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 generally face the same broad tax system as everyone else, but the way their income is structured creates a set of recurring practical challenges. The points below are the ones we see most often when talking through a doctor's affairs.
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 many benefit from one. If all of your income is taxed through PAYE, your affairs may be straightforward. As soon as you take on private fees, locum shifts, consultancy work, medico-legal reports, a partnership share or directorship income, you are likely to need to file a Self Assessment tax return and to keep records that support your claims. An accountant helps with the filing itself, but the greater value is usually in keeping records accurate, identifying reliefs that apply and planning the timing of tax payments. Depending on your circumstances, we can also advise on whether a different business structure would suit your private work.
It depends on how your income arises. If you are employed and all tax is collected through PAYE, with no untaxed income and no other trigger, you may not need a return. If you receive private patient fees, locum income, consultancy fees, untaxed savings or investment income, or if you have income from a partnership, a return is usually required. Other factors, such as higher-rate income tax charges on certain pension contributions or the High Income Child Benefit Charge, can also bring you into Self Assessment. We assess your position each year rather than assuming it stays the same.
NHS employment income is taxed through PAYE, but the figures still need to be reflected correctly on your tax return, including details that affect your overall liability. Private fees, locum earnings and consultancy income are usually reported separately as self-employment or other income. We reconcile the two so that the correct totals are declared, that expenses are attributed to the right source, and that any tax already paid through PAYE is properly credited. Where you have both, this also helps us see whether payments on account are likely and how to plan for them.
Locum work is usually treated as self-employment, which means you generally report income and expenses on a Self Assessment tax return. Expenses are claimable where they are incurred wholly and exclusively for the purposes of your work. In practice this can include medical indemnity cover, professional body subscriptions, required training and continuing professional development, specialist equipment, and travel to temporary assignments that is not ordinary commuting. Mileage and record keeping need to be consistent and evidenced. It is worth reviewing your locum agency arrangements too, since some payments are made with tax deducted and some are not, and that affects how the income is reported.
In many cases, yes. Medical indemnity or defence organisation cover, and subscriptions to a professional body relevant to your work, are commonly allowable as professional expenses where they are required for your role. The position can differ between employed and self-employed doctors, and between those who pay the cost personally and those who have it reimbursed. Relief is not automatic, and the treatment depends on your individual circumstances, so it is worth checking rather than assuming one rule applies to all of your income.
There is no single right answer. Sole trader treatment is the simplest starting point for many doctors beginning private work. A partnership is common where doctors work together — for example, in a GP practice or a joint private clinic — and requires partnership accounts and profit-sharing arrangements. A limited company can be worth considering where private income is substantial or where you want a clearer separation between personal and business affairs, but it brings additional obligations such as annual accounts, Corporation Tax returns and payroll for anyone paid a salary. The right structure depends on your profit levels, your other income, your pension position and how you want to extract money from the business.
Yes. Accounting does not require face-to-face meetings, and much of the work is done through digital records, secure document sharing and cloud bookkeeping software. You can provide information, review figures and ask questions remotely, with meetings held by phone or video where useful. What matters more than proximity is that your accountant understands the structure of medical income and asks the right questions about your contracts, expenses and pension arrangements. If you would prefer to meet in person at some point, that can be arranged separately.
It is usually more straightforward than doctors expect. The process normally involves contacting your current accountant to let them know, giving written authority for professional clearance, and arranging for records to be handed over. If you are part-way through a tax year, we would check what has already been filed and what remains outstanding so nothing is missed. Once the information is across, we review your position, confirm the filing obligations and set up a record-keeping approach that works for you. Starting before a filing deadline is generally easier than starting close to one.
