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 complex tax profile than their payslips suggest. PAYE rarely collects the right amount of tax once private fees, locum work or other income is added, and the details of what can be claimed are not always obvious. These are some of the areas we help with most often.
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 all of your income is taxed through PAYE and you have no other complications, your tax affairs may stay straightforward. However, once you add private fees, locum work, medico-legal income, partnership profits, rental income or significant investment income, a Self Assessment return is usually needed and the calculations become more involved. An accountant helps you report that income correctly, claim the expenses you are entitled to and avoid unnecessary back-and-forth with HMRC.
In most cases, yes. Locum work is generally treated as self-employment, and if your locum income exceeds the relevant trading and property allowance, it needs to be reported. Even where your NHS employment already uses PAYE, self-employed income is not taxed through that payroll, so a return is normally required. The same applies where you have untaxed private or consultancy income. We can confirm your position based on your specific arrangements.
Common claims include medical indemnity insurance, professional body and royal college subscriptions, GMC fees, CPD and training costs related to your existing work, professional books and journals, and equipment used for your practice. Business travel and mileage for work-related journeys can also be claimed, though ordinary home-to-work commuting generally cannot. Whether a cost is allowable depends on the exact rules and how it relates to your work, and you need records to support every claim.
Your NHS pension builds up benefits that are measured against annual and lifetime allowances. If the growth in your pension in a tax year exceeds the annual allowance, a tax charge can arise, and the way it is paid depends on whether you have already used up your allowances or have unused ones from earlier years to carry forward. This is separate from the tax paid on your salary and needs careful monitoring, particularly for doctors with high earnings or a long service history.
Sometimes, but it is not automatically the best answer. A limited company can suit certain self-employed medical activities, but it brings additional filing, payroll and Corporation Tax obligations, and off-payroll working rules apply to many public sector engagements such as NHS work. The right structure depends on how much private or locum income you have, how you take money out, your pension position and your long-term plans. We look at the numbers and the practicalities before recommending anything.
Most clinical care provided by doctors is exempt from VAT, so many doctors never register. However, some activities are not exempt, such as certain medico-legal reporting, expert witness work, cosmetic or non-medical advisory services. If your non-exempt income exceeds the registration threshold, VAT registration is usually required. We can review the mix of services you provide and confirm whether VAT applies.
Yes. Partnership accounting for general practice involves allocating profits between partners, tracking drawings and capital accounts, and dealing with the practice's own reporting requirements. We prepare partnership accounts and each partner's tax return, and we help partners understand how their share of profits affects their tax and pension position, particularly where the profit share changes between tax years.
Switching is usually straightforward. We ask for your authorisation to act as your agent with HMRC, request professional clearance from your existing accountant, and obtain the records we need to take over. Most of the process can be handled remotely using secure document sharing and video calls, though we are equally happy to work in whatever way suits you best. Once we are in place, we confirm upcoming deadlines so nothing is missed during the transition.
