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 describe the same pressure points, whatever their specialty. The tax system treats employment, self-employment and business income differently, and clinical workloads leave little room to keep those threads tidy. These are the areas that most often need 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.
Many doctors manage their own affairs perfectly competently, but the value of specialist support tends to show up in the detail. Medical income frequently comes from more than one source, and the rules on allowable expenses, employment status and structure can be subtle. A doctor accountant can confirm that medical indemnity, professional subscriptions and genuine work-related costs are claimed correctly, that each income stream is reported in the right place, and that deadlines are met without last-minute pressure. If your affairs are entirely straightforward, a simpler arrangement may suit you — but it is worth checking rather than assuming.
NHS pay is usually taxed through PAYE, while private fees, locum payments and consultancy income are typically reported through Self Assessment. The return brings those streams together, and the interaction between them matters: untaxed income can affect your overall position, and expenses may be claimable against some income sources but not others. The correct treatment depends on whether work is employment or self-employment, so the starting point is establishing exactly how each payment is classified before anything is filed.
Commonly considered costs include medical indemnity insurance, professional body subscriptions, certain professional training and development, and equipment needed for the work. Travel and mileage may also be claimable, though the rules differ between employment and self-employment, and ordinary commuting is generally not allowable. The key qualifier is whether a cost is wholly and exclusively for the work and, for employees, whether it is necessarily incurred. Because individual circumstances vary, each claim should be assessed on its own facts rather than assumed.
Locum work can be engaged on either an employed or self-employed basis, and the distinction shapes what you can claim and how you report. It also means income may arrive from several agencies, trusts or practices across the year, with varying tax already deducted. Keeping timesheets, contracts, travel records and payment summaries organised makes the year-end far simpler and helps ensure expenses are not missed. It is also worth reviewing whether your working pattern points towards a particular structure over time.
There is no single answer, and anyone who offers one without reviewing your circumstances is guessing. Incorporation can suit some private practitioners, consultants and doctors with significant non-employment income, but it brings additional obligations including company accounts, Corporation Tax, payroll and statutory filing, and it may not be advantageous for NHS work. The right choice depends on your income mix, how you are engaged, your pension position and your longer-term plans. We look at those factors before making a recommendation.
Yes. Practice and partnership work involves profit shares, capital accounts, drawings, staff payroll and often VAT considerations, alongside the partners' own returns. Private clinics may need annual accounts, management information and help deciding on the most suitable structure. These are areas where medical context genuinely helps, because the income profile and cost base of a practice or clinic behave quite differently from a typical trading business.
VAT depends on the nature and level of your activities. Much private medical care is exempt from VAT, but not every service a doctor provides falls into that category, and non-medical income such as certain consultancy, medico-legal or training work may be treated differently. Registration is mandatory once taxable turnover passes the relevant threshold, and voluntary registration can sometimes be beneficial even below it. Because exempt and taxable income can sit side by side, this is worth reviewing properly rather than deciding on instinct.
Most accounting work can be handled remotely using secure document sharing and digital filing, which suits doctors with unpredictable schedules. If you are moving from another accountant, we can usually take care of the handover — requesting professional clearance and the records needed to pick up your affairs cleanly. The first step is a conversation about your income sources, current structure and what you want from the relationship, and we can take it from there.
