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 generate financial complexity that a standard tax return rarely captures. A few of the issues doctors commonly ask us about include the following, although the exact treatment always depends on your employment status, income sources and individual circumstances.
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 all your income is taxed through PAYE and you have no other complications, you may not strictly need one. However, many doctors have additional factors such as private fees, locum income, consultancy work, pension contributions, rental income or investment income, and these usually mean a Self Assessment return is required. An accountant helps make sure everything is reported correctly, that allowable expenses are claimed, and that you understand your payments on account rather than being surprised by them.
Your NHS salary is normally taxed through PAYE, with tax deducted before you are paid. Private fees, locum earnings and consultancy income are generally reported on a Self Assessment return and taxed on top of your employed income. In practice, this means the tax due on your private work is often calculated at your higher marginal rate, and payments on account may apply for the following year. The exact position depends on your total income, your tax code and any reliefs available to you.
Yes. Locum doctors are commonly treated as self-employed for the shifts they work independently, although arrangements through agencies or short-term contracts can vary. We help identify which income is employment and which is self-employment, work out which expenses may be allowable, and prepare the tax return accordingly. If you work a mix of locum shifts and a salaried post, we look at both together so the return reflects the full picture.
This depends heavily on whether the cost relates to employed or self-employed work. For self-employed private or locum work, costs that are wholly and exclusively for the business may be claimable, which can include medical indemnity insurance, professional body subscriptions, some training and CPD, equipment and business mileage. For employed work, the rules are tighter and generally limited to costs you are required to incur. Because the boundary is not always obvious, it is worth reviewing your specific expenses with an accountant before submitting a claim.
Medical indemnity cover is often treated as a legitimate professional expense, but the tax treatment depends on the nature of your work. Where the cover relates to self-employed private practice or locum work, it is usually claimed as a business expense. Where it relates to employed duties, the position is more restrictive. We review the purpose of the cover and how it links to your income before deciding how it should be treated.
There is no single answer, because it depends on your income level, how many people you practise with, the level of risk you carry and your longer-term plans. Sole trader status is straightforward and often suits doctors with modest private income. A partnership can work well where two or more doctors share a practice. A limited company may offer different tax and structuring options but brings additional compliance, including statutory accounts, Corporation Tax and payroll obligations. We can review the options with you before you commit.
Yes, where relevant. Some private medical services are exempt from VAT while others are not, so whether registration is needed depends on the specific services you provide and your turnover. We can review your position and handle registration and returns if required. On the payroll side, we can run payslips, calculate PAYE and National Insurance, and manage pensions auto-enrolment obligations for practice staff, including GP partners drawing a salary.
Switching is usually simpler than doctors expect. We ask for your authorisation to contact your existing accountant, request the handover information we need, and confirm your position with HMRC so we can file on your behalf. Much of this can be handled remotely by secure document sharing and video or phone calls, which suits doctors working long or unpredictable hours. Your previous records, filings and deadlines are reviewed as part of the process so nothing is lost in the transition.
