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 earn through a combination of routes, and that variety is exactly what makes the tax position more involved than it first appears. The challenges below are common considerations for doctors generally, though which of them apply to you 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.
There is no rule requiring a doctor to use an accountant, but the more varied your income, the more useful specialist support tends to be. A salaried doctor with a single employer and no extra income may manage a straightforward tax return themselves without difficulty. Once private fees, locum work, consultancy income, a partnership share or a limited company enter the picture, the reporting becomes more involved, and the cost of getting it wrong, whether through missed expenses or an incorrect return, often outweighs the cost of advice. Many doctors choose an accountant simply to remove the administrative burden and to have someone to ask when their circumstances change.
It depends on your circumstances. Salaried doctors whose tax is fully collected through PAYE do not always need to file a return, but there are situations where HMRC expects one. These commonly include receiving income that has not been taxed at source, such as private practice fees or locum earnings paid gross, having untaxed income above the relevant reporting level, being a partner in a practice, or having high income that affects certain allowances. If you are unsure, it is worth checking your position rather than assuming PAYE has covered everything.
There is no single answer, because the right structure depends on how much you earn, how many engagements you take on, how much control you have over your working arrangements, and how you want to be paid. Some locum doctors work through agencies on PAYE, some operate as sole traders, and others use a limited company. Each route carries different tax, National Insurance and administrative consequences, as well as different obligations around record keeping and, potentially, VAT. We look at your individual situation rather than applying a general rule.
Broadly, you can claim expenses that are incurred wholly and exclusively for the purposes of your work. For doctors these often include medical indemnity and defence union subscriptions, GMC and royal college or specialist society fees, professional journals, required training and CPD, specialist equipment, and business travel or mileage. The detail matters: some costs are only allowable against particular income streams, some are restricted, and items with a personal use element need apportioning. Keeping receipts and a clear record of what each expense relates to makes the position much easier to support.
Yes. Bringing both together is often where specialist help is most valuable, because NHS pay, pension contributions and private fees are treated differently and need to be reported correctly. We look at your total position, make sure the right expenses are set against the right income, and consider how the combination affects your overall tax liability. We also flag planning points that only become visible once both income streams are viewed side by side.
GP partners typically need partnership accounts and a partnership tax return, along with calculations of each partner's profit share, support with drawings and current accounts, and treatment of practice expenses. Because a partner's personal tax position is directly affected by the partnership's results, we handle both together, making sure the partnership figures and your individual Self Assessment are consistent. Where a practice has additional structures, such as a limited company or property arrangements, those are dealt with as part of the same picture.
Yes. Much of the work we do with doctors is handled remotely, with documents shared securely and meetings held by phone or video at times that fit around clinics and rotas. Many doctors find this easier than travelling to appointments, and it means your accountant is available when your working pattern allows. Where a face-to-face discussion is more useful, that can be arranged.
Easier than most people expect. Once you decide to move, we contact your current accountant to request the professional clearance and the information needed to take over, such as prior returns, accounts and tax records. You do not need to manage that handover yourself. We then review what has been done previously, confirm your position, and put the necessary arrangements in place, usually well before any filing deadline becomes pressing.
