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 single, tidy income path. The challenges below are common considerations for doctors, and how much each one matters will depend on your own working arrangements, income sources and business structure.
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 your income is taxed through PAYE, your tax affairs may be straightforward enough to handle yourself. The picture changes once you add private fees, locum shifts, consultancy income, practice profits or a property or investment portfolio, because untaxed income normally needs to be reported through Self Assessment and supported by records. An accountant's value is usually in getting the detail right — allowable expenses, pension treatment, multiple income sources and the reporting that follows from each — rather than simply filing a form.
NHS salary is normally taxed through PAYE, while private fees, locum payments and consultancy income often arrive with little or no tax deducted. Both need to be reported on the same Self Assessment return, and it is the combination that determines your overall liability. Because tax may already have been paid on part of your income, the calculation can lead to payments on account for the following year, which affects cash flow. Accurate records of private income and costs are essential to keep the return correct.
Medical indemnity cover, GMC fees and professional body or royal college subscriptions are commonly claimed by doctors, but whether a particular cost is allowable depends on your employment status and whether your employer has already reimbursed it. For employees, the rules are stricter than for the self-employed. Where a cost qualifies, it can reduce your tax bill; where it does not, claiming it can create problems later. We review each cost against the relevant rules before it goes on a return.
Locum work can be structured in different ways. Some locums are engaged as employees through an agency or trust, with tax deducted under PAYE, while others invoice as self-employed contractors. If tax is not being deducted on all your locum income, you will usually need to report it, and the correct treatment depends on the terms of your engagement. It is worth clarifying your status early, particularly where agency or off-payroll working rules may apply.
It depends on your circumstances. A limited company can suit doctors with substantial private income, consultancy arrangements or a desire for a more formal structure, but it brings additional obligations including annual accounts, confirmation statements, Corporation Tax returns and payroll responsibilities for anyone paid through the company. For lower levels of private income, a sole trader or partnership arrangement is often simpler and no less tax-efficient. The right answer follows from your income levels, contracting arrangements and longer-term plans rather than a general rule.
As a minimum, keep details of all income received — salary and P60s, private invoices, locum payments and consultancy fees — alongside evidence of the costs you intend to claim. That means indemnity and subscription receipts, training and course costs, equipment purchases, mileage logs and pension contribution statements. Bank statements that clearly show professional income and spending make the whole process smoother. Digital record keeping tends to work well for doctors, because receipts can be captured as they arise rather than saved for a rush at year end.
Yes. Accounting support does not depend on sitting in the same room, and many doctors prefer to share documents digitally around their clinical commitments. Records can be sent through secure channels, questions handled by email or video call, and returns reviewed and approved without repeated trips. What matters is that you have a clear point of contact and an agreed way of working, whether that is largely remote or involves more regular face-to-face contact.
Changing accountants is usually straightforward. Once you decide to move, we would normally write to your existing accountant to request professional clearance and the information needed to take over, such as prior accounts, tax returns and HMRC correspondence. You then sign an engagement letter and we agree how records will be passed across. If you are simply getting started rather than switching, the first step is a conversation about your income sources and working arrangements so we can confirm what support you actually need.
