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Rachel Ormston FCCA

Rachel Ormston FCCA

Rachel Ormston FCCA

Senior Accounts Manager
As specialists in medical finance, we are fully up to date at all times technically and we also ensure we understand and stay informed of the latest policy developments within the NHS and any factors that could impact upon a medical professional's financial life. With such a strong experienced team behind BW Medical Accountants, the quality of the work shines through.


Rachel has over 14 years' experience exclusively acting for medical clients with a particular focus on the Dental and GP Profession.

With extensive knowledge in medical accounts, her knowledge and expertise takes in financial accounts for Dental Practices & GPs across England. Alongside accounting experience, Rachel has a wealth of experience of practice purchases/sales and restructuring, she is passionate about her work and the industry.

In addition to managing a client portfolio, Rachel heads up 'Making Tax Digital' to ensure our clients are prepared for the future changes and is also accredited to support our clients with their IT accounting packages such as Xero so the required support and training can be delivered.

Professional Experience

Rachel began her financial career in 2009 as an accounts trainee at Robson Laidler LLP in Newcastle, where she prepared yearly accounts for a wide variety of businesses, including dental practices and GP surgeries. This role involved full accounts preparation, superannuation certificates and pensionable profit estimates for primary care trusts.

In 2012 Rachel took up a post as a medical accountant at RMT Accountants, where she further developed her knowledge of financial accounting systems for medical practices, including partnerships and individuals. Rachel became an integral part of the client team, liaising on a daily basis with practice managers and visiting clients as required.

Rachel joined former colleagues at specialist medical accountants BW Medical Accountants in September 2013 where her role includes delivering work onsite for clients and managing a national portfolio of Dental and GP Practices.


As a Specialist Medical Accounts Manager, Rachel manages our medical services accountants and acts as a key contact for our clients. Rachel's role takes in the final preparation of financial accounts for GP Practices and is the lead Manager for our Dental Clients heading up a national client portfolio across the NHS and private healthcare sector.  This includes Principals, Associates and Dental Therapists.

Skills In Focus

  • NHS Contracts
  • Dental Practice acquisition / sales
  • Acting for Dental Principals, Dental Associates and Dental Therapists
  • Medical / Partnership Accounts
  • Dental Accounts
  • Book-keeping
  • Partnership / expense sharing issues
  • Accounting Software (Xero Accredited Trainer)
  • Financial Reporting
  • Superannuation certificates
  • Making Tax Digital

In Rachel's Words

"With current NHS structures changing, many professionals are now having to consider ways to maintain their current income streams. BW Medical Accountants is a unique accountancy firm offering specialist knowledge in all aspects of medical finance to help ensure medical professionals can maximise their income, reduce their tax liabilities, achieve their personal financial planning goals and plan accordingly for retirement. Clients can get all the services they need from BW Medical Accountants safe in the knowledge that we have the expertise to deal with them at every stage of their career and can advise on any financial issue thrown at them.

"By helping to provide an outstanding service to clients and assisting them with any queries they may have, we can provide a truly integrated service that no one else can offer.  I enjoy working with the healthcare sector and as a medical accountant, as it is a unique field to work in. I like to be there not only to prepare the accounts but also help or advise clients in any way I can and use my skills to provide a level of service that professionals in the healthcare profession truly understand and value."

  • 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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