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 carry a more complicated financial picture than their payslips suggest. NHS income, private fees, locum work and consultancy can all arrive in different ways and at different times, and each carries its own record-keeping and reporting expectations.
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 you are employed only and taxed through PAYE with no additional income, your affairs may be straightforward. As soon as you take on locum work, private consultations, consultancy or partnership income, you have a Self Assessment obligation and often several income sources to reconcile. An accountant can help you report that correctly, claim the expenses you are entitled to, and plan around the tax consequences.
Your NHS employment is usually taxed through PAYE, while private fees, locum work and consultancy income are typically reported through Self Assessment. The two interact, so your final tax position depends on your combined income across the tax year. Because your PAYE code rarely reflects private earnings accurately, there is often a balancing payment due, and payments on account may also apply.
It depends on whether a cost is incurred wholly and exclusively for your work and on whether the income is employment or self-employment. Costs such as medical indemnity insurance, professional body subscriptions, required training and professional development, specialist equipment, and travel between work locations may be relevant. Employment expenses are subject to stricter rules than self-employed expenses, so it is worth reviewing your particular situation rather than assuming.
Yes. Locum work generally means registering for Self Assessment, keeping records of fees and expenses, and understanding how payments on account work. These advance payments towards your next bill frequently surprise doctors in their first year of self-employment, because they come on top of the tax already owed. We can explain the position and help you plan cash flow around it.
There is no single answer, because it depends on your income level, how many people you work with, how you take money out of the business, and your longer-term plans. A limited company can suit some private practitioners and consultants, while sole trader or partnership status may be simpler and equally tax-efficient in other cases. We look at the numbers and the practicalities before recommending a structure.
VAT registration depends on your taxable turnover and the nature of your services, and it applies to some doctors and not others. Many purely medical services are exempt, while certain consultancy, medico-legal or advisory services may be treated differently. If your turnover is approaching the registration threshold, it is worth reviewing before you cross it rather than afterwards.
Pension contributions can reduce your taxable income, but the interaction between your earnings and the annual allowance can be complex, particularly for doctors with high income from combined NHS and private work. Charges can apply where contributions exceed the allowance. Because the rules are detailed, we review your position as part of wider tax planning rather than in isolation.
Yes. Accounting support can be delivered remotely with documents shared securely, which suits doctors working varied rotas. If you are moving from another accountant, we can handle the handover, including requesting professional clearance and obtaining the information needed to pick up your records cleanly. A short initial conversation is usually the best way to establish whether we are a good fit.
