Medics Money podcast

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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.
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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.

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

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

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The podcast features Dr. Nadia Ekong discussing what she learned on the Financial Wellbeing course and how she applies it to her family, covering budgeting, saving, investing, and teaching children about money. She contrasts growing up with unspoken expectations that academic success would guarantee financial security with the modern reality of taxes, spending, and the need to manage income intentionally. Key takeaways include planning finances prospectively using the Medics Money financial dashboard, adopting mindset shifts such as understanding the true value of “£1” after tax and the real cost of purchases, and using evidence-based, passive investing. She describes practical steps for kids: piggy banks, GoHenry and Starling Kite accounts, goal-based “pots,” and reading Grandpa’s Fortune Fable to introduce long-term investing. They also discuss pocket money approaches and recommend E is for Ethics for teaching morals through stories and guided questions.
00:00 Episode Overview
01:21 Meet Dr Nadia Ekong
01:56 Early Money Lessons
03:01 Doctor Pay Reality Check
04:49 Course Takeaways
07:54 Teaching Kids Money
09:25 Investing With Stories
11:47 Pocket Money Debate
15:19 Ethics For Kids Book
18:04 Top Tips And Wrap
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
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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.

https://ashlane.co.uk/medics-money-4-3-million-underpayment-for-flu-vaccines/
The Medics' Money podcast interviews Harriet Hole from Ash Lane Consulting about GP practices losing income due to complex NHS drug reimbursement processes for personally administered items (e.g., vaccines, injections, devices). Hole explains how practices buy and administer items, print FP10s, send FP34 and vaccine appendices, and get paid by PCSE later, noting errors can occur at many points. Ash Lane identified that for the 2025/26 flu season around 900 practices were underpaid, averaging £4,800 each (over £4 million total), often due to being reimbursed for the wrong flu vaccine; they offer a free 30-second check via a link in the show notes. The episode discusses whether flu remains profitable (margins have fallen) and gives tips to reduce wastage, ensure correct claiming (copy wording from vaccine boxes), reconcile claims to payments, send claims special delivery, avoid under-claiming, and monitor supplier pricing and profit margins.
00:00 GPs Missing Millions
02:00 Meet Ash Lane Consulting
03:21 How Drug Reimbursement Works
05:54 Flu Season Underpayments
07:37 Free Flu Payment Check
09:22 Is Flu Still Profitable
11:54 Flu Campaign Best Practices
17:36 Beyond Flu Drug Profits
24:26 Supplier Pricing Tips
26:16 Benchmarks and Final Call
28:40 Wrap Up and Goodbye
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.