Specialist Accountants for GPs, Consultants & Locum Doctors
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 simple tax pattern. Income often arrives from several directions, expenses are genuinely work-related but not always obvious, and the rules depend on how each part of your work is structured. These are some of the areas that tend to cause difficulty.
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 NHS post taxed entirely through PAYE may manage without one, although there are still areas such as professional expenses, pension contributions and higher-rate relief worth checking. Once you add locum work, private patient fees, consultancy or medico-legal income, you will usually need to file a Self Assessment tax return and account for tax that has not been collected through PAYE. At that point an accountant becomes less of a luxury and more of a practical safeguard, helping you declare the right figures, claim the right expenses and avoid unnecessary correspondence with HMRC.
No, and it is a common misconception that all doctors must. If all of your income is taxed through PAYE and there is nothing else to report, you may not need to file. However, self-employed locum income, private practice fees, consultancy or medico-legal earnings, untaxed savings or rental income, and certain pension situations can all bring you within Self Assessment. HMRC may also issue a notice to file. Your position depends on your own income sources, so it is worth reviewing rather than assuming either way.
Yes. A single Self Assessment return can bring together employed NHS income taxed through PAYE with self-employed income from private practice, locum work or consultancy, provided each source is reported correctly and the right supplementary pages are completed. The important part is separating the streams accurately and making sure that expenses are matched to the correct source of income, since this affects how the figures are calculated and how any tax already paid is credited.
There is no universal list, because what is allowable depends on your employment status and how the expense relates to your work. Expenses that doctors commonly review include medical indemnity and professional indemnity cover, registration and professional body subscriptions, training and continuing professional development, specialist equipment and textbooks, business mileage, and costs associated with running a private practice or consultancy. Some costs are easier to claim against self-employed income than against employment income, and some are not allowable at all, so each item needs to be considered on its own merits.
Locum work is often treated as self-employment, which means you are responsible for reporting your income, keeping records of fees and expenses, and paying tax and National Insurance through Self Assessment rather than having it deducted at source. This can also mean payments on account towards the following year's tax bill, which catches some doctors out. If you work through an agency or an umbrella arrangement, the way you are engaged matters, so it is worth checking your contracts rather than relying on how the income is described.
Sometimes, but not automatically. A limited company can suit doctors with substantial and consistent private, consultancy or medico-legal income, particularly where there are profits to retain or flexibility is wanted around how income is taken. It also brings additional obligations, including annual accounts, Corporation Tax returns, payroll for directors and potentially VAT considerations. For lower or more variable levels of private income, sole trader status is often simpler. The right answer depends on your figures, your plans and your other income, which is why structure advice should be based on your own position.
Yes. GP partners and doctors involved in practice arrangements typically need more than a personal tax return. Partnership accounts, profit share calculations, capital and current accounts, drawings, practice payroll and staff costs, and VAT on relevant practice income all form part of the picture. We can prepare the accounts and the individual partners' tax returns so that the practice figures and each partner's personal position are consistent with one another.
Most doctors find the transition straightforward. We begin with a conversation about your income sources, current structure and any outstanding filings, then review what has been done previously and agree what needs to happen next. If you are leaving another accountant, we can liaise with them and handle the professional clearance process on your behalf. Documents can be shared securely online, and meetings can be arranged in a way that fits around clinical commitments, so there is no need for your accounting to depend on being in a particular place at a particular time.
