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 carry a heavier administrative load than their colleagues in other professions, largely because their income and expenses cut across employment and self-employment. A few issues come up repeatedly.
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. If your income comes solely through PAYE and your tax affairs are straightforward, you may manage without one. The position changes once you have private fees, locum income, consultancy payments, a practice share, rental or investment income, or income above the level at which Self Assessment becomes necessary. At that point, an accountant can help ensure everything is reported correctly, allowable expenses are claimed properly, and deadlines are met without last-minute stress.
Your NHS salary is normally taxed through PAYE, but private fees, consultancy payments and similar income usually need to be reported through Self Assessment. You would typically need to register for Self Assessment if you are not already in the system, keep records of your private income and related expenses, and file a return each year. The exact position depends on your income sources and total earnings, so it is worth reviewing your circumstances rather than assuming PAYE covers everything.
Commonly claimed items include medical indemnity insurance, professional body subscriptions, certain training and continuing professional development costs, specialist equipment, and work-related travel or mileage. Whether a particular cost is allowable depends on the rules and on your circumstances — for example, travel between a home base and a permanent workplace is generally treated differently from travel between temporary locum sites. Because the detail matters, we review expenses individually rather than applying a fixed list.
Locum work is typically self-employed income, which means you are responsible for declaring it, keeping records of each placement's income and expenses, and paying tax and National Insurance through Self Assessment. Travel between sites, agency fees and equipment costs may be relevant. Because locum income is irregular, it can also affect payments on account, so planning for the tax bill rather than being surprised by it is an important part of managing things well.
It depends on your circumstances. A limited company can suit some doctors with substantial private or consultancy income, but it brings additional obligations: annual accounts, Corporation Tax returns, payroll, and in some cases VAT registration. It does not automatically reduce tax, and the right answer varies with your income levels, how you are engaged, and your longer-term plans. We look at the numbers and the practicalities before recommending a structure.
Yes. We regularly deal with returns combining employment income, private fees, locum work, consultancy payments and other sources. The key is making sure each stream is reported in the right place, that expenses are allocated sensibly, and that the figures agree with the records you hold. Working with us means you have a single point of contact for the whole picture rather than piecing it together yourself.
Many doctors do not need to register, but VAT can become relevant if you provide services that fall within the scope of VAT and your turnover exceeds the registration threshold, or if you choose to register voluntarily because it is beneficial. Medical services are often exempt, but the rules are specific and depend on exactly what is being supplied. We can review your situation and advise on whether registration is required or worthwhile.
It begins with a conversation. We ask about your working arrangements, income sources and what you need from an accountant, then review your existing position and set out the support that fits. If you are moving from another accountant, we can help manage the handover and obtain the information needed from your previous adviser. From there, we agree what needs doing and when, so you know exactly where you stand.
