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 rarely have a single, tidy income stream, and it is the spread of income and expenses across employment, self-employment and sometimes a company that creates most of the friction. The considerations below are the ones we see most often when supporting medical professionals.
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 a salaried doctor with a single NHS employment, PAYE may already be handling most of your tax, although higher income, pension annual allowance issues or additional income can still make advice worthwhile. Once you take on private fees, locum work, consultancy, a partnership share or a limited company, the position becomes far more involved, and an accountant helps ensure returns are accurate, expenses are claimed correctly and deadlines are met.
Your NHS salary is taxed through PAYE, but private fees, locum income and consultancy earnings generally need to be reported through Self Assessment. The return brings both together, and HMRC calculates any additional tax due on the self-employed element. Because PAYE only accounts for your employment income, it is common to under-budget for the balancing payment, so planning ahead matters. The exact treatment depends on your income levels and circumstances.
Potentially allowable items include medical indemnity insurance, GMC and specialist register fees, professional body subscriptions, certain CPD and training costs, equipment, and business mileage where the travel qualifies. The precise position depends on whether the cost relates to your employment or self-employment, whether it is wholly and exclusively for business purposes, and whether you are claiming under employment expenses rules or self-employment rules. That distinction is where many claims go wrong.
Locum doctors usually need a reliable record of invoices raised, timesheets worked, and the travel and mileage associated with assignments, along with any equipment, indemnity or subscription costs. Because locum income fluctuates, it also helps to set money aside for tax as you earn rather than waiting until the filing deadline. Registering for Self Assessment, keeping income and expenses separate from personal spending, and reviewing payments on account each year all make a real difference.
There is no universal answer — it depends on your level of private income, how clients engage you, your pension position and your wider financial goals. A limited company can suit some doctors offering consultancy or medico-legal services, but it brings additional obligations including annual accounts, Corporation Tax, and potentially payroll and VAT. It is also important to consider IR35 and the rules around working through your own company. We can review whether incorporation makes sense for your particular circumstances.
Yes. GP partners typically need partnership accounts and a partnership tax return, with profit shares and capital accounts calculated correctly, plus individual returns that capture private income alongside the partnership share. Practice finances, drawings, pension contributions and the timing of payments all interact, so it helps to have one adviser looking at the whole picture rather than treating each element in isolation.
Pension contributions can be a valuable and tax-efficient part of your financial planning, but for higher-earning doctors the annual allowance, carry forward rules and the interaction between NHS pension scheme contributions and private income can create complications, including potential tax charges. It is worth a proper review rather than an assumption, particularly if your income has risen or changed shape recently.
Yes — much of what we do can be handled remotely, with documents shared securely and meetings held by phone or video where that suits you better. If you are moving from another accountant, we can help with the handover, obtain the necessary records and authorisations, and review your historic position so you start the new relationship with a clear understanding of where things stand.
It usually begins with an initial conversation about how you work and what you need. From there we look at your existing records, tax returns and business structure, identify anything outstanding, and set out the support that fits. That might be a straightforward tax return, ongoing bookkeeping and accounts, company compliance, or a broader planning review. The first step is simply getting in touch and telling us about your circumstances.
