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 several channels at once, and each channel carries its own tax treatment, records and deadlines. The challenges below are common considerations rather than universal rules — how they apply to you depends on your employment status, income sources and business structure.
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 whose entire income is taxed through PAYE may have a relatively simple position, though expenses, pension contributions and additional income streams can still make advice worthwhile. Where you have private medical income, locum work, consultancy fees, practice profits, rental income or a limited company, Self Assessment becomes more involved and professional support usually makes a real difference to accuracy and planning.
Your NHS salary is taxed through PAYE, and any private, locum or consultancy income is reported through Self Assessment alongside it. Your tax return brings both together, applies the tax already paid through PAYE and calculates what remains due. Because private income can affect payments on account and your overall tax position, keeping accurate records of fees, expenses and tax already deducted throughout the year makes the return far more straightforward.
Medical indemnity cover and professional body subscriptions are commonly claimed by doctors, as they are incurred for the purposes of your professional work. Whether the relief comes through Self Assessment or through your tax code depends on whether the cost relates to employed or self-employed work, and how your income is structured. It is worth reviewing these costs each year rather than assuming the same treatment applies indefinitely.
Locum doctors who are self-employed can typically claim costs incurred wholly and exclusively for their work, which may include travel between temporary workplaces, mileage, equipment, professional indemnity, subscriptions and training that maintains existing skills. Training that qualifies you for a new career or specialism is generally not allowable. Where agency contracts involve off-payroll working rules, the way expenses are treated can differ, so it is worth checking before filing.
Neither option is automatically better. A limited company can suit doctors with substantial private, locum or consultancy income, offering flexibility over how profits are extracted, but it also brings company accounts, Corporation Tax returns, payroll and additional administration. Sole trader or partnership arrangements are simpler to run and often adequate for smaller or more straightforward private earnings. The right answer depends on your income levels, contracts, off-payroll position and longer-term plans.
Most medical services are exempt from VAT, so many doctors never need to register. However, certain non-medical activities — some medico-legal work, for example, or particular advisory and commercial services — can fall outside the exemption and count towards the registration threshold. If your work includes a mixture of exempt and non-exempt services, it is worth reviewing your position rather than assuming the exemption covers everything.
Keep everything that supports the figures on your tax return: NHS payslips and P60s, locum timesheets and statements, private invoices, bank records, receipts for expenses, mileage logs where you claim business travel, and details of pension contributions. Retaining records for as long as HMRC requires is important, and a simple, consistent system — whether software-based or spreadsheet-based — is far easier to maintain than an annual scramble through paperwork.
Yes. Accounting support can be delivered remotely using secure document sharing and digital record keeping, which suits doctors whose schedules rarely align with office hours. Switching accountants is usually a straightforward process: we confirm the change with your existing accountant, request the relevant records and filing history, and take over the compliance work from an agreed date. It generally helps to make the move outside your busiest filing periods.
