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 income often arrives in several forms at once, and each stream carries its own tax treatment, record-keeping obligations and deadlines. These are some of the areas where doctors most often need clarity.
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, but many benefit from one. If your only income is a salaried NHS post taxed through PAYE and you claim nothing beyond the standard treatment, your tax affairs may be straightforward. The picture changes once you have private fees, locum income, consultancy work, a practice interest or untaxed income that requires a Self Assessment return, because those streams need to be reported accurately and supported by records. An accountant can also review whether expenses such as indemnity cover, professional subscriptions or training costs are being claimed appropriately, and help you plan for payments on account rather than being caught out by them.
Yes. We bring together employed NHS income, private medical fees, locum earnings and consultancy income into a single, accurate return, making sure the correct figures are reported under the right headings and that any tax already deducted at source is properly accounted for. We also check that allowable professional expenses are supported and correctly treated, and we look at how the resulting liability interacts with payments on account so you understand what will be due and when.
Locum work usually brings a wider range of potentially allowable costs than a permanent post, but the rules still depend on your circumstances. Common areas we review include travel and mileage to temporary placements, professional indemnity insurance, registration and subscription costs, training and professional development, specialist equipment, and a proportion of costs where you work from home in a genuine business capacity. Ordinary commuting between home and a regular workplace is generally not allowable, so the detail of where you work and how often matters. We can assess your own position rather than applying a blanket list.
It depends on the nature of the cover, your employment status and how the cost relates to your work. Indemnity cover required for your medical practice may qualify for relief in certain circumstances, and subscriptions to professional bodies that HMRC recognises for tax purposes can also be allowable. Because the treatment differs between employed and self-employed doctors, and between different types of cover, we look at what you actually pay for before advising on how it should be treated in your return.
There is no universal answer, and it is not simply a question of which structure sounds most tax efficient. A limited company can suit some doctors with substantial private or locum income, but it brings statutory accounts, Corporation Tax, payroll and dividend administration, plus off-payroll working considerations where you contract through an intermediary. Sole trader or partnership arrangements are simpler to run and may be perfectly appropriate. We review your income levels, working patterns, pension position and future plans, then explain the practical trade-offs before you decide.
Many medical services provided by qualified professionals are exempt from VAT, but not everything a doctor does falls within that exemption. Certain medical reports, cosmetic treatments, medico-legal work and non-medical services may be treated differently. Registration is generally driven by whether your taxable turnover crosses the registration threshold, which means the answer depends on the mix of your income rather than the fact that you see private patients. We can review your activities and advise on whether registration is required and how it should be handled.
Yes. Most of the information we need can be shared securely online, and meetings can be held by video or phone at times that work around clinics and on-call commitments. If you prefer to meet in person, that can usually be arranged as well. What matters most is that your records reach us in good time, that we can talk through anything unclear, and that you know where your return or accounts stand.
The process is usually more straightforward than doctors expect. We begin with a conversation about how you work and what you need, then review your current position, including previous returns and records, to identify anything outstanding. We can contact your existing accountant for the relevant information and professional clearance on your behalf, once you authorise it, and we agree responsibilities and timescales before taking over. From there, we set up the services that fit your circumstances and let you know exactly what to send us and when.
