Specialist Accountants for GPs, Consultants & Locum Doctors
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Accounting and tax support for GPs with NHS income, private work, practice interests or additional professional earnings.
Support with Self Assessment, professional expenses and tax matters alongside employment income and other professional earnings.
Accounting support for consultants managing NHS employment, private practice income, professional expenses and tax obligations.
Support with Self Assessment, locum income, allowable expenses, bookkeeping and relevant business structure considerations.
Tax and accounting support for salaried doctors with additional professional income or expenses requiring reporting.
Accounting support for doctors providing private medical services through individual practices, partnerships or companies.
Preparation and support for doctors with employment, locum, private practice or other taxable income.
Help organising accounting records where income comes from NHS work, private services, locum assignments or other professional activities.
Accurate records built around the way GP practices, partnerships and locum doctors actually work, with cloud software set up for you.
Incorporation reviews for private practice, profit extraction, capital allowances and timing of income to keep your effective tax rate down.
Contract and IR35 status reviews, limited company versus sole trader comparisons and expense claims for locums working across multiple trusts.
Doctors rarely have a single, simple income stream, and that is where most accounting friction arises. These are the areas we see come up most often, though the exact impact always depends on your own working arrangements.
We support GPs, locum doctors, consultants and other medical professionals with accounting and tax matters tailored to their individual circumstances.
GMC and indemnity fees, royal college subscriptions, exams, courses, equipment and mileage — nothing left on the table.
We calculate your pension input amount, check tapering and advise on Scheme Pays before a charge becomes a problem.
Status reviews on your engagements and a clear answer on limited company versus sole trader for your circumstances.
Returns, accounts and payroll filed on time, with reminders well in advance so penalties never happen.
One agreed monthly fee, quoted up front, with no hourly billing and no surprise invoices.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
We use Xero, Quickbooks, Sage & many other online software.
Meet, call or email the same qualified accountant who knows your practice and your pension position.
Free telephone & email support
throughout the year.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our specialist healthcare accountants handle everything. Switching part way through the year is straightforward and you never need to speak to your old accountant:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Many do, but the reason depends on your circumstances. If you are fully salaried with straightforward PAYE and no extra income, your tax affairs may be simple. Once you take on locum shifts, private fees, consultancy work, medico-legal reporting or a practice role, the picture changes: you may need to file a Self Assessment return, claim expenses correctly, manage payments on account and think about structure and pensions. An accountant helps ensure those obligations are met accurately and on time.
Commonly claimed items include medical indemnity insurance, professional body subscriptions, required training and continuing professional development, specialist equipment, and travel or mileage for work-related journeys that qualify. Whether a specific cost is allowable depends on the rules and your own circumstances — for example, ordinary commuting is generally not claimable, and costs must relate to your professional activity. We review your expenditure individually rather than applying a blanket list.
NHS salary is usually taxed through PAYE, while locum income is often treated as self-employed earnings and reported through Self Assessment, sometimes with tax deducted at source depending on the engagement. Because both can apply in the same year, it is important to track all income and tax already paid so your return reflects the correct position and payments on account are set at the right level.
Your NHS pay is normally taxed through PAYE, and private fees, consultancy or medico-legal income are usually reported separately through Self Assessment. The combination can affect your overall tax position, including how allowances and higher-rate bands apply, and may influence pension considerations. Proper record keeping across both streams is essential, and we can help bring them together into a single, accurate picture.
There is no universal answer. Sole trader and partnership arrangements are simpler administratively, while a limited company can offer different tax treatment and liability protection but brings company accounts, Corporation Tax, payroll and filing obligations. The right choice depends on your income level, how you work, your plans and your personal circumstances, and it is worth reviewing as your medical work develops.
Many medical services are exempt from VAT, which means VAT registration is not always necessary or beneficial. However, some activities and income streams fall outside the exemption, so the position depends on exactly what you provide. If you are unsure whether registration applies to you, a review of your services and turnover will clarify your obligations.
Yes. Accounts, records and correspondence can be handled securely online, which suits doctors with busy or irregular working patterns. Documents can be shared digitally, questions answered by email or call, and deadlines managed without the need for frequent in-person meetings.
Changing accountants is usually straightforward. Once you decide to move, we can contact your existing adviser to request professional clearance and the information needed to take over, such as prior accounts, tax returns and your filing history. From there we review your position, confirm what needs to be done and agree how the ongoing service will work.
