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 more financial complexity than a single PAYE salary suggests. The challenges below are the ones we see most frequently, though how much any of them matters depends on your employment status, income sources, business structure and personal circumstances.
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. A doctor with a single salaried role taxed entirely through PAYE may have very little to file, although there are still cases where professional expenses or pension matters are worth reviewing. The picture changes once you have locum income, private fees, consultancy or medico-legal earnings, partnership profits or a limited company, because these usually bring Self Assessment obligations, payments on account and additional record-keeping requirements. An accountant is most valuable where there is complexity to manage, deadlines to meet and decisions to make about structure and tax planning. If you are unsure whether your situation warrants support, it is usually worth a short review rather than an assumption either way.
Yes. Where you have untaxed income, Self Assessment is generally where your NHS pay, private fees, locum income and any consultancy earnings are brought together and reported. NHS pay is usually taxed through PAYE, but it still needs to be included in the return, and payments on account may well be affected by the additional income. The key is making sure all sources are captured and that expenses are claimed against the right income stream, because employment and self-employment expenses follow different rules.
Common examples include medical indemnity insurance, GMC registration, royal college and specialist society subscriptions, professional journals, continuing professional development and equipment used in your work. Travel and mileage for practice visits, hospital commitments and locum journeys can also be relevant where records are kept. However, the treatment is not identical for everyone: an expense that is allowable against self-employed income may be restricted, or only claimable in specific circumstances, when you are employed. Individual circumstances matter, so it is worth checking before you file.
It depends on how you are engaged. Locums may be treated as employed, self-employed, or paid through an umbrella company or their own limited company, and each arrangement carries different tax and administrative consequences. If you are self-employed, you will generally report income and expenses on a Self Assessment return and may need to account for payments on account. If you operate through a company, Corporation Tax, payroll and company accounts come into play. Because the answer varies so much, we look at your specific contracts and payment arrangements before advising.
There is no universal answer, and it is a decision that should be based on your level of private income, how you take money out, whether you have partners, and how you expect the work to develop. A limited company can offer a clear structure and separate legal identity, but it also brings additional filing, payroll, Corporation Tax and record-keeping obligations. For some doctors a sole trader or partnership arrangement remains simpler and perfectly suitable. We can set out the practical implications of each option so you can decide with a clear view of what is involved.
Not necessarily. Many medical services are exempt from VAT, but not all income a doctor receives falls into that category, and other activities such as certain medico-legal work, product sales or training may be treated differently. Whether registration is required depends on the nature and level of your taxable turnover, which is why it is worth reviewing before you assume either way. Where VAT does apply, we can handle registration, returns and the record-keeping that supports them.
Yes. Accounting work is well suited to remote support, particularly where records are kept digitally and information can be shared securely. Many doctors prefer to send documents and receive advice without needing to visit an office, and cloud accounting tools make it straightforward to keep books current throughout the year. Where a face-to-face conversation is useful, that can usually be arranged, but remote working is a perfectly practical way to receive full accounting and tax support.
Usually less than people expect. We ask for details of your current position and your existing accountant's information, then handle the professional handover, including requesting records and confirming the change with HMRC where relevant. Most of the work on your side is providing access to prior returns, accounts and bookkeeping records. Once that is done, we review your circumstances and let you know what we need going forward, so the transition is organised rather than disruptive.
