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 often accumulate a mix of income sources and professional costs that do not fit neatly into a standard tax return. These are the areas that most commonly need attention.
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.
Not every doctor does. If your only income is an NHS or hospital salary taxed through PAYE and you have no other income, your tax is usually handled by your employer and an accountant may not add much. The position changes once you have untaxed income such as private patient fees, locum sessions, consultancy, medico-legal work, teaching or rental income, because that income normally has to be reported through Self Assessment. Doctors with several income sources, fluctuating earnings, a practice partnership or a limited company generally find that professional support saves time and reduces the risk of errors, penalties and missed expenses.
Your NHS or hospital salary is normally taxed through PAYE, and your employer reports it to HMRC. Any private, locum or consultancy income that has not been taxed at source is then reported on a Self Assessment return, with allowable expenses deducted to arrive at the taxable profit. HMRC reconciles the two and collects the additional tax, often through an adjustment to your tax code or through payments on account if you are self-employed. Because the two systems interact, keeping clear records of private income and expenses throughout the year makes the return far more straightforward.
Commonly claimed costs include medical indemnity insurance, professional body and registration subscriptions, training and professional development that maintains or updates your existing skills, specialist equipment and textbooks, and travel or mileage for work-related journeys. Whether a particular cost is allowable depends on your employment status and on whether it was incurred wholly and exclusively for your work, and employed doctors face stricter rules than the self-employed. We review your expenditure as part of preparing the return and explain which items qualify.
Locum work can be structured in different ways. Some locum posts are employment, in which case tax may be deducted through PAYE, while genuinely self-employed locum work is reported on a Self Assessment return and taxed on profits after allowable expenses. The correct treatment depends on your contracts and working arrangements, not simply on the label used by the agency or trust. Self-employed locums also need to be aware of payments on account, which means tax is collected in advance based on the previous year's liability.
It can be worth considering, but it is not automatically beneficial. Incorporation may suit doctors with substantial private practice, consultancy or medico-legal income who want a different approach to profit extraction and pension planning, but it brings additional obligations such as statutory accounts, Corporation Tax returns, payroll and compliance with off-payroll working rules where they apply. NHS Pension Scheme considerations can also be relevant. We look at your income levels, plans and personal circumstances before recommending a structure.
Many medical services provided by registered health professionals fall within the medical exemption, but the exemption is not universal. Certain cosmetic procedures, medico-legal reporting and other non-medical services may be outside it, and whether you need to register depends on the level and type of your taxable income. If you provide a mix of exempt and standard-rated services, the rules around what you can reclaim can be more involved, so it is worth reviewing your position before your private work grows.
Keep invoices and payment records for private and locum work, bank and card statements covering your professional accounts, receipts for indemnity, subscriptions, equipment and training, a mileage log for practice and private work travel, pension statements, and your P60 or P45 from employed roles. If you use cloud accounting software, much of this can be captured as you go rather than stored in a folder for months. Good records not only support the tax return but also provide evidence if HMRC asks questions.
Yes. Accounting and tax work can be handled remotely, with documents shared securely and questions answered by phone, email or video call, which suits doctors with busy or irregular schedules. If you already have an accountant, switching is usually a simple process: you let us know, we write to your existing firm for professional clearance, and we take on the handover of your records and filings. If you are not currently with an accountant, we simply start from your existing information and take it from there.
