Medics Money podcast

Medics Money podcast

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Medics Money podcast episodes

  • Ep 332: Can you protect your house from the local authority?!

    Find a Solicitor here: https://medicsmoney.co.uk/medical-solicitor/

    Cyra hosts Trish Venables, a solicitor at Talbots Law, to explain asset protection as maximising assets preserved for descendants and shielding them from risks such as divorce, care home fees, and means-tested benefits rules. Trish describes discretionary trusts set up in life or via a will, where beneficiaries have no absolute entitlement, supported by private letters of wishes, helping reduce exposure in divorce and allowing disabled beneficiaries to receive support without losing benefits. She outlines practicalities, including trustee selection, Trust Registration Service registration, and inheritance tax (IHT) implications such as a 20% lifetime entry charge above the £325,000 threshold and the seven-year rule. She warns that putting a home into a lifetime trust while continuing to live there can be challenged as deprivation of assets and a gift with reservation; instead, a will-based life interest trust over a severed 50% share may ring-fence value from care assessments. They discuss gifting from surplus income, and Trish notes NHS defined benefit pensions likely face no immediate IHT change, unlike some defined contribution schemes, pending legislation.

    00:00 Welcome and Guest Intro

    01:03 What Asset Protection Means

    02:23 Trusts for Divorce and Benefits

    04:19 How Discretionary Trusts Work

    05:45 Setting Up Trusts and IHT

    08:23 Care Fees and Home Trust Pitfalls

    10:46 Will Planning Life Interest Trusts

    12:08 Surplus Income Gifting Strategy

    14:16 NHS Pensions and IHT Changes

    19:11 Costs and Choosing Trustees

    22:13 Final Thanks and Wrap Up

    Want the latest financial tips for doctors and exclusive invites? Join 71,000 doctors here https://www.medicsmoney.co.uk/join-medics-money/

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    https://www.medicsmoney.co.uk/medics-money-financial-wellbeing-course/

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    Disclaimer:

    The information provided in this content is for educational and informational purposes only and does not constitute financial advice. You should not rely on this content as a substitute for professional advice tailored to your specific financial situation. The value of your investments can go down as well as up. Past performance is not indicative of future results.

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    25 min
  • Ep 331: Do you have this common NHS Pension problem...? (and what to do)

    On this episode, Cyra is joined by GP Dr. Steve Taylor and specialist medical accountant Andy Pow to discuss Steve’s difficult experience getting his NHS pension sorted ahead of semi-retirement at 60 under the older scheme. Steve discovered missing years and incomplete details in his pension record after requesting the data held on him, leading to a year of back-and-forth to correct errors, plus complications from the McCloud remedy and an £11,000 adjustment. He also faced delays and confusion in the application process (AW8), including being told he applied too early by three days and receiving little clarity on payment amounts or timing. Andy explains how errors and gaps are common, advises checking records early via My NHS Pension and PCSE Online, and stresses keeping annual statements, returns, P60s, and March payslips.

    00:00 Welcome and Setup

    00:41 Meet Steve and Andy

    02:04 Missing Pension Years

    05:06 Applying and Silence

    06:29 McCloud Remedy Mess

    07:49 Start Checking Early

    11:20 How to Check Records

    13:47 What Documents to Keep

    16:49 Estimating Your Pension

    19:12 Wrap Up and Resources

    Want the latest financial tips for doctors and exclusive invites? Join 71,000 doctors here https://www.medicsmoney.co.uk/join-medics-money/

    Want a free assessment of your finances? Click here https://medics-hnz5twj1.scoreapp.com

    Want to improve your finances fast? Then come on our course

    https://www.medicsmoney.co.uk/medics-money-financial-wellbeing-course/

    Want to find out more about our other courses?

    www.medicsmoney.co.uk/courses

    Follow us on Instagram

    Follow us on Twitter

    Disclaimer:

    The information provided in this content is for educational and informational purposes only and does not constitute financial advice. You should not rely on this content as a substitute for professional advice tailored to your specific financial situation. The value of your investments can go down as well as up. Past performance is not indicative of future results.

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    22 min
  • Ep 329: Digital Tax Revolution: Don't get left behind!

    Andy Pow hosts this week's podcast with Forvis Mazars healthcare accountants Dawn Laird and Lee Simmonett to explain Making Tax Digital (MTD) for income tax, described as the biggest change since the 1990s and arriving in 2026, with around three-quarters of affected taxpayers not registered. MTD currently applies mainly to self-employed clinicians such as GP locums (and some consultants with self-employed private practice) and to property income; it does not directly affect partnerships or limited companies. The trigger is cumulative income over £50,000 (before expenses), including combined self-employment and rental income, with thresholds falling to £30,000 then £20,000. Recipients must register separately (not auto-enrolled). Quarterly submissions start with the first due 7 August, plus a final declaration; tax payment dates remain January and July. Spreadsheets require bridging software; digital tools like Xero are recommended. Penalties begin next year: one point per missed quarterly submission, £200 at four points, lasting 24 months.

    00:00 MTD Shockwave 2026

    01:23 Who Must Comply

    02:37 Income Thresholds Explained

    05:15 Registering With HMRC

    06:35 Quarterly Deadlines

    07:10 Software Vs Spreadsheets

    08:53 Final Declaration Basics

    11:40 Penalties And Compliance

    16:10 Rental Income Complications

    20:12 New Businesses And Voluntary

    21:45 Top Tips To Prepare

    23:57 Accountant Support Options

    26:51 Final Wrap Up

    Want the latest financial tips for doctors and exclusive invites? Join 71,000 doctors here https://www.medicsmoney.co.uk/join-medics-money/

    Want a free assessment of your finances? Click here https://medics-hnz5twj1.scoreapp.com

    Want to improve your finances fast? Then come on our course

    https://www.medicsmoney.co.uk/medics-money-financial-wellbeing-course/

    Want to find out more about our other courses?

    www.medicsmoney.co.uk/courses

    Follow us on Instagram

    Follow us on Twitter

    Disclaimer:

    The information provided in this content is for educational and informational purposes only and does not constitute financial advice. You should not rely on this content as a substitute for professional advice tailored to your specific financial situation. The value of your investments can go down as well as up. Past performance is not indicative of future results.

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    29 min
  • Ep 328: The early retirement strategy doctors don't know about....

    This week's guest: https://nichols.co.uk/

    This week we cover how NHS doctors, especially consultants with private work or side hustles, can use a “money box company” (a limited company/personal service company) to bridge the gap to retiring before the NHS pension age and to plan taxes flexibly. Steve Nichols explains that keeping private income in a company can help avoid the £100,000 “tax trap,” preserve tax-free childcare, and legitimately split income by paying a spouse salary/dividends (including NI credits). The conversation covers paying university (but not school) fees via benefits-in-kind for an over-18 child working for the company or via dividends using appropriate share classes. They also explain director’s loan accounts as legal borrowing from the company with interest and Section 455 tax cashflow implications. For higher earners, routing private income through a company can mitigate pension tapering exposure and allow accumulating profits to extract later via members’ voluntary liquidation at lower capital gains tax rates than dividends, subject to anti-avoidance rules and genuine cessation of private practice.

    00:00 Retire Before NHS Age

    01:41 Money Box Company Basics

    03:17 Flexibility And Tax Levers

    07:20 When To Set One Up

    08:03 Beat The 100k Trap

    12:36 School Vs University Fees

    19:53 Directors Loan Accounts

    27:19 Avoid Pension Tapering

    31:05 Liquidation And CGT Exit

    35:13 Wrap Up And Warnings

    Want the latest financial tips for doctors and exclusive invites? Join 71,000 doctors here https://www.medicsmoney.co.uk/join-medics-money/

    Want a free assessment of your finances? Click here https://medics-hnz5twj1.scoreapp.com

    Want to improve your finances fast? Then come on our course

    https://www.medicsmoney.co.uk/medics-money-financial-wellbeing-course/

    Want to find out more about our other courses?

    www.medicsmoney.co.uk/courses

    Follow us on Instagram

    Follow us on Twitter

    Disclaimer:

    The information provided in this content is for educational and informational purposes only and does not constitute financial advice. You should not rely on this content as a substitute for professional advice tailored to your specific financial situation. The value of your investments can go down as well as up. Past performance is not indicative of future results.

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    40 min
  • Ep 327: Missing funding, quick wins for doctors and more at AISMA 2026

    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

    Want the latest financial tips for doctors and exclusive invites? Join 71,000 doctors here https://www.medicsmoney.co.uk/join-medics-money/

    Want a free assessment of your finances? Click here https://medics-hnz5twj1.scoreapp.com

    Want to improve your finances fast? Then come on our course

    https://www.medicsmoney.co.uk/medics-money-financial-wellbeing-course/

    Want to find out more about our other courses?

    www.medicsmoney.co.uk/courses

    Follow us on Instagram

    Follow us on Twitter

    Disclaimer:

    The information provided in this content is for educational and informational purposes only and does not constitute financial advice. You should not rely on this content as a substitute for professional advice tailored to your specific financial situation. The value of your investments can go down as well as up. Past performance is not indicative of future results.

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    22 min
  • Ep 326: "You thought earning more would make the problems go away…” w/ Cleo Nedd

    This week, Cyra (doctor and chartered accountant) interviews Cleo Nedd, a personal wealth strategist who helps high-achieving women turn income into lasting wealth and reduce reliance on exchanging time for money. Reflecting after International Women’s Day, they discuss how virtue signaling fails to close ongoing gaps in women’s financial access, confidence, and industry inclusion, shaped by the fact that women have only had independent banking and investing access for just over 50 years. Sarah shares subtle bias she experienced with mortgage brokers, estate agents, and solicitors, while Cleo highlights micro-aggressions, women self-disqualifying, and the male-dominated financial advisory sector. Cleo reframes higher income as requiring “added subtraction,” clearer personal money principles over rule-based advice, and better communication with partners. She also describes teaching children budgeting language and delayed gratification.

    00:00 Welcome and Introductions

    00:53 FU Money for Women

    02:02 Beyond Managing to Owning

    04:51 Why IWD Feels Hollow

    07:51 Microaggressions in Money

    11:52 Industry Barriers and Self Doubt

    14:32 Radical Responsibility Mindset

    18:38 Holding Wealth as Income Grows

    24:12 Money Clarity with Partners

    29:07 Principles Over Rules

    32:18 Ethics and Investing Choices

    34:18 Teaching Kids Money Habits

    38:03 Wrap Up and Next Steps

    Want a free assessment of your finances? Click here https://medics-hnz5twj1.scoreapp.com

    Want to improve your finances fast? Then come on our course https://www.medicsmoney.co.uk/medics-money-financial-wellbeing-course/

    Want to find out more about our other courses? www.medicsmoney.co.uk/courses

    Follow us on Instagram

    Follow us on Twitter

    **Disclaimer:** The information provided in this content is for educational and informational purposes only and does not constitute financial advice. You should not rely on this content as a substitute for professional advice tailored to your specific financial situation. The value of your investments can go down as well as up. Past performance is not indicative of future results.

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    41 min
  • Ep 325: 🇨🇾 Leaving the NHS for Cyprus...

    Follow @drnatashaholmes on insta and TikTok.

    Dr Natasha Holmes on Leaving the NHS and Moving to Cyprus: Push–Pull Factors, Risk, and What’s Next? On the Medics' Money podcast, Cyra chats with Dr Natasha Holmes, an FY10 pediatric locum/bank registrar, life coach, and co-creator of The Fully Well Doc Pod, who announces she is leaving the NHS and the UK after what she believes was her last NHS shift. Natasha explains her decision as a long “push–pull” transformation: reduced fulfillment from worsening NHS conditions and greater fulfillment from coaching, alongside pull factors including moving to Cyprus (where she grew up) for community, supporting aging parents, lower living costs, better savings prospects, and to explore starting a business and possibly medicine there. She discusses identity and mental health struggles during FY2, the need to prove she could do the job, and realizing colleagues often feel excited to work while she generally doesn’t. Natasha outlines risk mitigation via two years of savings, family housing/support, and a remote-working partner, and plans to maintain GMC registration through upcoming revalidation while exploring Cyprus requirements. They address public misconceptions about “paying back taxpayers,” medical training costs, limited training posts, and shared frustrations about NHS conditions; she leaves in 35 days on a one-way ticket and has received mostly supportive responses.

    Want the latest financial tips for doctors and exclusive invites? Join 71,000 doctors here https://www.medicsmoney.co.uk/join-medics-money/

    Want a free assessment of your finances? Click here https://medics-hnz5twj1.scoreapp.com

    Want to improve your finances fast? Then come on our course

    https://www.medicsmoney.co.uk/medics-money-financial-wellbeing-course/

    Want to find out more about our other courses?

    www.medicsmoney.co.uk/courses

    Follow us on Instagram

    Follow us on Twitter

    Disclaimer:

    The information provided in this content is for educational and informational purposes only and does not constitute financial advice. You should not rely on this content as a substitute for professional advice tailored to your specific financial situation. The value of your investments can go down as well as up. Past performance is not indicative of future results.

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    41 min
  • Ep 324: Making Tax Digital - Do you know where you stand?

    For MTD advice and to ensure compliance, contact Azets here: https://hubs.la/Q04dwtwK0

    Making Tax Digital for Income Tax: What UK Doctors Need to Know (MTD for Income Tax 2026) The Medics' Money podcast discusses Making Tax Digital for Income Tax (MTD for Income Tax), described as the biggest UK tax filing change for doctors since the late 1990s, with guests Adrian Cousens and Anita Holmes from specialist medical accountants Azets. They explain that from 6 April 2026, individuals with over £50,000 of combined qualifying turnover (sole trade/self-employment and rental income, based on 2024/25) must keep digital records using HMRC-approved software and submit four quarterly updates plus a final annual return, with the first quarterly deadline on 7 August 2026. Partnerships (including GP partnerships) and limited company income are not initially in scope, but GP partners may still be affected by outside sole trade or rental income; thresholds later drop to £30,000 and then £20,000. Key advice is to prepare early, consider moving from spreadsheets to software, manage new deadlines, and seek specialist advisor support.

    00:00 MTD Big Change Intro

    01:00 Meet The Experts

    02:50 What Is MTD for Income Tax

    03:51 Why Act Now

    05:29 Beta Lessons And Wins

    07:50 Who Is In Scope

    11:18 Key Dates And Deadlines

    11:50 Digital Records And Software

    13:27 Quarterly Updates Explained

    14:16 Not Ready Soft Landing

    16:25 Pain Points And What To Report

    21:07 Accountant Roles And Packages

    22:52 Thresholds Future Scope Rules

    27:04 Final Advice And Wrap Up

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    32 min
  • Ep 323: This GP DOUBLED his list size

    https://www.growyourlistsize.co.uk/

    On the Medics’ Money Podcast, GP partner Dr Nabeel Arshad of Brooks Surgery in Manchester discusses how his practice doubled its patient list from 10,000 to 20,000 over five years, contributing to over £1.9m in recurring revenue and enabling reinvestment in more doctors, trainees, specialist staff, and technology while increasing partner take-home and maintaining access and high patient satisfaction. He explains why profit matters for partnership sustainability and why income streams tied to clinician time (insurance reports, teaching, joint injections) don’t scale and can be withdrawn, whereas list size is more stable and supports further income via QOF, ARRS/PCN budgets. He outlines his GrowYourListSize.co.uk service, including eligibility screening, controlled growth, geographic exclusivity, a six-month money-back guarantee, and a free practice growth report.

    00:00 Meet Dr Nabeel Arshad

    01:51 Why Working Harder Fails

    05:00 Scaling With Systems

    07:35 The Numbers Behind Growth

    10:42 Google Reviews Matter

    14:24 Recurring Revenue Security

    17:26 PCN And QOF Upside

    18:44 Succession And Recruitment

    21:38 Service Guarantee And Exclusivity

    24:23 Controlled Growth And Setup

    27:00 Free Growth Report CTA

    29:01 Quickfire Future Of GP

    31:06 Wrap Up And Where To Find

    Mentioned in this episode:

    Start Investing Here

    Individual: https://investengine.com/affiliate-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    Business: https://investengine.com/affiliate-business-welcome/?utm_medium=Affiliate&utm_source=Medics%20Money&utm_content=Podcast&partner_id=550

    34 min

About Medics Money podcast

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The Medics‘ Money Podcast helps doctors, dentists and other professionals make better financial decisions. Hosted By Dr Tommy Perkins and Dr Ed Cantelo, who is not only a doctor but also a Chartered…

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