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 have several financial threads running at once, and the tax rules do not treat them all in the same way. These are some of the areas where specialist 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 many reach a point where it becomes worthwhile. A salaried doctor with a single employer and no other income may have little to do beyond routine PAYE, and HMRC will usually already hold the correct information. Once you take on locum work, private practice, consultancy, medico-legal work, rental income or significant investment income, you generally need to file a Self Assessment return and account for tax on earnings that have not been taxed at source. An accountant can help make sure all income is reported correctly, that legitimate professional expenses are identified, and that the tax you pay reflects your actual circumstances rather than a rough estimate.
Commonly considered costs include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional journals, training and continuous professional development, specialist equipment, and travel or mileage for work-related journeys. Whether a particular cost is allowable depends on your employment status, whether it was incurred wholly and exclusively for the work, and whether you have already been reimbursed. Expenses against employment income are more restricted than those against self-employed profits, so two doctors in similar roles can have different allowable claims. We review your expenditure individually rather than applying a blanket list.
Locum work is often treated as self-employment, which means you report income and expenses on a Self Assessment return, pay tax on the profits and account for Class 4 National Insurance through the return, with payments on account typically falling due in the following January and July. However, some locum arrangements are structured as employment, in which case PAYE may already be deducted and the reporting position is different. Agency contracts, umbrella arrangements and direct hospital bookings can all produce different outcomes, so it is worth checking how each engagement is classified.
Your NHS salary is usually taxed through PAYE, while private fees, self-pay patient income and consultancy earnings are generally reported separately through Self Assessment. The two are added together to determine your overall tax position, which can push some of your income into a higher band and affect how much tax is due on the private side. Keeping separate records for each income stream, including invoices, receipts and bank statements, makes the return far more accurate and reduces the risk of an enquiry.
Yes. Running private practice or consultancy through a limited company can bring different tax and National Insurance outcomes compared with working as a sole trader or through a partnership, though the most suitable structure depends on your income levels, how you take money out of the business and your longer-term plans. We can prepare annual accounts, Corporation Tax computations and company tax returns, run payroll for directors and any staff, assist with VAT where your services are not exempt, and advise on the practical implications of incorporation or of continuing as a sole trader.
Many medical services fall within an exemption, but the position depends on exactly what is being provided and to whom. Some services offered by private clinics fall outside the exemption and are standard-rated, which can create a requirement to register and account for VAT once turnover passes the registration threshold. Because the distinction is based on the nature of the service rather than the fact that a doctor provides it, it is worth reviewing your activities before assuming either way.
Pension contributions and the growth in your pension benefits can interact with the annual allowance, and where that allowance is exceeded a tax charge may arise. The calculation can be complicated for doctors because of the way NHS pension benefits accrue and because of changes in working patterns, additional roles or periods of part-time work. Relief on private pension contributions can also be affected by your total income. Individual circumstances vary considerably, so we look at your own figures and the rules applying to the relevant tax year rather than applying a general assumption.
Working remotely is entirely practical — documents can be shared securely, meetings held by video or phone, and the process managed around clinical commitments. If you are moving from another accountant, we can contact your existing firm for the relevant information and professional clearance, once you have confirmed you are happy for us to do so. It usually helps to have your most recent tax return, accounts, bookkeeping records, and details of any outstanding filings or correspondence with HMRC available at the start, so we can review exactly where things stand before taking anything over.
