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 rarely follow a neat, predictable pattern, and the resulting financial picture can become complicated quickly. These are some of the areas where doctors commonly benefit from specialist accounting input.
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.
Not every doctor does — a salaried hospital doctor with no other income may find that their tax is handled through PAYE and needs little intervention. However, once you add locum shifts, private practice, consultancy work, untaxed income or a limited company, the position becomes much less straightforward. An accountant who understands medical income can help ensure everything is reported correctly, that relevant professional expenses are claimed, and that structure and planning decisions are made with the full picture in mind.
It depends on your circumstances. PAYE usually collects the right amount of tax on a straightforward NHS salary, but a return is often required where you also have self-employed income from locum work or private practice, significant untaxed income, higher-rate income from savings or dividends, or certain pension situations. High earners may also need to file where child benefit or pension annual allowance charges are in point. We can confirm whether a return is required in your case.
NHS salary is normally taxed through PAYE, while private practice, locum and consultancy income is usually reported as self-employment on a Self Assessment return unless it is paid through a limited company. The two are not mutually exclusive, and it is common for doctors to have both. The key is making sure the self-employed figures are accurate, that expenses are attributed correctly, and that tax already paid through PAYE is properly credited against your overall liability.
Potentially allowable items often include medical indemnity insurance, professional body subscriptions, registration fees, relevant training and continuing professional development, specialist equipment, and business mileage or travel undertaken in the course of your work. Ordinary commuting is generally not allowable. Whether a particular cost qualifies depends on your employment status, whether the expense was incurred wholly and exclusively for the purposes of your work, and how it is evidenced, so it is worth reviewing your specific outgoings rather than assuming.
There is no universal answer. A limited company can suit some doctors with substantial private or locum income, offering a different tax and National Insurance treatment and a clearer separation between personal and professional finances, but it brings additional compliance obligations such as statutory accounts, Corporation Tax returns and payroll responsibilities. For lower levels of private income, sole trader status may be simpler and perfectly adequate. The right choice depends on your income levels, plans, and how much administration you want to take on.
Many medical services provided by registered health professionals are exempt from VAT, which means VAT registration is not always required or beneficial. However, the position can differ where you provide non-exempt services, sell goods, or operate through a structure that includes other activities. Because exemption rules are specific, we review what you actually provide before advising on registration and returns.
Yes. Much of the accounting process can be handled remotely — documents and records can be shared securely, and meetings can take place by phone or video at times that fit around clinics and on-call commitments. What matters most is that we have complete and accurate information and that you know how to reach us when a question comes up.
Changing accountants is usually straightforward. We can liaise with your existing adviser to obtain the professional clearance and handover information needed, including prior year accounts and tax returns, and we will review your position so that nothing is missed in the transition. It generally helps to make the move at a sensible point in the year rather than close to a filing deadline.
The first step is a conversation about how you work and what you need. We will ask about your income sources — NHS, private, locum, consultancy or a mix — your current business structure, how your records are kept, and any deadlines or issues you are concerned about. From there we can confirm the areas of support that are relevant to you and how the ongoing relationship would work.
