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 tend to generate complex, layered finances rather than a single tidy payslip. These are some of the areas doctors most often need help untangling.
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. If your entire income is taxed through PAYE, has no additional income streams and your affairs are simple, you may manage without one. However, many doctors benefit from professional support once they take on locum work, private fees, consultancy income, medico-legal work or a partnership or directorship. Even a single additional income source can mean a Self Assessment return, and working out what is allowable is not always obvious. An accountant helps you report accurately and understand your position.
Yes. Many doctors pay tax on their NHS salary through PAYE but still need to file a Self Assessment return because of private income, locum earnings, consultancy fees or other sources. We prepare the return, bring together the figures from your payslips, invoices, agency statements and expense records, and explain how the tax position has been calculated so you know what has been included and why.
NHS salary is normally taxed through PAYE, while private fees, locum income and consultancy work often need to be reported separately and may be taxed differently depending on your structure. We reconcile the different streams, check that any tax already deducted is properly accounted for, and make sure relief for relevant expenses such as medical indemnity and professional subscriptions is considered where the rules allow.
It depends on your circumstances, but common examples include medical indemnity insurance, professional body and specialty subscriptions, mandatory training and CPD costs, some professional equipment, and business travel or mileage where it is genuinely incurred for work rather than ordinary commuting. The key test is whether the cost is incurred wholly and exclusively for your work. We review your outgoings and explain what is likely to qualify in your case.
Locum doctors often have income from several agencies or trusts, plus expenses such as travel between sites, indemnity cover and equipment. Depending on how you work, you may be treated as employed, self-employed, or operating through a limited company, and each route carries different tax and administrative obligations. We help you confirm the right treatment and keep records that support the figures reported.
There is no universally right answer — it depends on your income levels, how you want to be paid, your pension position, the level of administration you are comfortable with, and your wider financial plans. Private practitioners, locum doctors and consultants forming a practice may each find a different structure suits them. We talk through the practical implications of each option before you commit.
Whether VAT registration is required or beneficial depends on your turnover, the type of medical services you provide, and the VAT treatment that applies to them. Some healthcare services are exempt, while others are not, and the rules are specific. If you are approaching a registration decision or already registered, we can review the position and handle the reporting.
Yes — much of the work involved in preparing returns and accounts can be handled remotely, with documents shared securely, alongside meetings or calls when they are useful. If you are switching from another accountant, we can guide you through contacting your existing firm, obtaining your records and confirming your position with HMRC so the transition is properly managed.
