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 straight line, and the tax position can become complicated quickly. These are some of the areas doctors most commonly find difficult to manage without specialist support.
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. If you are employed on a straightforward salary with no other income, PAYE usually handles your tax, though you may still benefit from checking that your professional expenses and any pension-related position are correct. Once you take on locum work, private fees, consultancy income or a partnership share, you become responsible for reporting that income through Self Assessment, and the calculations become more involved. An accountant helps ensure all income sources are reported correctly, that allowable expenses are claimed and that you are prepared for the tax payments that follow.
Your NHS salary is normally taxed through PAYE, while private fees, locum payments and consultancy income are often paid without tax deducted. The Self Assessment return brings these together, calculating the total tax due and giving credit for what has already been paid through PAYE. Private income also needs to be matched with any allowable expenses you incurred in earning it. Because the combined figures drive your tax liability, keeping clear separate records for each income stream throughout the year makes the whole process much more accurate.
Commonly claimed items include medical indemnity insurance, professional body subscriptions, required professional training and registration fees, specialist equipment you have bought for work, and business travel or mileage in certain circumstances. The exact position depends on whether you are employed or self-employed, because the rules differ between the two. Some costs that are allowable for self-employed private practice income may not be allowable against employment income. We review your outgoings individually rather than assuming a standard list applies to everyone.
Locum work usually means irregular income from multiple sources, so a reliable record of every assignment, payment date and amount is essential. You should also keep a mileage log for journeys between sites, receipts for indemnity cover, professional subscriptions, training and any equipment or administrative costs you incur. A dedicated bank account for your locum income makes reconciliation far easier. These records underpin both your accounts and your tax return, and they also help you plan for payments on account rather than being surprised by them.
VAT registration depends on your taxable turnover and the type of services you provide, and there are exemptions that can apply to some medical services. Whether a limited company is appropriate depends on your income level, how your work is structured, your pension position and your wider plans. These are decisions with long-term consequences, so they are best made after reviewing your specific circumstances rather than following a general rule. We can talk through the practical differences between sole trader, partnership and company structures for your situation.
Pension contributions can affect your tax position, particularly where annual allowance charges arise, and the interaction between NHS pension accrual and private income is a common area of difficulty. Timing of contributions and the use of carry forward from earlier years can also be relevant depending on your circumstances. Because pension rules and allowances change, and because individual positions vary considerably, this is an area where a review of your figures is worthwhile before you make decisions.
Yes. Much of the work involved in accounts, tax returns and bookkeeping can be handled remotely, with documents shared securely and meetings held by phone or video. This suits doctors who travel between sites, work across different contracts or have limited time during the working week. Remote working does not reduce the level of support; it simply removes the need to be in a particular place to get your accounts and returns completed.
Changing accountants is generally a straightforward process. We will ask for details of your current accountant so professional clearance can be arranged, then obtain your records, accounts and tax history. Once we have reviewed your position, we can identify anything outstanding, such as unfiled returns or upcoming deadlines, and put a plan in place. There is no requirement to wait until the end of a tax year, and moving mid-year is common, particularly if you are unhappy with the level of communication or advice you have been receiving.
