You do not need to do this alone. Five people contribute £4,000 each to purchase Ashgrove Medical Practice. Use Start Up Loans for the additional startup capital. Share the risk. Share the returns. Whether you are GPs, practice managers, nurses, or business professionals — a syndicate lets you own a GP practice for a fraction of the individual cost.
Everything a solo buyer gets — split five ways. Same business. Same documents. Same income potential. Shared risk.
Five Start Up Loans of £25,000 each gives you £125,000 in startup capital — combined with the £20,000 purchase, that is £145,000 towards your £150,000 target. The remaining £5,000 gap is easily closed with a small commercial loan or personal contributions.
Total practice profit split equally five ways. Here is what each syndicate member takes home.
| Year 1 Revenue (total) | £567,845 |
| Year 2 Revenue (total) | £804,924 |
| Year 2 Profit (total) | £165,650 |
| Your Share (20%) | £33,130 |
| Your Investment | £4,000 |
| Your Start Up Loan Repayment (~5 yrs) | £483/month |
| Year 3 Revenue (total) | £846,646 |
Each member invests £4,000 upfront and takes a Start Up Loan of up to £25,000 for their share of the startup capital. After loan repayments, each member still takes home approximately £27,334 per year in Year 2. And the loan is fully repaid within 5 years. After that, the full £33,130 is yours.
Five people. Five Start Up Loans. One practice.
The beauty of the syndicate model is that each member can individually apply for a Start Up Loan. That means your group can access up to £125,000 in government-backed funding. Here is how the numbers work:
A syndicate of five professionals applying with 313 professional documents, six financial models, and a live practice website is an extraordinarily strong application. Start Up Loan assessors rarely see this level of preparation. Your applications will stand out.
Clear roles, clear governance, clear profit sharing.
Your syndicate is a standard limited company with five equal shareholders. Each person holds 20% of the shares. Decisions are made by majority vote. The shareholders’ agreement (included in your documentation) covers everything:
Who can be in the syndicate? Anyone. GPs, practice managers, nurses, pharmacists, business professionals, investors. The company has no restriction on who owns shares. If any member is a GP, they can also serve as the lead clinician — combining ownership with clinical work and earning both a salary and their share of the profit.
From forming your syndicate to opening your practice.
Assemble your group of five. Agree on roles, contributions, and governance using the shareholders’ agreement template included in your documentation. Have a solicitor review and finalise it.
Pool your £20,000. The company, all 313 documents, financial models, website, email, phone, and CQC & NHS Application-Ready pack are transferred to your syndicate.
Each member applies individually for up to £25,000. Your professional documentation and financial models make each application exceptionally strong. Combined: up to £125,000 in funding.
Hire your clinical team (GPs, nurses, receptionists) and find suitable premises. Your recruitment pack, employment contracts, and job descriptions are ready. Submit your NHS England and CQC applications.
Once NHS England approves your contract and CQC grants registration, open your patient list. Revenue flows in monthly. Profits are distributed quarterly to all five members.
The syndicate operates as a standard UK limited company with five equal shareholders, each holding 20% of the shares. All five members are appointed as directors. A shareholders’ agreement (included in your documentation) governs decision-making, profit distribution, roles, exit procedures, and dispute resolution. This is a well-established legal structure used by thousands of businesses. Your solicitor can review and finalise the agreement quickly and inexpensively.
Anyone. There is no restriction on who can own shares in a UK limited company. Your syndicate could include GPs, practice managers, nurses, pharmacists, accountants, solicitors, IT professionals, or anyone else. The only requirement is that the clinical staff employed by the practice (GPs, nurses) must hold appropriate professional registrations. If one or more of your syndicate members are GPs, they can serve as both salaried clinicians and shareholders — earning both a salary and a share of the profit.
Profits are distributed as dividends in proportion to shareholding. With five equal shareholders at 20% each, the Year 2 projected profit of £165,650 splits to £33,130 per person. Dividends are typically distributed quarterly. The shareholders’ agreement can also allow for unequal distributions if, for example, one member contributes more time or capital — but this must be agreed in advance and documented.
The shareholders’ agreement includes a structured exit procedure. If a member wants to leave, their shares must first be offered to the remaining members at a fair market value (determined by an agreed valuation method). If no existing member wants to buy, the shares can be offered to an agreed external buyer. The agreement ensures the practice continues operating and the remaining members are not disadvantaged. Standard notice periods (typically 6–12 months) apply to prevent disruptive exits.
The shareholders’ agreement defines two tiers of decision-making. Day-to-day operational decisions are delegated to the managing director (one of the five members, elected by vote) and the practice manager. Major decisions — such as taking on debt, selling shares, hiring senior staff, or changing the business model — require a majority vote (3 of 5 directors). This prevents deadlocks while ensuring no single member can make unilateral major decisions. Monthly board meetings keep all members informed and aligned.
Ashgrove Medical Practice — a complete, CQC & NHS Application-Ready GP practice. Share the investment. Share the returns.
