What Ramsay Brown & Partners does

Ramsay Brown & Partners (legal entity Ramsay Brown LLP) is a UK-based specialist chartered accountancy firm exclusively serving the medical and healthcare sector. Founded in 1987 and headquartered in London (Solar House, N12 8QJ), the firm delivers accounting, taxation, NHS superannuation and pensions, Primary Care Network (PCN) support, advisory and consultancy, financial governance, partnership mergers and incorporation, expert witness, and tax investigation protection services to GPs, GP partners, consultants, locums, PCNs, NHS federations, Integrated Care Boards (ICBs), limited companies, and dentists and pharmacies across the United Kingdom.

The firm's service delivery is built around the Xero cloud accounting platform (where it holds Platinum Partner status), augmented with Hubdoc for document capture and Virtual Cabinet for client portal document management, plus custom NHS-specific Xero configurations for PCN reporting, ARRS claims, and NHS payroll. It is a regulated ICAEW chartered firm and AISMA member, with Partner Laurence Slavin serving as accountancy adviser to the NHS Executive and sitting on British Medical Association committees, lending institutional regulatory weight. A separate Tax Investigation Protection product, backed by Professional Fee Protection insurance, provides up to £100,000 of fee cover per HMRC enquiry and operates as an annual subscription.

The business runs on fixed-fee annual subscriptions and project-based fees (no hourly billing), with revenue streams spanning recurring compliance (accounts, tax, payroll, NHS pension certificates), managed PCN financial services, Xero training and migration projects, and subscription-based tax investigation protection. Go-to-market is hybrid: direct enterprise consultation for PCNs, federations and ICBs, combined with content-led acquisition (podcast "Beyond the Balance Sheet", webinars, healthcare press commentary, downloadable guides) and a strong referral pipeline built on multi-decade client relationships. In January 2026, the firm joined HW Fisher, part of the Sumer Group, marking a structural consolidation into a larger UK accounting platform.

Name

Ramsay Brown & Partners

Legal name

Ramsay Brown

Website

https://ramsaybrown.com

Company type

Private

Founded year

1987

Operating status

Operating

Headcount range

11–50 employees

Short description

Ramsay Brown & Partners is a UK specialist chartered accountancy firm exclusively serving the medical sector, providing accounting, tax, NHS pension, PCN advisory, and tax investigation protection services to GPs, consultants, locums, PCNs, and NHS bodies via the Xero cloud platform.

Ownership category

akta.pro rank

Product category

Medical Accountancy Services

SIC

Finance Services (6199)

akta.pro primary industry

Accounting & Bookkeeping Services (BPAHABAC)

Keywords

• Medical accountancy services
• NHS pension advisory
• GP practice accounting
• Healthcare tax planning
• Primary care network support

Headquarters

HQ city

London

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Accountancy Services: Fixed-fee accountancy services for GP practices, partnerships, and healthcare organisations including year-end accounts, bookkeeping, VAT returns, payroll, and management accounts
2. Tax Advisory Services: Personal tax, partnership tax, corporation tax, and NHS pension tax planning with Scheme Pays elections
3. NHS Pension Services: Annual allowance calculations, RPSS management, pension certificate preparation, and Scheme Pays elections for NHS workers
4. Tax Investigation Protection Subscription: Annual subscription service providing fee protection against HMRC enquiries, backed by insurance policy with Professional Fee Protection
5. PCN Financial Support: Financial management, ARRS claim processing, Xero setup, and governance support for Primary Care Networks

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels7 records

Core offering

Ramsay Brown & Partners is a specialist chartered accountancy firm providing accounting, taxation, NHS pension, and advisory services exclusively to UK healthcare professionals. The firm delivers year-end accounts, bookkeeping, VAT returns, payroll, personal and partnership tax compliance, NHS pension scheme management (including Scheme Pays elections and annual allowance calculations), Primary Care Network financial management, mergers and incorporation support, and fee protection against HMRC enquiries. Services are sold on fixed-fee annual retainers, annual subscriptions, or one-off project fees, with delivery supported by Xero (Platinum Partner) cloud accounting configurations tailored to NHS requirements.

Product overview

Ramsay Brown is a specialist medical accounting firm offering a comprehensive suite of services for healthcare professionals. The core offering comprises accounting, taxation, NHS pensions, and advisory services for GPs, consultants, PCNs, and healthcare organisations. Key service modules include: Accounting for Medical Professionals (year-end accounts, bookkeeping, VAT, payroll); Taxation for Medical Professionals (personal tax, partnership returns, NHS pension tax planning, IR35); NHS Superannuation & Pensions (RPSS, Scheme Pays, certificates); and PCN Support (financial reporting, ARRS claims, incorporation). Additional add-on services include Tax Investigation Protection (fee protection up to £100,000), Xero Training and Cloud Accounting Solutions (as Xero Platinum Partners), Advisory & Consultancy, Partnership Mergers & Incorporation, Financial Governance, and Expert Witness Services. The firm serves GP Practices, GP Partners, Consultants, Locums, PCNs, Federations, ICBs, Limited Companies, and Dentists & Pharmacies.

Differentiator

Problem solved

Functional benefit

Products and services

• Accounting for Medical Professionals
• Taxation for Medical Professionals
• NHS Superannuation & Pensions
• Primary Care Network (PCN) Support
• Tax Investigation Protection
• Xero Training
• Cloud Accounting & Xero Solutions
• Advisory & Consultancy
• Partnership Mergers & Incorporation
• Financial Governance
• Expert Witness Services

Quantifiable outcome

• One client reported 30% profit increase within a year using Xero cloud accounting with Ramsay Brown support
• +1 more outcomes

Named customers7 records

Segments10 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature3 records

Partnerships

Six partnerships are on record, tiered core, significant and supporting.

• XerocoreTechnology or IntegrationXero Platinum Partner status. Full setup, migration, training and ongoing support for cloud accounting with NHS-specific integrations and custom reporting dashboards tailored for healthcare organisations.
• Professional Fee Protection (PFP)coreOthersInsurance provider backing the Tax Investigation Protection Service. PFP pioneered fee protection in the UK over 30 years ago and has protected over 600,000 businesses and individuals. Ramsay Brown's policy enables claims for professional fees up to £100,000 per claim.
• British Medical Association (BMA)coreStrategic or Co-development PartnerRamsay Brown serves as the accountancy adviser to the NHS Executive and sits as an adviser on BMA Committees. Laurence Slavin has advised the NHS Executive, sat on national committees for the Department of Health and British Medical Association.
• AISMA (Association of Independent Specialist Medical Accountants)significantStrategic or Co-development PartnerMembers of AISMA demonstrating specialist expertise in the medical sector. Association of firms specialising in medical accountancy.
• ICAEW (Institute of Chartered Accountants in England and Wales)significantStrategic or Co-development PartnerRamsay Brown upholds ICAEW Chartered Accountants status, maintaining the highest professional standards in accountancy.
• Virtual Cabinet PortalsupportingTechnology or IntegrationClient portal solution providing secure access for clients to manage documents and information with Ramsay Brown.

Scale indicators3 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• BDO UK: BDO is a top-5 UK accountancy firm with a dedicated healthcare sector practice serving NHS bodies, GP federations, and medical professionals. It is a broader incumbent that overlaps with Ramsay Brown's healthcare client base but at significantly larger scale.
• Mazars UK: Mazars is a top-10 UK accountancy firm with a healthcare sector team serving NHS trusts, GP federations, and medical professionals. A broader incumbent that competes for medical sector mandates rather than specialises in vertical niche accounting.
• Crowe UK: Crowe UK is a top-10 UK accountancy and advisory firm with a healthcare and medical sector practice. It serves some of the same GP and NHS clients as Ramsay Brown but as a broader incumbent with a wider non-healthcare portfolio.

Direct peers

• PKF Francis Clark: PKF Francis Clark has a specialist medical sector accountancy team serving GPs, consultants, and PCNs with NHS pension and partnership accounting services. Comparable in scale to Ramsay Brown and operates in an overlapping UK healthcare niche.
• Hawsons: Hawsons is a UK regional firm with a specialist medical accountancy division serving doctors, dentists, and healthcare professionals. Comparable in niche specialisation and in the types of NHS pension and partnership accounting services offered.
• Armstrong Watson: Armstrong Watson is a UK top-30 accountancy firm with a dedicated Medical and Healthcare sector group serving GPs, consultants, and healthcare businesses. It is a direct specialist competitor with comparable NHS pension and partnership accounting offerings.
• Medical Accountants UK: Medical Accountants UK is a specialist firm dedicated exclusively to medical professionals including GPs, consultants, and locums. It is a direct niche competitor targeting the same vertical with comparable accounting, tax, and NHS pension advisory services.
• Dains Accountants: Dains Accountants operates a specialist healthcare and medical sector group serving GP practices, locums, and consultants across the UK. Its medical accounting practice mirrors Ramsay Brown's vertical specialisation and recurring fixed-fee model.
• Larking Gowen: Larking Gowen is a UK regional accountancy firm with a dedicated Medical and Healthcare sector team serving GPs, consultants, and PCNs. It is the closest specialist medical accounting peer to Ramsay Brown in terms of vertical focus, client base, and service mix.

Emerging players

• Medics Money: Medics Money is a UK-based financial education and advisory platform targeting doctors and medical professionals across pensions, tax, and personal finance. It is an emerging player with a partial overlap with Ramsay Brown's individual healthcare professional segment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/ramsay-brown

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Ramsay Brown & Partners