Specialist accountancy for associates, practice owners and squat founders in Nottingham — from a team that works exclusively with dentists.
The short version. Health service dentistry in Nottingham is commissioned by NHS Nottingham and Nottinghamshire Integrated Care Board. Income comes from UDA-based GDS/PDS contracts, with contract payments administered by the NHS Business Services Authority. Practices are inspected by the Care Quality Commission (CQC) and dentists are in the NHS Pension Scheme for England and Wales, administered by the NHS Business Services Authority. We work with Nottingham dentists remotely, and only with dentists.
The East Midlands practice market is busy with first-time buyers — and with sellers who started planning two years too late.
The East Midlands has a steady flow of first-time buyers, and the pattern we see most is an associate who has found a practice before they have worked out what they can actually afford to borrow and service. Doing it the other way round — funding capacity first, then viewings — is less exciting and considerably cheaper.
On the other side of the same market are sellers who begin preparing when the approach arrives. Exit readiness is a two-to-three-year job because the accounts a buyer will price are the ones you have already filed. Rates on your surgery are assessed by the Valuation Office Agency and billed by Nottingham City Council.
Nottingham and the county share one ICB, with NHS Derby and Derbyshire ICB and NHS Leicester, Leicestershire and Rutland ICB either side. First-time buyers looking across the East Midlands routinely cross those boundaries, which means comparing contracts commissioned by different bodies.
NHS dentistry in England runs on UDA contracts commissioned by ICBs, with delivery tested annually and under-delivery clawed back — so contract performance is a financial number, not just a compliance one. Practices are regulated by the CQC, and practice purchases here need CQC registration planned into the timetable. Our benchmarking, due diligence and clawback analysis are built around exactly this system.
There is no undergraduate dental school in Nottingham — the nearest are Sheffield and Birmingham — so newly qualified associates arriving in the city have trained elsewhere and may be moving between nations as well as cities. That matters more than it sounds: if you have come from Scotland or Northern Ireland, you have changed pension scheme, payment mechanism and regulator, not just employer. Dental Foundation Training in England is run by NHS England's Workforce, Training and Education directorate.
"How much is my dental practice worth" has a different answer in England than elsewhere in the UK, because the payment system your income comes from is different — UDA-based GDS/PDS contracts, with contract payments administered by the NHS Business Services Authority. A valuation built on English UDA assumptions will misread a Scottish or Northern Irish practice, and a Welsh one whose activity measures have been rebased by contract reform. Our valuation guide explains how the nation changes the answer.
No, and it is worth being honest about why. Everything runs remotely — video and phone around clinical hours, records and approvals handled securely online — which is how most of our clients prefer it: no afternoons lost to accountant visits. What you gain by widening the search past your postcode is a firm that already knows UDA-based GDS/PDS contracts, the NHS Pension Scheme for England and Wales and the Care Quality Commission (CQC) without being told.
NHS Nottingham and Nottinghamshire Integrated Care Board. Income is earned through UDA-based GDS/PDS contracts, with contract payments administered by the NHS Business Services Authority, and practices are inspected by the Care Quality Commission (CQC).
More than the address. In England you are in the NHS Pension Scheme for England and Wales, administered by the NHS Business Services Authority, you pay UK income tax rates and bands, your practice is inspected by the Care Quality Commission (CQC), and health service income comes from UDA-based GDS/PDS contracts, with contract payments administered by the NHS Business Services Authority. A cross-border move changes the pension scheme, the payment mechanism, the regulator and often the tax arithmetic at the same time, so it is worth a conversation before the start date rather than after it.
No — we work remotely with dentists across England and the whole UK, by video and phone, scheduled around clinical hours, with everything shared securely online. In practice that means faster responses than a local generalist, from a team that only does dentistry.
Yes — pre-offer appraisals, financial due diligence, funding introductions and structure advice, built around how health service dentistry actually works in England. Send us the sales pack before you offer, not after.
Your tax return filed early, a monthly set-aside figure so January is a non-event, your superannuation reconciled against actual pensionable earnings, honest incorporation advice with the NHS Pension Scheme for England and Wales in the picture, and unlimited advice through the year — all for a fixed monthly fee.
A free, no-obligation conversation about your situation. If we can't add value, we'll tell you.
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