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 financial affairs that are more layered than they first appear. Income can arrive from several sources and in several forms, and the record-keeping and reporting that sits behind it can quickly become difficult to manage alongside clinical commitments.
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 salaried doctor whose only income is taxed through PAYE may have a very simple position, although high earners can still face Self Assessment obligations, pension considerations or child benefit charges that are worth reviewing. Doctors with private fees, locum income, consultancy or medico-legal work, practice profits, partnership income or a limited company usually benefit considerably from professional support, because there are multiple income streams to reconcile, expenses to claim correctly and reporting deadlines to meet. An accountant can also help you plan ahead rather than simply record what has already happened.
If you have income that is not fully taxed at source, you will generally need to file a Self Assessment tax return. That return brings together your NHS salary or pension income alongside private fees, locum earnings and any other taxable income, so the overall liability can be calculated correctly. Payments on account can also apply where tax is due, which is why it helps to plan for those amounts in advance. Because the interaction between employed and self-employed income depends on your specific figures and reliefs, your return should be prepared with your full circumstances in mind.
Both are common, and the right answer depends on factors such as the level and consistency of your income, how many engagements you take, whether you are caught by off-payroll working rules, and how you want to be paid. A limited company can offer flexibility in how profits are extracted and may suit longer-term, higher-earning locum work, but it brings additional responsibilities including annual accounts, Corporation Tax returns, payroll and potentially VAT. Operating as a sole trader is simpler administratively. It is worth reviewing the numbers before committing, and revisiting the decision if your working pattern changes.
Allowable expenses are those incurred wholly and exclusively for the purposes of your professional work, and the list varies depending on how you are engaged. Common examples include medical indemnity insurance, professional body subscriptions, relevant training and continuing professional development, professional equipment and specialist clothing, and business travel or mileage between work locations. Ordinary commuting is generally not allowable. Where you have both employed and self-employed income, the treatment of an expense can differ between the two, so it is worth checking before you claim.
Yes. If you run a private practice or clinic, or provide services through a limited company, we can look after bookkeeping, quarterly VAT returns where registration applies, payroll for practice staff or for you as a director, and the annual accounts and tax returns that follow. Keeping these areas joined up tends to produce cleaner records and fewer surprises, particularly where practice income, private fees and NHS work all feed into the same set of accounts.
VAT depends on your turnover and the nature of the services you provide. Some medical services are exempt, while others — including certain medico-legal, expert witness or non-medical consultancy activities — may be taxable. If you approach or exceed the VAT registration threshold, you need to consider whether registration is required and how it interacts with your other income. Because the position varies between doctors, it is best assessed against your own activities rather than assumed.
We can work with you in the way that suits you best. Many doctors find that sharing documents securely and communicating by email, phone or video call fits around clinical commitments far more easily than scheduled meetings, particularly for those working shifts or across multiple sites. Where a face-to-face discussion is more useful, that can be arranged. The important thing is that information flows clearly and deadlines are met, not where the paperwork physically sits.
Switching is usually straightforward. We would ask for your authorisation to contact your existing accountant and request the information needed to take over — typically your latest accounts and tax returns, details of your income sources and any outstanding filings. We then review your position, confirm what needs to be done and when, and let you know exactly what we need from you. If any returns are overdue, we can address that as part of the handover. You are not committed to a long process before you know where you stand.
