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 face a distinctive set of accounting and tax pressures that general accountants may not encounter day to day. These are some of the areas worth thinking about carefully.
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. If your income comes solely from NHS employment and is fully taxed through PAYE, your affairs may be simple enough to handle yourself. However, many doctors have additional income from private fees, locum shifts, medico-legal work or investments, and these usually require a Self Assessment tax return. An accountant can help ensure everything is reported correctly, identify allowable expenses you may be missing, and check whether your PAYE code and pension contributions are being reflected properly.
Locum work is typically treated as self-employment, which means you report income and expenses on a Self Assessment return and pay tax and National Insurance through the self-assessment system rather than PAYE. You may need to make payments on account towards the following year's tax bill, which can catch people out in the first year. Keeping accurate records of shifts worked, travel, indemnity cover and other costs is important, since these affect your taxable profit. The right treatment can depend on how your engagements are structured, so it is worth reviewing your specific arrangements.
Commonly considered expenses include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional development and training costs related to your existing work, specialist equipment, and travel between work locations where it is genuine business travel rather than ordinary commuting. What qualifies depends on your circumstances and how the expense relates to your work, so it is worth reviewing your outgoings rather than assuming a cost is or is not allowable. Claiming incorrectly carries risk, and so does overlooking legitimate costs.
Yes. Mixed income is one of the most common situations doctors face, and it usually involves bringing together PAYE income, self-employment profits or company profits into one coherent tax position. That can include checking that payments on account are set at a sensible level, confirming NHS pension contributions are treated correctly, and reviewing whether your private work is best structured as a sole trade or through a limited company. The right answer depends on your level of private income, your plans and your wider financial position.
VAT registration depends on your taxable turnover and the nature of your services, since some medical services are exempt. Many doctors with private practices, and particularly those providing medico-legal or cosmetic services, may need to consider registration at some point. Because the rules interact with what you actually supply, it is worth reviewing your position before you approach or exceed a registration threshold rather than afterwards.
Incorporation can be worth considering, but it is not automatically the better option. A limited company brings separate Corporation Tax reporting, statutory accounts, payroll obligations and additional administrative costs, and the tax outcome depends on how much profit you make, how you take money out and your wider income. For some doctors, remaining a sole trader or working through a partnership is more straightforward and equally tax-efficient. We can talk through the trade-offs based on your circumstances.
Yes, changing accountants is generally a straightforward process. Once you decide to move, we would typically ask you to confirm the change in writing and then liaise with your existing accountant to obtain professional clearance and the relevant records, including prior returns and accounts. Timing matters most where a filing deadline is approaching, so it helps to start the conversation before the busy period. We can guide you through what information is needed and handle the handover.
Remote working is well established for accounting services, and many doctors find it convenient given unpredictable rotas and travel between sites. The information required varies by your circumstances but usually includes details of your income sources, expense records, bank statements, pension information, prior tax returns and any business accounts. For self-employed or private work, bookkeeping records or a summary of income and costs are needed. We can agree a practical way of sharing documents and keeping records up to date through the year.
