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 often produce more complicated tax affairs than people expect. The challenges below come up regularly for doctors, but how much they affect you depends on your employment status, your income sources and how your work is arranged.
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 all your income is taxed through PAYE and you have no untaxed income, no additional pension complications and no significant expense claims beyond what your employer handles, you may not need much support. However, doctors who work locum shifts, earn private or medico-legal fees, hold a partnership interest, run a limited company or need to claim expenses such as medical indemnity and professional subscriptions usually have filing obligations that benefit from professional input. An accountant can also help you plan for payments on account rather than being surprised by them.
Yes. NHS salary is normally taxed through PAYE, while private fees, locum income and consultancy earnings are generally reported through Self Assessment. We bring the figures together, make sure the untaxed elements are declared correctly and calculate the tax and National Insurance due on the combined position. The exact treatment depends on whether the private work is carried out as a sole trader, through a partnership or via a limited company, so we review your arrangement before preparing the return.
Common claims include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional development and training costs that maintain or update your existing expertise, specialist equipment, professional books and journals, and business mileage. What is allowable depends on whether the cost relates to employed or self-employed income, and whether it was incurred wholly and exclusively for the purposes of that work. We review your expenditure against the relevant rules rather than assuming a standard list.
There is no universal answer. A limited company can suit some doctors with substantial private, locum or consultancy income and a clear intention to retain profits or manage irregular earnings, but it brings additional obligations including company accounts, Corporation Tax, payroll and potentially VAT, and the tax advantage is not automatic. We look at your income levels, how you intend to draw money from the business, your pension position and your existing arrangements before recommending a structure.
Locum doctors are often treated as self-employed for the shifts they work independently, which means registering with HMRC where required, keeping records of income and expenses, and reporting profits through Self Assessment. If you work through an agency on PAYE, or through your own limited company, the position is different again. Good record keeping matters because travel between sites, equipment, indemnity cover and administrative costs can all be relevant, and the figures need to be supported if HMRC asks questions.
Many medical services are exempt from VAT, but not every activity connected to a medical career falls into that category. Items such as certain cosmetic treatments, medico-legal report writing, room hire, retail sales and some consultancy arrangements can bring VAT into scope, and once turnover from taxable activities passes the registration threshold, obligations follow. VAT treatment is fact-specific, so we look at exactly what you provide before advising on registration and returns.
Yes, we regularly take on clients who are changing accountant, and we can manage the handover by contacting your existing adviser for the information we need and confirming your position with HMRC. Distance is not a barrier — much of the work can be handled remotely using secure document sharing, with calls or online meetings when needed, and clients in and around Great Missenden are welcome to arrange matters in whichever way suits them best.
Start with an initial conversation about how you work and what you need. It helps to have details of your income sources, your employment status, any company or partnership involvement, your pension arrangements and your most recent tax return or accounts to hand. From there we can confirm the scope of support, explain what information we will need on an ongoing basis and set out a sensible timetable for returns, accounts and any filing deadlines you are facing.
