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, and that is where most accounting difficulties begin. A few of the areas we most often look at with doctors are below.
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 income comes from more than one source. If you are purely salaried with no private fees, locum work or untaxed income, your tax may be handled through PAYE and your position could be simple. But as soon as you take on private patients, locum shifts, consultancy, medico-legal reports or partnership profits, you are likely to need to file a Self Assessment return, and the calculations around expenses, pension contributions and tax payments become more involved. An accountant can help make sure everything is reported correctly and that reliefs you are entitled to are not missed.
Your NHS salary is taxed through PAYE, while private fees, locum income and most consultancy work are reported through Self Assessment. The two are not taxed separately — your total income across both is brought together to determine your overall tax position, which can mean additional tax is payable on the self-employed element. Because the interaction affects how much you pay and when, it is worth planning payments on account rather than waiting for a return to be filed.
It depends on the type of income the expense relates to and your working arrangements. Costs that are incurred wholly and exclusively for self-employed work — such as medical indemnity cover, professional subscriptions, certain training and professional development costs, equipment, and business mileage — may be claimable. The position for employed income is more restrictive, and some items are only allowable in specific circumstances or where they appear on HMRC's approved list. Because the rules differ, we review expenses individually rather than applying a blanket list.
Medical indemnity and defence union subscriptions are generally treated as allowable where they relate to self-employed income, such as private practice or locum work. For employed doctors the position is more limited, and whether a subscription can be claimed depends on the nature of the cover and the relevant rules. If you have a mix of NHS and private work, the same policy may need to be looked at in more than one way, so it is worth checking before assuming the full cost is deductible.
Not automatically. Many locum doctors work as sole traders, which is straightforward to administer, while others find a limited company suits higher or more varied earnings. The decision depends on factors such as your expected profits, how your engagements are contracted, and whether off-payroll working rules apply — for example, where services are provided through an intermediary to an NHS body or another public sector client. We look at your particular circumstances rather than recommending incorporation as a default.
It depends on the nature and level of your income. Many healthcare services provided by registered medical professionals are exempt from VAT, so a purely clinical private practice may not need to register. However, not all medical-related work is treated the same way, and advisory, report-writing or other non-clinical services can fall outside the exemption. If your income is mixed, or you are unsure how your services are classified, a review of your position is usually the sensible first step.
NHS pension contributions are handled through the scheme and your payroll, but they still matter for your wider tax position — particularly where you also have private income or make additional pension contributions. Annual allowance questions can arise for doctors with high or fluctuating earnings, and the calculations are not always intuitive. This is an area where a review well before the tax return is due tends to be more useful than a retrospective fix.
Yes. Most of the information needed for bookkeeping, Self Assessment, annual accounts and company filings can be shared securely online, and meetings can be held by phone or video at times that fit around clinics and on-call commitments. What matters is that your records are complete and your filing dates are met, not that documents change hands in person. We agree a working method that suits your schedule from the outset.
Start with a conversation about how you work and what you currently have in place. If you decide to move, we can contact your existing accountant for the relevant records and professional clearance, and we will confirm what information is needed and which deadlines are approaching. Once the handover is complete, we agree how bookkeeping will be maintained and when returns and accounts will be prepared, so nothing falls between the two.
