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 face a more complicated tax position than their payslips suggest, and the difficulties tend to come from the number of moving parts rather than any single issue. The points below are common considerations rather than universal rules — how they apply depends on your employment status, 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, but many benefit from one. If all of your income is taxed through PAYE and your affairs are straightforward, your needs may be limited. Once you have private medical income, locum or consultancy earnings, a partnership profit share, a limited company, or a pension position you want to review, the reporting and tax questions multiply quickly. An accountant can help make sure income from every source is reported correctly, that relevant professional expenses are claimed where the rules allow, and that deadlines are met without last-minute scrambling.
Your NHS salary is usually taxed through PAYE, but private fees, locum work and consultancy income generally need to be reported through Self Assessment, and the two are then brought together to establish your overall tax position. That can result in additional tax being payable and may also trigger payments on account towards the following year. The exact outcome depends on your total income, your expenses and your individual circumstances, so it is worth reviewing before the return is due rather than after.
Common areas to consider include medical indemnity and professional indemnity cover, professional body and registration subscriptions, revalidation and training costs that maintain or update your existing professional skills, specialist equipment, professional development, and business travel or mileage where the journey qualifies. Whether a particular cost is allowable depends on the rules and on your employment or self-employment status, and expenses that are reimbursed by an employer are treated differently from those you pay personally. It is important to keep evidence for anything you claim.
It depends on how the work is arranged. Locum doctors engaged directly and working under their own control are often treated as self-employed, while work through an agency, an NHS trust or an intermediary can point towards employment instead, and off-payroll working rules may also be relevant in some arrangements. Because status affects how income is taxed, what can be claimed and what needs to be filed, it is worth reviewing your contracts and working practices rather than assuming a particular treatment.
There is no universal answer, because it depends on your level of profit, how many income streams you have, how you want to pay yourself, your pension position and your longer-term plans. Operating through a limited company brings different reporting obligations, including annual accounts and Corporation Tax, and may suit some doctors while adding unnecessary cost and administration for others. We look at your circumstances in the round and explain the practical implications of each structure rather than applying a blanket rule.
Yes. Partnership and practice finances often involve profit shares, capital accounts, staff payroll, practice expenses and reporting obligations that need to be handled consistently each year. We can prepare partnership accounts and supporting information, help partners understand their individual tax positions arising from the profit share, and advise on questions such as admitting or retiring partners and how profits are allocated. The specifics depend on your partnership agreement and how the practice is organised.
VAT treatment depends on the nature of the service and who is providing it. Supplies of medical care by appropriately qualified health professionals are generally exempt, but other activities — such as certain cosmetic or non-medical services, reports or medico-legal work — may fall outside that exemption. Registration thresholds and obligations can also change over time, so the position should be reviewed against what you actually do rather than assumed from a general rule.
We can work with you in the way that suits you best, using secure digital document sharing, email and calls so that records and questions can be handled without unnecessary travel. Changing accountants is usually more straightforward than doctors expect: we ask for your authorisation to contact your current accountant, request the relevant records and filing history, and confirm what is outstanding. We then take over the ongoing work from an agreed date, so continuity of filing is maintained throughout the switch.
