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 generate a wide range of financial activity, and much of it does not fit a standard tax return. 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.
It depends on your circumstances. If your only income is a single NHS salary taxed through PAYE and your affairs are straightforward, you may manage without one. However, many doctors have additional complexity, such as locum shifts, private fees, consultancy work, medico-legal income, a partnership interest or pension contributions that need careful reporting. An accountant can help ensure everything is declared correctly, identify allowable expenses you may have missed, and keep track of deadlines across multiple income sources.
Your NHS salary is usually taxed through PAYE, but private fees, locum earnings and consultancy income are typically reported through Self Assessment. The tax return brings these sources together, so HMRC can calculate the overall tax due, taking PAYE already paid into account. Getting this right matters because the interaction between employed and self-employed income can affect the tax you owe, and mistakes can lead to enquiries or amended returns later.
Potentially allowable expenses often include medical indemnity or professional indemnity cover, professional body subscriptions, revalidation and continuing professional development costs, specialist equipment and some travel. Whether an expense can be claimed depends on factors including whether it is incurred wholly and exclusively for your work, whether you are employed or self-employed, and whether it was reimbursed. The rules are not identical across every situation, so it is worth having each item reviewed rather than assuming.
Locum doctors are often treated as self-employed, which means registering with HMRC, keeping records of income and expenses, and completing a Self Assessment tax return. Payments may arrive through an agency or directly from a practice, and there may be PAYE deducted in some arrangements and not others. Understanding whether you are engaged as employed or self-employed, and how your expenses and pension contributions fit in, is an important part of getting your tax position right.
There is no single answer, and limited company status is not automatically beneficial for every doctor. It can suit some private practitioners and consultants, depending on income levels, how profits are extracted, pension strategy and administrative appetite. Others find sole trader or partnership arrangements simpler and equally effective. The right choice depends on your individual circumstances, so it is worth reviewing the tax and compliance implications of each structure before deciding.
Yes. Medical indemnity cover and professional body subscriptions are among the costs doctors most frequently need to consider, but how they are treated depends on your employment status and the nature of your work. Where these costs relate to self-employed income, they may be claimable as business expenses. Where you are employed, the position can differ. We review what you have paid and advise on the appropriate treatment.
VAT and payroll become relevant for some doctors and not others. VAT depends on the nature and level of your income and whether your activities are VAT-able, while payroll matters if you employ staff, run a practice with employees, or pay yourself a salary through a limited company. If these areas do not apply to you, we will say so rather than adding unnecessary services. If they do, we can handle the registration, reporting and compliance for you.
Changing accountants is usually a straightforward process. We can contact your existing accountant to request handover information and records on your behalf, review your current position, and confirm what needs to be filed and by when. Many doctors find it helpful to review their arrangements periodically, particularly after a change in role, an increase in private work or a move into partnership, to check that their accounting support still matches their circumstances.
