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.
Medical careers generate income and expenses that rarely arrive in a single, tidy stream. The challenges below are the ones doctors most often ask us about, though the exact position always depends on your employment status, income sources and individual circumstances.
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.
Many doctors do, particularly once their financial affairs extend beyond a single salary. If you have private income alongside NHS employment, work as a locum, run a practice, or hold a partnership interest, an accountant can help ensure your returns are complete and correctly categorised. Even salaried doctors with straightforward affairs often benefit from advice on allowable expenses, pension considerations and filing deadlines. Whether you need one depends on your circumstances, and we are happy to talk that through before you commit.
Commonly claimed items include medical indemnity cover, GMC and specialist registration fees, professional body subscriptions, medical journals, and approved training or continuing professional development costs. Travel and mileage for business journeys, equipment and a proportionate share of home office costs may also be relevant. The rules are specific, and what is allowable depends on whether you are employed, self-employed or both. Keeping dated receipts and clear records makes the position far easier to substantiate.
NHS salary is usually taxed through PAYE, while private fees, locum income and consultancy earnings normally need to be reported through Self Assessment. That means the two income streams meet on one return, and the tax already paid through PAYE is credited against the total liability. Getting the categorisation right matters, because the expense rules can differ between employment and self-employment. We prepare the return so each source is reported correctly rather than blended together.
Keep a record of each assignment, including dates, locations, the income received and any deductions. Retain evidence of travel between sites, along with receipts for indemnity cover, subscriptions and any equipment or training costs. Bank statements that clearly show income and expenses help considerably. Locum work can create a large number of small transactions, so a simple, consistent system — whether a spreadsheet or bookkeeping software — saves significant time when your return is prepared.
It depends on your level of income, how you take money out, and your wider circumstances, including any NHS pension implications. A limited company can suit some doctors with substantial private or consultancy earnings, while others are better served as a sole trader or through a partnership. There is no universal answer, and incorporating brings additional filing, payroll and reporting obligations. We review your position and explain the practical trade-offs before recommending a route.
VAT treatment for medical services is not uniform, and certain services may be exempt while others are not. Where your activities include non-medical elements, or where turnover approaches the registration threshold, it is worth reviewing your position carefully. We can assess whether registration is required, handle returns if it is, and make sure your invoicing and records support the treatment applied. VAT rules can change, so we work from current guidance rather than assumptions.
Yes. Much of the work involved in preparing returns and maintaining records can be handled remotely, with documents shared securely, and we are equally happy to meet where that suits you better. If you are moving from another accountant, we can contact them for your records and prior filings, review what has been done, and take over the ongoing work. Providing your last set of accounts, tax return and current bookkeeping records is usually enough to get started.
It begins with a conversation about how you work, what income you receive and what you currently have in place. From there we review your accounting and tax position, confirm what needs to be done and when, and put the relevant support in place — whether that is Self Assessment, bookkeeping, payroll, VAT, annual accounts or structure advice. You will have a clear view of the next steps and the deadlines that apply to you.
