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 rarely follow a single, tidy income pattern. Most doctors accumulate a mixture of employment, self-employment and practice income over time, and each element brings its own record-keeping and reporting requirements.
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 doctor on a single salaried post with straightforward PAYE tax may manage without one, though even then it is worth checking whether expenses such as professional subscriptions or indemnity cover are being claimed. Once you have private income, locum work, consultancy fees, practice profits or a pension position to consider, an accountant can help ensure everything is reported correctly and that you are not missing legitimate reliefs. Doctors with multiple income sources usually find the reassurance worthwhile.
NHS pay is normally taxed through PAYE, with tax deducted at source before you receive it. Private fees, locum income and consultancy earnings are usually treated as self-employment or miscellaneous income, which means you are responsible for declaring them and settling any tax due through Self Assessment. Because the two are taxed through different mechanisms, the correct tax on your total income is only established when everything is reported together, which is where errors commonly arise.
Potentially allowable items include medical indemnity insurance, GMC and royal college subscriptions, mandatory professional training, specialist equipment, professional journals, and travel or mileage incurred for work purposes. The key test is that an expense is incurred wholly and exclusively for the purposes of your work, and the position can differ between employed and self-employed income. Records matter too, since a claim needs to be supported if HMRC queries it.
Locum doctors are often self-employed, invoicing trusts, agencies or practices for shifts worked. That usually means registering with HMRC, filing a Self Assessment return each year, and keeping detailed records of income, expenses and travel, since no tax is deducted at source. Some locums are engaged through agencies on PAYE terms instead, which produces a very different picture, and a few operate through a limited company. The right approach depends on how your engagements are actually structured.
There is no universal answer. Working through a limited company can suit some doctors with substantial private income, bringing different tax and National Insurance treatment and a clearer separation between personal and professional finances. It also brings additional obligations such as annual accounts, Corporation Tax returns and payroll. For others, sole trader or partnership status remains simpler and more appropriate. The decision should be based on your income levels, working patterns and plans.
You should keep records of all income received, expenses incurred, mileage and travel, invoices issued and bank transactions relating to your medical work. Payslips, P60s and pension statements for employed income are also relevant. As a general rule, records need to be retained for several years after the relevant tax year, and it is sensible to keep them digitally so they are accessible and complete if HMRC asks to see them.
Many doctors prefer to handle their accounting remotely, given shift patterns, on-call rotas and limited spare time. Documents can be shared securely, questions answered by email or phone, and meetings arranged when they genuinely add value. What matters is that you have a clear route to ask questions and that your records reach us in good time, regardless of how the contact happens.
It is usually straightforward. Once you decide to move, we would contact your existing accountant to request professional clearance and the handover of relevant records, and you would confirm the change in writing. Timing the move after a completed tax return often makes the transition smoother, though it is not essential. The aim is to make the switch without disrupting your filing position.
