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June 1, 2026 21 mins

Tommy and Ed were invited to speak at the Association of Independent Specialist Medical Accountants (AISMA) Conference, then Tommy roamed around finding experts to interview in true Medics' Money style! AISMA chair Lizzie Lloyd highlights sessions on funding, tax and collaboration, advising doctors to focus on upcoming 2026/27 contract changes, budgeting and planning despite limited detail on the new GP scheme and “neighbourhoods.” Medics' Money legend Andy Pow says the conference focus is neighbourhoods but details remain unclear, notes major funding differences across the UK nations, flags Making Tax Digital, and warns uncertainty around the Carr-Hill formula and rising workload from advice-and-guidance and digital access without matching funding. Pete Farrier explains benchmarking, regional and practice-model variance, and improving finances via claims, effective PCN/federation working, and staffing/partnering. Sarah Edwards outlines AISMA’s Next Gen/AISMA Academy training videos for medical accounts. Will Ellis of BW Healthcare Surveyors stresses that ~89% of practices are underpaid on notional rent, offers no-win-no-fee checks, and recommends reviewing every three years.

00:00 Conference Intro

01:27 Meet The AISMA Chair

02:31 GP Contract Uncertainty

04:04 Andy Pow On Funding

06:32 Contracts Workload Pressures

07:56 Benchmarking GP Performance

09:43 Boosting Practice Earnings

11:45 Private Work And Tax Planning

13:49 AISMA Next Gen Academy

16:51 Premises And Notional Rent

19:28 Final Takeaways

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