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 deal with a level of financial complexity that a standard tax return does not reflect. The challenges below are common considerations rather than universal rules, and how they apply depends on your income sources and working arrangements.
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 you are employed on a single NHS contract with no other income and straightforward tax affairs, PAYE may handle most of it. The position changes once you have private fees, locum income, consultancy or medicolegal earnings, partnership profits, a limited company, or a mix of employed and self-employed work. At that point, an accountant can help ensure everything is declared correctly, expenses are claimed where allowable, and payments on account are anticipated rather than discovered late.
Yes, and this is one of the most common situations we deal with. Your NHS pay is normally taxed through PAYE, while private fees, locum income and similar earnings generally need to be reported through Self Assessment. The two interact: private income can affect your overall tax position, and payments on account can apply. We bring both together in one return so the figures are consistent and the tax due is clear.
Commonly considered items include medical indemnity insurance, professional body and royal college subscriptions, relevant training and continuing professional development, specialist equipment, professional journals, and business mileage between sites. The rules are not identical for employees and the self-employed, and an expense generally has to be incurred wholly and exclusively for the work. Some items that seem obvious, such as everyday clothing or routine commuting, are not allowable, which is why it is worth reviewing expenses individually.
It depends on how you are engaged. Locum work arranged through an agency may be taxed through PAYE, while working directly for practices or trusts usually means you are self-employed and need to report income and expenses through Self Assessment, potentially with payments on account. Keeping a clear record of each engagement, the income received and the travel involved makes the return much easier to prepare and reduces the risk of understating or overstating your profits.
There is no single answer, because it depends on your level of private income, your other earnings, how you plan to draw money from the business, and how much administration you are comfortable with. A limited company can suit some doctors with substantial private or consultancy income, while sole trader or partnership status may be simpler and equally tax-efficient for others. We look at the numbers and the practical implications before recommending a structure.
Pension contributions and scheme benefits can interact with additional private earnings in ways that affect your tax position, and questions around annual allowance charges are not unusual for doctors with higher levels of income. These matters involve detailed calculations and can depend on your full earnings history, so they often need careful review. Where specialist pension or investment advice is required, we can highlight that so you can seek the right input.
Yes. Many doctors prefer to share documents digitally and communicate by email, phone or video call, particularly when clinical rotas make daytime appointments difficult. Cloud bookkeeping and secure document sharing can keep records up to date without paper files changing hands, and meetings can be arranged to fit around your working pattern.
In most cases, yes. You would let your current accountant know you are moving, and we would handle the handover of information and any professional clearance required, along with access to your accounting records and prior returns. It usually helps to plan the change at a sensible point in the year, so please mention any upcoming deadlines when you get in touch so the transition can be managed without disruption.
