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Nicky Fitzsimmons

Nicky Fitzsimmons

Nicky Fitzsimmons

Senior Accounts Manager
When my family and I looked to relocate to the North East, there was only one firm on my radar to work for. BW Medical Accountants has a national reputation and I'm delighted to join the management team and continue my focus on healthcare finance.


As an experienced Medical Accounts Manager, I have vast knowledge of the ever changing nature of NHS policy and primary care finance.

Professional Experience

Nicky is a specialist medical accountant and has exclusively acted for healthcare professionals over a 20 year period and in addition to being a certified accounting technician, also holds a CIPD intermediate certificate in HR Management.

For the majority of her career Nicky managed a GP Practice portfolio in the south of England, when Nicky relocated to the North East she proactively contacted BW Medical Accountants as she wanted to continue her career with a specialist medical accountancy firm.

Nicky now manages a national GP portfolio, fully supports GP Practices to protect existing income streams and leverage opportunities for growth.  Nicky also delivers educational training on accountancy related issues to newly qualified Doctors. Thus ensuring GPs are more financially aware as they embark on their careers.


  • Exceptional knowledge of general practice finance
  • NHS Contracts
  • Practice Mergers
  • Primary Care Networks / NHS working at Scale
  • Education - Understanding Practice Accounts - training tailored to GPs
  • HR

In Nicky's Words

Primary care finance has become increasingly complex and challenging for General Practice.  For practices to thrive in the NHS, they must ensure the right structure is in place and the finances are fully in control. I assist practices to protect their current income streams and leverage opportunities to maximise their income which also ensures PCN income flows through to the Practice!

  • BW Medical Accountants have a good working knowledge of General Practice and are keenly aware of the challenges Practices face within the changing environment of the NHS.  We have been very impressed by the way BW Medical continue to deliver the range of services they provide from Accounts to Tax and NHS Pension advice. 

    We have found Practice consultation and engagement from BW Medical specifically helpful to shape the future of the Practice.

    GP Partner
    GP Practice, Newcastle
  • We had no hesitation in moving to BW Medical Accountants.  For any business your accountant is integral, and for us one of the most important factors to this relationship is to have a personal and trusting approach, which BW have undoubtedly achieved. 

    The service we receive and the interest they show in our practice assures us that they have a genuine interest in us and commitment to us.  More importantly they are always helpful and polite to answer even the dumbest of questions!  They give us confidence and reassurance knowing that they are always very up-to-date with all the numerous changes within general practice and we would have no hesitation in recommending them to other practices seeking a professional and personal accountancy service.

    Jackie Rotherham, Practice Manager
    The James Street Family Practice, Lincolnshire
  • We changed to BW Medical Accountants and I would say we have just had the most transparent and understandable end of year meeting and the best planning advice I have ever had in 16 years of practice.

    GP Partner

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