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 rarely follow a single, simple income path, and that complexity is where most tax and accounting pressure comes from. These are the areas doctors most often need help untangling.
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.
It depends on your circumstances. If you are a salaried doctor with only PAYE income and no other earnings, your tax affairs may be straightforward and handled through your employer's payroll. The picture changes once you take on locum shifts, private patient fees, consultancy work, medico-legal income or a partnership share. At that point you have self-employment income to report, expenses to substantiate and payments on account to manage — all areas where professional support reduces the risk of errors and missed claims.
Your NHS salary is normally taxed through PAYE, while private and locum income is usually reported through Self Assessment. The return brings both together so your total tax liability is calculated correctly, taking into account tax already paid through PAYE. Depending on your income and how it arises, you may also need to make payments on account towards the following year. The exact position depends on your employment status, the level of private income and your overall tax position, so it is worth reviewing each year rather than assuming last year's approach still applies.
Common claims include medical indemnity and professional indemnity cover, GMC and royal college or specialist society subscriptions, revalidation and continuing professional development costs, specialist equipment and reference materials, and travel between work locations that is not ordinary commuting. Whether a specific cost is allowable depends on why it was incurred, whether it relates solely to your professional work and whether you have the records to support it. We review your expenditure against the rules rather than applying a blanket list.
Locum work is generally treated as self-employment, which means registering with HMRC, keeping records of income and expenses, and filing a Self Assessment tax return. Many locum doctors also have an NHS or hospital salary running alongside, so the two need to be reported together. It is worth reviewing whether the level of locum income points towards a different structure, and whether you should be claiming expenses such as indemnity cover, mileage and professional development.
A limited company can be appropriate for some private, consultancy or medico-legal work, but it is not automatically the best route. The decision depends on your income levels, your long-term plans, your exposure to personal liability and the extra administration that comes with a company, including annual accounts, Corporation Tax returns and possible payroll obligations as a director. We look at the numbers and your circumstances before recommending a structure.
Pension contributions and annual allowance rules are a significant issue for many doctors, particularly those with high earnings, additional private income or historic NHS pension arrangements. Contributions can affect your tax position, and exceeding allowances can create additional charges. Because this overlaps with both your tax return and your retirement planning, it is worth discussing early so any figures can be incorporated into the return rather than dealt with afterwards.
Yes. Much of the accounting work we carry out for doctors is handled through secure digital records, online document sharing and scheduled calls, which fits around busy rotas and clinic commitments. The practicalities of how we work together, including what you send and how often we speak, can be agreed at the start based on what suits your working pattern.
Changing accountants is usually a straightforward process. We ask for details of your current position and your previous accountant, then handle the professional handover and request the records we need on your behalf. Once we have your information, we review what has been filed and what is outstanding, confirm the deadlines ahead and put a plan in place. The aim is to make the transition as smooth as possible without disrupting your existing compliance.
