You do not need to be a doctor. You do not need clinical qualifications. Under UK law, anyone can own a company that holds an NHS contract. You hire salaried GPs to see patients. You own the business, manage the finances, and attend board meetings. The NHS contract provides reliable, government-backed income paid monthly like clockwork.
You own the company. Qualified GPs deliver the clinical care. The NHS pays you every month.
The NHS is the most reliable payer in the country. GP practices receive monthly payments based on their registered patient list. This is not fee-for-service. It is a guaranteed contract. As long as you have patients on your list, the money comes in.
Projections based on growing from 2,000 to 5,400 patients over three years, with salaried GPs delivering all clinical care.
| Year 1 Revenue | £567,845 |
| Year 2 Revenue | £804,924 |
| Year 3 Revenue | £846,646 |
| Year 2 Operating Costs (staff, premises, running costs) | £639,274 |
| Operating Margin | 20.6% |
| Your Income (Year 2 Net Profit) | £165,650 |
| Startup Capital Required | £150,000 |
As an investor-owner, your income is the practice’s net profit after all costs including salaried GP salaries. Revenue comes from the NHS Global Sum (£123.34 per weighted patient), QOF payments, Enhanced Services, and premises reimbursement. These are government-backed contracts — not dependent on patients choosing to pay.
You need approximately £150,000 in startup capital. Your NHS contract is your strongest asset when approaching lenders.
NHS-contracted income is as close to guaranteed revenue as any business gets. Lenders understand this. Healthcare-specialist lenders actively seek GP practice investments because the default rate is exceptionally low.
Unlike most businesses where revenue depends on customer acquisition, GP practice income is contractually guaranteed by NHS England. Your monthly Global Sum payment is based on your registered patient list. Patients are assigned to your list. QOF payments reward clinical quality. This is not speculative income — it is a government contract.
Here is how non-clinical ownership of a GP practice works under UK law.
The UK Companies Act 2006 has no requirement for company directors to hold clinical qualifications. You can own a limited company that holds an NHS contract and employs qualified GPs to deliver clinical care. This is the same model used by large healthcare corporations across the UK.
Your role as investor-owner is to manage the business: finances, premises, staffing, strategy, and governance. Your salaried GPs handle all clinical care. Your practice manager handles daily operations. CQC requires a Registered Manager with appropriate qualifications — this is your practice manager or lead GP, not necessarily the company owner.
What you need to do:
Think of it like owning a restaurant. You do not need to be a chef. You hire chefs. You manage the business. The same principle applies to a GP practice. You hire the doctors. You own the company. The NHS pays you.
From purchase to passive income. Here is how it works.
Pay the purchase price directly or fund it through a Start Up Loan. The company, all 313 documents, financial models, website, email, phone, and CQC & NHS Application-Ready pack are yours.
We transfer company shares to you and appoint you as director. You receive access to every document, the website admin panel, email inbox, and phone system. Everything is handed over.
Use the recruitment pack included in your documentation. Hire at least one salaried GP and a practice manager. Your employment contracts, job descriptions, and onboarding procedures are ready.
Submit your application for an NHS contract and register with CQC. Your lead GP handles the clinical aspects. Your documentation covers everything both organisations require. Typical processing time: 3–6 months.
Once approved, open your patient list. Your salaried GPs see patients. Your practice manager runs daily operations. You oversee the business and collect the profit. NHS payments arrive monthly.
Yes. Under the UK Companies Act 2006, there is no requirement for the owner or director of a company to hold clinical qualifications. You own the company. The company holds the NHS contract. You employ qualified, GMC-registered GPs to deliver clinical care. This model is used by healthcare corporations, private equity firms, and individual investors across the UK. The only clinical requirement is that the GPs you employ must be on the GMC register and the NHS Performers List.
There is strong demand among GPs for salaried positions — many prefer the security of a salary over the risk of partnership. Recruit through NHS Jobs, BMJ Careers, Pulse Jobs, and local GP networks. Salaried GP salaries typically range from £60,000 to £90,000 depending on experience and sessions. Your documentation includes employment contracts, job descriptions, and interview templates specifically designed for GP recruitment. A good practice manager can also handle most of the recruitment process for you.
NHS GP contract income is among the most reliable revenue streams in the UK economy. The Global Sum is paid monthly based on your registered patient list — not on how many patients you see. QOF payments are made quarterly based on clinical quality indicators. Enhanced Services are paid for delivering specific services like vaccinations or minor surgery. NHS England has never defaulted on GP contract payments. This is government-backed income with a payment track record spanning decades.
Expect 4–8 months from purchase to first income. During the application period (3–6 months), you are recruiting staff and securing premises. Once your NHS contract is approved and you open your patient list, income begins immediately. The Global Sum is paid monthly in arrears. You do not need to wait for the patient list to reach 5,400 — you earn from your very first registered patient. The £165,650 income figure is a Year 2 projection when the list has grown to approximately 3,500 patients.
Once the practice is operational, the investor-owner role is genuinely part-time. Your practice manager handles daily operations. Your GPs handle clinical care. Your role is strategic oversight: reviewing financial reports, attending monthly board meetings, making decisions about staffing and services, and managing the relationship with your accountant and NHS commissioners. Most investor-owners spend 5–10 hours per week on practice business once it is established. The initial setup period requires more time — typically 15–20 hours per week for the first 6 months.
Ashgrove Medical Practice — a complete, CQC & NHS Application-Ready GP practice. Own the business. Hire the doctors.
