Specialist Accountants for GPs, Consultants & Locum Doctors
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 more financial complexity than their payslips suggest. NHS employment income, private fees, locum shifts, consultancy work and practice profits can all arrive in different ways, and each one brings its own record-keeping and reporting consequences. These are the areas we see most often.
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. A doctor with only one salaried NHS post and no other income may manage a straightforward tax position themselves. However, once you add locum shifts, private fees, consultancy work, practice or partnership profits, rental income or significant professional expenses, the picture becomes harder to get right — and errors tend to surface later as queries or amended returns. An accountant is most valuable when there are multiple income sources, a change in working arrangements, or a decision to make about structure or pension contributions.
Yes. NHS employment income is usually taxed through PAYE, while private fees, locum work and consultancy income often need reporting separately through Self Assessment. We gather all of it together, check that the PAYE already deducted is correctly reflected, and make sure your returns include the right sources of income and the expenses that relate to them. The treatment depends on whether the work is employment or self-employment, so we look at the contractual arrangements rather than assuming.
Locum doctors commonly need to record income from several agencies or trusts, along with expenses such as travel between sites, medical indemnity, professional subscriptions and any equipment or training costs. Good records also matter for confirming whether you are treated as employed or self-employed for each engagement, as this affects how income is taxed and what can be claimed. If you work through an intermediary or limited company, we can advise on the additional reporting that brings.
Common examples include medical indemnity insurance, professional body subscriptions, required training and continuing professional development, specialist equipment and professional publications, and business travel or mileage where it is not ordinary commuting. Whether a cost is allowable depends on how it relates to your work, whether it is wholly and exclusively for business purposes, and whether any private use needs to be apportioned. We review your spending and identify what can properly be claimed rather than working from a generic list.
Medical indemnity is a cost doctors frequently ask about, and its treatment can vary depending on whether you are employed, self-employed, or working through a company, and on what the cover relates to. Rather than assuming a single answer applies, we look at your specific arrangements and how the policy is used in your professional work, then reflect it correctly in your returns or accounts.
There is no universal answer. Operating through a limited company can suit some private practitioners and consultants, but it brings additional obligations including annual accounts, Corporation Tax returns, payroll and directorship responsibilities, and it is not automatically more tax-efficient for everyone. The right choice depends on your income levels, how the work is structured, your pension and personal circumstances, and whether NHS work is involved. We talk through the options and the practical trade-offs before you commit.
Many medical services are exempt from VAT, which means registration is often not required in the way it would be for other businesses. However, VAT can become relevant where a practice or clinic provides non-exempt services, sells goods, or has turnover that approaches HMRC's registration threshold. Because the rules depend on exactly what is supplied, we review your activities individually and advise on whether registration or voluntary registration makes sense.
Distance is rarely a barrier — documents, records and queries can all be handled electronically, with calls or meetings arranged as needed. If you are moving from another accountant, we ask for your authorisation to contact them, obtain the relevant records and check whether anything is outstanding, then bring your bookkeeping and filings up to date before taking over ongoing compliance. Doctors with straightforward arrangements make the switch quickly, while more complex cases simply take a little more groundwork.
