accurate

• How real time data improves tax planning, session decisions, pensioning and profitability

Diane Holden

Senior Partner Success Manager at Xero. Diane supports firms and business owners through digital transformation and has worked closely with Ramsay Brown LLP to prepare healthcare clients for Making Tax Digital.

Connect with Katie Collin

Connect with Ramsay Brown LLP

Connect with Diane Holden

Learn more about Xero

In this episode of Beyond the Balance Sheet, Katie Collin is joined by Gareth Salomon, founder of Xenon Connect, to uncover the hidden bookkeeping errors that can distort financial decisions for GP practices, PCNs, and federations.

What we cover

• Why reconciled bank lines are not the same as accurate books
• The five red flags that quietly distort GP accounts: unreconciled bank items, old unpaid bills, duplicate invoices, misposted bill payments, and duplicate contacts
• Opening balances and why year-on-year comparatives go wrong
• How a simple health score and monthly report helps practice managers, PCNs and federations keep on top of quality
• Governance and fraud detection benefits when margins are tight
• What MTD for ITSA means for bookkeeping accuracy and investigation risk
• Where AI helps, and where professional judgement still matters

About Xenon Connect

Xenon Connect plugs into Xero, QuickBooks Online, Sage and FreeAgent to scan bookkeeping data against double-entry norms, flag likely errors and let you fix them fast. Ramsay Brown uses it to provide monthly health-score reports to clients and to speed up month-end reviews.

Who this is for

GP practices, PCNs, federations and healthcare finance leads who want timely, reliable financials without adding headcount.

Resources mentioned

Xenon Connect

Ramsay Brown LLP bookkeeping and management accounts support

MTD for ITSA overview and readiness support

Work with us

If you’d like help improving bookkeeping quality, monthly reporting or MTD readiness, email hannah@ramsaybrown.com and we’ll set up a short call.