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 produce a single, simple income stream. That complexity is what tends to create accounting and tax pressure for doctors, and it is where specialist support usually earns its keep.
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 straightforward NHS salary taxed through PAYE and you have no untaxed income, you may not need one. But most doctors have something that complicates matters — locum shifts, private consultations, medico-legal work, a partnership profit share, rental income or higher-rate tax relief on pension contributions. Once Self Assessment is involved, or once you are weighing up expenses and structures, specialist help tends to save more than it costs in both time and tax efficiency.
Your NHS salary is taxed through PAYE, but private and locum earnings are usually reported through Self Assessment, where all your income is brought together. Tax already paid through PAYE is credited against your overall liability, and any shortfall is payable by the filing deadline, often alongside payments on account towards the following year. Because the combined figures can push you into a higher band or reduce your personal allowance, planning ahead matters far more than it does for doctors on a single salary.
Common claims include medical indemnity and defence union subscriptions, GMC and royal college fees, specialist society memberships, required CPD and training, professional books and journals, equipment used for your work, and business mileage. What is allowable depends on whether the cost relates to employed or self-employed work, and on whether it is wholly and exclusively for that work. Some costs are claimed through Self Assessment, others through PAYE if your employer operates the relevant scheme, so the route differs case by case.
Locum work is often treated as self-employment, which means registering with HMRC, keeping records of income and expenses, and reporting through Self Assessment. Where you are engaged through an agency, the position can be different and may depend on the contract terms and off-payroll working rules. Because locum earnings are irregular, we usually look at payments on account and set aside arrangements at the same time, so the tax bill does not arrive as a surprise.
Yes. Some doctors operate through a limited company for private, consultancy or medico-legal work, while others work in partnership, particularly in general practice. The right structure depends on your income levels, contract terms, IR35 position and personal plans, and it is not a decision that suits every doctor. We can review what you currently have, explain the corporation tax, dividend, National Insurance and administration implications, and advise on whether a change is worth making.
VAT registration depends on the level and type of your income rather than your job title. NHS income is generally outside the scope of VAT, but private practice, consultancy and some medico-legal work may be taxable supplies, and once turnover from those activities passes the registration threshold, registration usually becomes compulsory. Some healthcare services are exempt, so the analysis needs to look at exactly what you provide. We can review your position and advise on registration, record keeping and returns.
At a minimum, keep payslips and P60s, self-employment invoices and receipts, bank statements for any business or practice account, mileage records, pension contribution statements, and paperwork for indemnity cover, subscriptions and training. If you run a practice or company, you will also need payroll records, supplier invoices and details of any assets purchased. Good record keeping makes returns quicker to prepare, reduces the risk of missed claims and gives you a clearer view of your actual earnings.
Yes — most of our work with doctors is handled remotely, using secure document sharing and calls that fit around clinics and on-call rotas, with meetings arranged when they are genuinely useful. If you are moving from another accountant, we can contact them for your records under professional clearance, check that nothing is outstanding with HMRC, and manage the handover so you are not left chasing paperwork.
