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 several income sources and a demanding schedule at the same time, which makes tax admin easy to defer and harder to untangle later. These are the areas that most frequently need careful 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.
It depends on your circumstances. If you are employed on PAYE and have no other income, you may not need to file a Self Assessment return at all. However, many doctors do have additional complexity — private fee income, locum earnings, consultancy work, practice profits, pension contributions, or higher-rate income that benefits from planning. In those situations, an accountant can help ensure the right income is reported, allowable expenses are claimed appropriately and deadlines are met. Where there is a business, partnership or limited company involved, the case for professional support is usually stronger still.
Your NHS salary is taxed through PAYE, and the income is reported on your Self Assessment return along with your private earnings. Private medical income is typically reported as self-employment income, which means you declare the income and deduct allowable business expenses. The two are then brought together, and any additional tax owed is collected through the return, with payments on account potentially applying. The key is accurate record keeping for the private side, since PAYE figures are already reported to HMRC but your self-employment income is not.
Expenses must be incurred wholly and exclusively for the purposes of your self-employment. Medical indemnity insurance, professional body subscriptions and certain professional development costs are commonly relevant, along with equipment, administrative costs and travel where the rules allow. Mileage claims require accurate records. Not every cost qualifies, and treatment varies depending on whether you are employed or self-employed in a particular role — an expense claimable against private work may not be claimable against salaried employment.
Locum work is often treated as self-employment, which means registering with HMRC, keeping records of income and expenses, and filing a Self Assessment return. Some locums work through agencies on PAYE, and some work through their own limited company. Each route has different tax, administration and compliance consequences, so the right structure depends on your level of earnings, how regularly you work and whether you are working inside or outside IR35. It is worth reviewing the options rather than assuming one approach fits every situation.
VAT registration depends on your taxable turnover and the nature of your services. Many medical services are exempt from VAT, which means they do not count towards the registration threshold and cannot carry VAT. However, not all work carried out by doctors falls into that exemption — some consultancy, medico-legal, cosmetic and non-medical services can be standard-rated or fall into a different category. Because the rules are nuanced, it is worth checking how your particular mix of services is treated before assuming you are outside the scope of VAT.
Each structure carries different tax, filing and administrative implications. Sole trader status is straightforward but offers no separation between you and the business. A partnership suits doctors working together and requires partnership accounts and agreed profit shares. A limited company can be tax-efficient in some circumstances but brings payroll, Corporation Tax, statutory accounts and additional compliance obligations. The right choice depends on your income, how you draw money out, your pension arrangements and your longer-term plans — so it should be based on your own figures rather than a general rule.
Yes. Much of the accounting process can be handled remotely, with documents shared securely and meetings held by phone or video. Many doctors find this convenient because it fits around clinical commitments and reduces the need to travel during working hours. That said, some clients prefer to meet in person where practical. The important factor is not proximity but whether your accountant understands medical income and can respond clearly when you need answers.
Switching is usually more straightforward than doctors expect. Your new accountant will typically contact your existing firm for professional clearance and the information needed to take over, including prior returns, accounts and HMRC records. The main thing is to avoid a gap around a filing deadline, so it helps to start the process before rather than after your next return is due. Once records are transferred, the working relationship can begin and any outstanding issues addressed.
