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.
Medical careers tend to produce layered finances rather than a single tidy payslip. These are the areas doctors most often find themselves unpicking, and where the right accounting support tends to make the biggest difference.
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, but the case becomes much stronger once you have income beyond a straightforward salary. Locum work, private consultations, medico-legal reports, consultancy fees, partnership profits or a limited company all create reporting and record-keeping obligations that go beyond a standard payslip. An accountant helps ensure everything is reported accurately, that relevant professional expenses are not overlooked and that deadlines are met, which is particularly valuable when your working week is already full.
Your NHS salary is usually taxed through PAYE, while private, locum or consultancy income generally needs to be reported through Self Assessment. On your return, the untaxed income is added to your overall earnings, and any tax already paid through PAYE is credited. Because the combination can affect your overall liability, it is worth reviewing your position before the return is due rather than after, and payments on account may need to be planned for.
Commonly considered costs include medical indemnity insurance, GMC and royal college or professional body subscriptions, continuing professional development and training that maintains existing skills, specialist equipment, professional books and journals, and business mileage or travel to temporary workplaces. Each claim depends on your employment status and whether the cost is reimbursed, and expenses must be incurred wholly and exclusively for your work, so it is best to review them individually rather than assume a blanket rule.
Locum income is usually treated as self-employed income, which means registering with HMRC, keeping records of fees and expenses, and reporting the profit through Self Assessment. If you also hold a salaried NHS post, both sources appear on the same return. Some locums consider operating through a limited company, but whether that is beneficial depends on your contract terms, IR35 position and overall earnings, so it should be assessed properly before making a change.
In many cases medical indemnity cover is an allowable professional expense, particularly for self-employed doctors or where an employee pays for cover that is required for the role and not reimbursed by the employer. The precise treatment depends on your circumstances, so it is worth confirming how your particular policy should be reflected in your accounts or return.
A limited company can suit some doctors with substantial private or consultancy income, offering separate Corporation Tax reporting and flexibility over how profits are taken. It also brings payroll, accounts filing and dividend considerations, and off-payroll working rules may apply to some contracts. The right answer depends on your income level, contract arrangements and long-term plans, so it is worth comparing structures before deciding.
VAT registration depends on your taxable turnover and the nature of the services you provide. Much medical care delivered by registered health professionals is exempt from VAT, but some services — certain cosmetic or non-medical work, for example — can be treated differently. If you are unsure whether your private work falls within the exemption, it is worth reviewing before you approach the registration threshold.
Yes, most doctors we support work with us remotely, sharing records securely and communicating by email, phone or video at times that fit around clinics and on-call commitments. Switching accountants is usually straightforward: we ask for authorisation to act on your behalf, contact your existing accountant for handover information, and take over the ongoing work. If a return is already in progress, we will agree the best point to hand over.
