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 have financial affairs that are more layered than they first appear. A single tax return can involve salary, self-employment, partnership income and dividends, and each element brings its own rules, records and deadlines.
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. A doctor on a straightforward salaried contract with no other income may have little need for specialist help. But once private fees, locum shifts, medico-legal work, teaching income, a partnership profit share or a limited company enter the picture, the tax position becomes more involved, and the cost of getting it wrong can be considerably higher than the cost of good advice. Many doctors also find that the time saved on record keeping and filing is worth as much as the tax side itself.
Your NHS salary is normally taxed through PAYE, so that element is largely dealt with before you file. Private fees, self-employed locum income, consultancy work and some additional NHS payments usually are not, which means they need reporting on a Self Assessment tax return and tax paid on them. In some cases HM Revenue & Customs can collect smaller amounts of tax through an adjustment to your PAYE code, but this depends on the amount involved and your overall position. We work out what has already been taxed, what remains due, and when payments on account will fall.
Commonly claimed items include medical indemnity and professional indemnity cover, professional subscriptions such as GMC, BMA and royal college fees, professional training that maintains or updates existing skills, specialist equipment, and business travel or mileage. However, the rules differ between employed and self-employed work, and some costs are only partly allowable or not allowable at all. Personal costs, ordinary commuting and training that qualifies you for a new area of practice are generally not claimable, so it is worth checking before you assume an expense is deductible.
If you work as a self-employed locum, you can usually claim allowable business expenses, including travel between temporary workplaces and the costs of equipment and indemnity cover used for that work. Records matter here: a straightforward mileage log and receipts for significant purchases make the return much easier to prepare and support the figures if HMRC asks questions. If you are employed by an agency or a trust, the position is more restricted, and the rules on what can be claimed are narrower.
Many medical services are exempt from VAT, but not everything a doctor does falls into that category. Medico-legal report writing, expert witness work, cosmetic treatments and some consultancy activities can be treated differently, and where your taxable turnover exceeds the registration threshold you may need to register. Whether registration is beneficial is a separate question from whether it is required. We can review what you actually provide and advise on the most sensible approach.
It can be appropriate in some cases, but it is not automatically the right answer. The decision depends on your level of income, how much you need to draw from the business, your pension arrangements, and how off-payroll working rules apply to the contracts you hold. Some NHS and agency engagements are treated differently from private sector work, which can affect the tax position significantly. We review your circumstances and the contract terms before recommending a structure.
Yes. Pension contributions, the annual allowance and the tapered annual allowance can all affect doctors with higher or variable income, and the interaction between NHS pension accrual and private income is often worth reviewing together rather than in isolation. We can factor pension contributions into your tax return and planning, and where a matter extends into regulated financial advice, we will tell you so you can involve an appropriately qualified adviser.
Switching is usually straightforward. Once you confirm you would like to move, we contact your existing accountant for professional clearance and the information needed to take over, including your records, prior returns and filing history. We then check what has been submitted, confirm the position with HMRC and agree how we will work going forward. Most doctors we support work with us remotely, sharing documents securely and communicating by email, phone or video call, which suits the unpredictability of clinical rotas and means you are not tied to appointment slots.
