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 complexity is where many of the accounting and tax pitfalls lie. Below are some of the practical challenges we see doctors working through.
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 — a salaried doctor with a single source of income and straightforward tax affairs may be able to manage a Self Assessment return themselves. Where an accountant tends to add most value is when there is complexity: NHS income alongside private fees, locum or consultancy earnings, self-employment, partnership or limited company involvement, pension questions, or a backlog of records. In those situations, an accountant can help make sure the right expenses are claimed, the correct figures are reported and deadlines are met.
Your NHS pay is usually taxed through PAYE, but any untaxed income — private fees, medico-legal work, locum earnings paid gross, or other self-employed income — needs to be reported through Self Assessment. The return brings those sources together and calculates the tax due, taking account of tax already paid through PAYE. If you have significant untaxed income you may also need to make payments on account towards the following year, which is worth planning for in advance.
Medical indemnity cover and professional body subscriptions are commonly claimed by doctors, along with certain other professional costs, where they relate to your work and the relevant conditions are met. The position can differ depending on whether you are employed, self-employed or both, and whether a cost has already been reimbursed or claimed elsewhere. It is worth reviewing your outgoings each year so that legitimate claims are not overlooked.
Locum work usually means self-employment or, in some cases, work through a limited company, so a clear record of contracts, invoices, payments received and expenses is important. Keep details of travel and mileage between sites, professional costs, equipment and any administrative expenses, along with your contracts and timesheets. Good records throughout the year make the tax return far more accurate and reduce the risk of missing a deduction.
It depends on your circumstances. A limited company can suit some doctors with substantial private or consultancy income, but it brings additional obligations such as annual accounts, confirmation statements, Corporation Tax and payroll, and it may not be appropriate if your income is modest or largely NHS-based. The right structure also depends on your pension position, your exposure and your longer-term plans, so it is worth discussing before making a change.
VAT treatment in healthcare is not straightforward, and some medical services are exempt while others are not, so registration should be considered carefully rather than assumed. If you employ staff — practice administration, nursing or other team members — payroll, PAYE and pension auto-enrolment obligations will also apply. Both areas benefit from being reviewed against your specific activities rather than generic rules.
Yes. Many doctors work across multiple sites and prefer to handle their accounting remotely, sharing documents digitally and communicating by email, phone or video call. What matters most is that we understand your income sources and working arrangements, not that we sit in the same room. If you would rather meet in person, that can be arranged as part of how we work together.
Switching is usually more straightforward than doctors expect. We ask for your authorisation to contact your existing accountant, request the handover of your records and tax history, and review your position before agreeing what needs to be done. If there is an outstanding return or an unfinished year, we can pick that up as part of the process so nothing slips through the gap.
