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 simple tax position. Income often arrives from more than one source, expenses need to be correctly identified and evidenced, and pension rules add a layer of complexity that few other professions encounter in quite the same way. These are the areas where doctors most often need careful, specialist attention.
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 only income is a single NHS salary taxed through PAYE and you have no significant expenses or additional income, your tax affairs may be straightforward enough to manage yourself. Once you take on private work, locum shifts, consultancy fees, a partnership share or a limited company, however, the compliance requirements and the scope for errors increase considerably. An accountant can help confirm what is correct for your situation rather than assuming.
Common claims include medical indemnity or defence union cover, GMC and royal college subscriptions, professional body fees, continuing professional development and training that maintains existing skills, specialist equipment, and mileage or travel for work-related journeys. What is allowable depends on your employment status and the nature of the expense — for example, the rules differ between employed and self-employed doctors, and training that qualifies you for a new role is generally treated differently from training that maintains your current practice. We assess each item on its facts rather than applying a blanket list.
Your NHS salary is normally taxed through PAYE, while private fees, locum income or consultancy earnings are usually reported through Self Assessment and taxed at your marginal rate. Because PAYE rarely collects the right amount on untaxed income, a balancing payment often falls due, and payments on account may follow. Keeping the two streams clearly recorded helps ensure your return is accurate and lets you set aside the right amount in advance.
Locum doctors operate in a variety of ways: directly self-employed, through an agency, via an umbrella arrangement, or through a limited company. Each has different consequences for tax, National Insurance, administrative obligations and how you are engaged by the organisation you work for. The right choice depends on your level of independence, the volume and pattern of your work, your income level and your wider plans. It is worth reviewing periodically, as the answer can change as your circumstances change.
A limited company can be worth considering where you have substantial private income, want more control over how you take money out, or plan to build a practice with retained profits. It also brings additional obligations — company accounts, Corporation Tax returns, payroll, possible VAT registration and statutory filing duties — so it is not automatically the better option. Whether incorporation suits you depends on your income level, your pension position, your attitude to administration, and your longer-term plans.
Pension contributions can be a valuable and tax-efficient part of your planning, but high earners — including many consultants and GP partners — need to consider the annual allowance, possible tapering of relief, and how contributions interact with your NHS pension position. The interaction between practice or company profits and pension inputs can be complex, so it is usually best reviewed as part of a broader tax planning discussion rather than in isolation.
Yes. Most accounting work can be handled remotely, using secure document sharing and digital communication, which suits doctors with irregular hours or commitments across multiple sites. What matters far more than physical proximity is that your accountant understands your income sources and can respond to queries promptly when decisions arise.
The process is usually straightforward. Once you decide to move, we handle the handover directly with your existing accountant, including requesting professional clearance and obtaining your records and previous filings. It helps to have details of your income sources, current structure, and any outstanding deadlines to hand. Where possible, we plan the switch to avoid clashing with a filing deadline so nothing is rushed.
