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 carry a heavier administrative load than their contracts suggest, and the tax side of medical work is rarely as simple as a payslip. The issues below come up regularly when doctors review their financial affairs, though how they apply will depend on your employment status, income sources and business structure.
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 of your income comes from a single salaried NHS role and tax is fully collected through PAYE, you may not need much beyond occasional advice. Doctors with private fees, locum shifts, consultancy income, multiple roles, investment income or pension complexities often find a Self Assessment return is required, and that is where specialist support becomes valuable. Even where no return is due, questions about allowable expenses, business structure or pension contributions are usually worth a proper conversation rather than guesswork.
Not every doctor does, but many do. PAYE collects tax on salary, yet it cannot account for untaxed private fees, locum income treated as self-employment, consultancy work, rental or investment income, or certain pension issues. HMRC may also expect a return where you have income that PAYE has not fully covered. The right starting point is a review of all your income sources and how each one is treated, so you know whether a return is required and what it needs to include.
Locum work can be treated as employment or as self-employment, depending on the terms of the engagement, and the two are taxed differently. Where it is self-employment, income and expenses are reported through Self Assessment rather than PAYE alone. Keeping dated records of shifts worked, payments received, agency statements, travel and mileage, and any costs incurred solely for the work makes the position far easier to report accurately and to support if HMRC asks questions.
Potentially allowable costs often include medical indemnity insurance, GMC and specialty registration fees, professional body subscriptions, and training or CPD that maintains existing skills rather than opening up a new career. Equipment, professional literature and travel or mileage to temporary or private work can also be relevant. The test is whether an expense is incurred wholly and exclusively for the purposes of the work, so treatment varies between doctors and between income streams, and records need to support any claim.
Yes. A combined view of NHS salary or pension income alongside private fees, locum work or consultancy income is usually the most useful starting point, because it shows how the different streams affect your overall tax position. That picture informs your Self Assessment, the timing of payments on account, which expenses are claimable against which income, and whether your current structure still suits the way you work.
Sometimes, but not automatically. A limited company brings Corporation Tax, statutory accounts, confirmation statements and payroll obligations, and for some doctors the off-payroll working rules complicate arrangements with NHS bodies or agencies. Whether incorporation is worthwhile depends on the level and type of private income, how you are engaged, your pension position and your personal circumstances. It is worth modelling the alternatives before making a change.
It depends on your turnover and on the nature of your services. Medical services provided by registered health professionals are generally exempt from VAT, but not every income stream a doctor receives is treated the same way, and non-medical work such as certain report writing or advisory services can fall differently. Registration also brings reporting obligations, so the position should be reviewed against your own mix of income before any decision is made.
It usually starts with a conversation about your work, income sources and current arrangements, after which we set out what support you need. If you already have an accountant, the changeover is normally handled through professional clearance and a handover of records, and it often makes sense to time the move after a completed set of accounts or tax return to avoid duplication. We can talk through the practical steps and timing with you before anything is agreed.
