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 build up a complex financial picture over time, layer by layer, without anyone looking at the whole. These are the areas that tend to cause the most difficulty, and the ones where early advice usually pays off.
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, but the case for specialist support becomes stronger as your affairs become more varied. A salaried doctor with a single NHS pension and no other income may find Self Assessment manageable alone. Once you add private fees, locum sessions, consultancy work, a partnership share or a limited company, the reporting and tax treatment quickly become more involved. An accountant helps ensure all income is reported correctly, that you claim the expenses you are entitled to, and that deadlines are met without last-minute pressure.
Your NHS pay is taxed through PAYE, and your private or self-employed income is reported through Self Assessment, where the two are brought together. This can mean payments on account, adjustments if tax has been under or overpaid through PAYE, and interaction with pension contributions and other reliefs. We prepare the return so that every source is included accurately and explain what you are likely to owe so there are no surprises when the bill arrives.
Common claims include medical indemnity insurance, GMC or specialist registration fees, professional body and royal college subscriptions, genuine continuing professional development, specialist equipment and professional journals. Travel and mileage can be claimed where journeys are business related rather than ordinary commuting. The precise position depends on your employment status and individual circumstances, because employed and self-employed doctors are subject to different rules, so it is worth reviewing your spending rather than assuming you should not claim.
Yes. Locum work usually means self-employment income, which brings registration requirements, record keeping and its own expense rules. Because locum earnings can vary considerably month to month, we often look at how to manage tax set-aside, when payments on account fall due, and whether a different structure would suit your pattern of work. We also keep the bookkeeping proportionate so it fits around shifts.
Sometimes a limited company is tax-efficient, sometimes it adds cost and administration for little benefit, and sometimes it is not the right route at all. Off-payroll working rules can also affect doctors providing services through a company to certain clients. We look at your expected income, level of expenses, how you want to take money out, and your pension position before recommending anything, rather than applying a generic structure.
Many private medical services fall within the healthcare exemption, which means VAT is often not charged on them, but other activities such as certain medico-legal reports, cosmetic treatments or non-medical consultancy may be treated differently. Turnover across all your business activities is what matters for registration thresholds. If VAT applies, we handle registration, returns and record keeping so it does not become an administrative burden.
We work with doctors in Haddenham using a combination of remote communication and document sharing, which suits clinicians whose diaries shift at short notice. Records can be uploaded securely, queries handled by email or a scheduled call, and meetings arranged when a fuller discussion is useful. The service itself is the same whether we are talking through Self Assessment, practice accounts, payroll or a limited company.
Changing accountants is usually straightforward. We ask for your permission to contact your existing accountant, request professional clearance and obtain the records and information we need. We then review your prior returns and accounts, flag anything that needs attention, and confirm what is required going forward. Any work in progress is picked up so you do not lose time against upcoming deadlines.
