Andy Pow
@medicaccountant.bsky.social
Specialist medical accountant - #GPsky & Consultants. NHS pension geek.
Part of Medics Money and AISMA. NW lake lover. Own stuff
Part of Medics Money and AISMA. NW lake lover. Own stuff
As ever @craig.nikolic.co.uk summarises the key issue to me here. Trusts running General Practice hasn’t worked - a square pegs and round holes experiment (not my words - a GP trying it in one area) and the money doesn’t work. My worry - go to LinkedIn and read the threads that ignore this
10 YEAR PLAN - Neighbourhoods
DOI: We aim to fit into the new multiple neighbourhood provider (MNP) model, and our member practices and PCNs have major stakes in the single neighbourhood provider (SNP) model
The Plan is a mixed bag of good stuff and areas that need tightening for delivery.
1/17
DOI: We aim to fit into the new multiple neighbourhood provider (MNP) model, and our member practices and PCNs have major stakes in the single neighbourhood provider (SNP) model
The Plan is a mixed bag of good stuff and areas that need tightening for delivery.
1/17
July 5, 2025 at 5:21 AM
As ever @craig.nikolic.co.uk summarises the key issue to me here. Trusts running General Practice hasn’t worked - a square pegs and round holes experiment (not my words - a GP trying it in one area) and the money doesn’t work. My worry - go to LinkedIn and read the threads that ignore this
Reposted by Andy Pow
No apologies, I believe in the #NHS, make sure sure that facts are shared, that politicians remain accountable & all have a responsibility to share factual information
I have no vested interests, other than making sure we all have access to healthcare free at the point of need
I have no vested interests, other than making sure we all have access to healthcare free at the point of need
May 25, 2025 at 11:17 AM
No apologies, I believe in the #NHS, make sure sure that facts are shared, that politicians remain accountable & all have a responsibility to share factual information
I have no vested interests, other than making sure we all have access to healthcare free at the point of need
I have no vested interests, other than making sure we all have access to healthcare free at the point of need
Reposted by Andy Pow
Workforce Planning – the biggest expense for #GP
Have you done a workforce budget for 2025/26?
Have you thought about the skills and people you have and whether the right people are in the right roles doing the right tasks?
Are you making best use of the ARRS roles in your PCN?
Have you done a workforce budget for 2025/26?
Have you thought about the skills and people you have and whether the right people are in the right roles doing the right tasks?
Are you making best use of the ARRS roles in your PCN?
May 12, 2025 at 7:01 AM
Workforce Planning – the biggest expense for #GP
Have you done a workforce budget for 2025/26?
Have you thought about the skills and people you have and whether the right people are in the right roles doing the right tasks?
Are you making best use of the ARRS roles in your PCN?
Have you done a workforce budget for 2025/26?
Have you thought about the skills and people you have and whether the right people are in the right roles doing the right tasks?
Are you making best use of the ARRS roles in your PCN?
“left shift” it’s the new NHS management phrase. If attending a conference I think it should be mandatory for everyone to sing “let’s do the time warp again” every time it’s mentioned (with full moves) . You’ll thank me for that !
a group of people are dancing on a red carpet with #timewarp written on the bottom
ALT: a group of people are dancing on a red carpet with #timewarp written on the bottom
media.tenor.com
May 8, 2025 at 10:19 AM
“left shift” it’s the new NHS management phrase. If attending a conference I think it should be mandatory for everyone to sing “let’s do the time warp again” every time it’s mentioned (with full moves) . You’ll thank me for that !
Reposted by Andy Pow
That wraps things up for this year’s #AISMAconference.
A big thank you to all our speakers, conference organisers and delegates who’ve made it such a successful event.
Our newly appointed leadership team wish you all a safe journey home and look forward to seeing everyone at next year’s event!
A big thank you to all our speakers, conference organisers and delegates who’ve made it such a successful event.
Our newly appointed leadership team wish you all a safe journey home and look forward to seeing everyone at next year’s event!
April 30, 2025 at 11:30 AM
That wraps things up for this year’s #AISMAconference.
A big thank you to all our speakers, conference organisers and delegates who’ve made it such a successful event.
Our newly appointed leadership team wish you all a safe journey home and look forward to seeing everyone at next year’s event!
A big thank you to all our speakers, conference organisers and delegates who’ve made it such a successful event.
Our newly appointed leadership team wish you all a safe journey home and look forward to seeing everyone at next year’s event!
Reposted by Andy Pow
Yesterday was the last day on the #AISMA board for James Gransby and Andy Pow.
They step down after bringing incomparable expertise, energy and enthusiasm to the association over the years. We thank them for their amazing contribution and wish them all the best for the future.
They step down after bringing incomparable expertise, energy and enthusiasm to the association over the years. We thank them for their amazing contribution and wish them all the best for the future.
April 30, 2025 at 8:00 AM
Yesterday was the last day on the #AISMA board for James Gransby and Andy Pow.
They step down after bringing incomparable expertise, energy and enthusiasm to the association over the years. We thank them for their amazing contribution and wish them all the best for the future.
They step down after bringing incomparable expertise, energy and enthusiasm to the association over the years. We thank them for their amazing contribution and wish them all the best for the future.
Reposted by Andy Pow
GP contract threatens ‘vast gaps’ between practices and ARRS shortfall, @medicaccountant.bsky.social warns
www.gponline.com/gp-contract-...
www.gponline.com/gp-contract-...
GP contract threatens ‘vast gaps’ between practices and ARRS shortfall, expert warns
The impact of the 2025/26 GP contract will be vastly different for practices across England - and a shortfall in funding for the additional roles reimbursement scheme (ARRS) could leave PCNs facing to...
www.gponline.com
April 2, 2025 at 10:29 AM
GP contract threatens ‘vast gaps’ between practices and ARRS shortfall, @medicaccountant.bsky.social warns
www.gponline.com/gp-contract-...
www.gponline.com/gp-contract-...
Reposted by Andy Pow
Welcome to Pow and Thomas. A new venture from @medicaccountant and Melanie Thomas bring 50 years of combined expertise to provide a tailored support package for GP practices, PCN's, Federations and other healthcare businesses. Follow us to see what we are up to
April 1, 2025 at 7:18 AM
Welcome to Pow and Thomas. A new venture from @medicaccountant and Melanie Thomas bring 50 years of combined expertise to provide a tailored support package for GP practices, PCN's, Federations and other healthcare businesses. Follow us to see what we are up to
Reposted by Andy Pow
1 day to go until we launch - something new in the financial world for General Practice, PCN's, Federations and other medical organisations
March 31, 2025 at 11:55 AM
1 day to go until we launch - something new in the financial world for General Practice, PCN's, Federations and other medical organisations
1995-2025 done ! Many happy memories and leaving a great team behind. Next week Mel and I start our new venture @powandthomas.bsky.social . We spent ages on the name 😂 Supporting General Practice and doctors finances in a different way.
March 29, 2025 at 10:16 AM
1995-2025 done ! Many happy memories and leaving a great team behind. Next week Mel and I start our new venture @powandthomas.bsky.social . We spent ages on the name 😂 Supporting General Practice and doctors finances in a different way.
So the final week has arrived as I close a large chapter of my career. Easy ride in ? 🫣 No five talks to do - 25/26 GP contract, finance for doctors, annual
allowance 😡 , running a GP practice better and today a 🧠 dump for the team . Ill need that 🍻on Friday. 30 years has gone quickly
allowance 😡 , running a GP practice better and today a 🧠 dump for the team . Ill need that 🍻on Friday. 30 years has gone quickly
March 24, 2025 at 7:22 AM
So the final week has arrived as I close a large chapter of my career. Easy ride in ? 🫣 No five talks to do - 25/26 GP contract, finance for doctors, annual
allowance 😡 , running a GP practice better and today a 🧠 dump for the team . Ill need that 🍻on Friday. 30 years has gone quickly
allowance 😡 , running a GP practice better and today a 🧠 dump for the team . Ill need that 🍻on Friday. 30 years has gone quickly
Glorious day up north 🌞
March 9, 2025 at 6:40 PM
Glorious day up north 🌞
Reposted by Andy Pow
Next week we're bringing our members a finance update from Andy Pow from AISMA. If you're a member, pop over to the Facebook group to sign up. Not a member and want to join? It's only £50 for the year, sign up here www.igpm.org.uk/membership
February 7, 2025 at 1:10 PM
Next week we're bringing our members a finance update from Andy Pow from AISMA. If you're a member, pop over to the Facebook group to sign up. Not a member and want to join? It's only £50 for the year, sign up here www.igpm.org.uk/membership
Whilst I didn’t contribute as much as usual 31 January doctors tax deadlines have been a constant for the past 27 years. Made worse recently by annual allowance issues. But for me no more ! The baton is well & truly passed on. On to new things this year. Watch this space !
February 1, 2025 at 9:37 AM
Whilst I didn’t contribute as much as usual 31 January doctors tax deadlines have been a constant for the past 27 years. Made worse recently by annual allowance issues. But for me no more ! The baton is well & truly passed on. On to new things this year. Watch this space !
Reposted by Andy Pow
Who has asked you to attend a meeting? Do contact your MDO or BMA for support. Remember you have Human Rights Act entitlements to both freedom of speech and a private life.
January 20, 2025 at 8:52 PM
Who has asked you to attend a meeting? Do contact your MDO or BMA for support. Remember you have Human Rights Act entitlements to both freedom of speech and a private life.
Reposted by Andy Pow
If you're in a meeting with me and you say you can see how to save millions in costs, I will ask you every single time where that cash will come from.
Sacked staff? Cut estates? What?
Saying "saving future costs" in a system that's not funding future costs is going to get challenged.
Sacked staff? Cut estates? What?
Saying "saving future costs" in a system that's not funding future costs is going to get challenged.
January 22, 2025 at 4:53 PM
If you're in a meeting with me and you say you can see how to save millions in costs, I will ask you every single time where that cash will come from.
Sacked staff? Cut estates? What?
Saying "saving future costs" in a system that's not funding future costs is going to get challenged.
Sacked staff? Cut estates? What?
Saying "saving future costs" in a system that's not funding future costs is going to get challenged.
Snowy fells . More stunning views this time from the North Lakes 🌞😀
January 10, 2025 at 5:34 PM
Snowy fells . More stunning views this time from the North Lakes 🌞😀
A cold but clear day. No heat in the sun !
January 9, 2025 at 8:52 PM
A cold but clear day. No heat in the sun !
It’s beautiful out there but lots of black ice on the back roads. Cars, ice and stonewalls are not a great combination so slow down !
January 2, 2025 at 3:57 PM
It’s beautiful out there but lots of black ice on the back roads. Cars, ice and stonewalls are not a great combination so slow down !
Let it snow let it snow let it snow 🌨️🗻🎄
December 22, 2024 at 1:12 PM
Let it snow let it snow let it snow 🌨️🗻🎄
It’s not so grim up north today @craig.nikolic.co.uk Cold , quiet up a fell & stunning !
December 19, 2024 at 4:02 PM
It’s not so grim up north today @craig.nikolic.co.uk Cold , quiet up a fell & stunning !
The National Insurance bill is out and as suspected there is no exemption for anyone. So hospitals like all other health & care providers will just have to hope additional funding at the right level comes their way. Politicians & press need to grasp this
publications.parliament.uk/pa/bills/cbi...
publications.parliament.uk/pa/bills/cbi...
December 17, 2024 at 6:16 PM
The National Insurance bill is out and as suspected there is no exemption for anyone. So hospitals like all other health & care providers will just have to hope additional funding at the right level comes their way. Politicians & press need to grasp this
publications.parliament.uk/pa/bills/cbi...
publications.parliament.uk/pa/bills/cbi...