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 work generates income in ways that general tax software rarely handles well. These are some of the areas doctors most often need help with.
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 you are employed on a straightforward PAYE contract with no additional income, no significant untaxed benefits and no complicated expenses, your tax affairs may be manageable without professional help. An accountant tends to become valuable once there is more than one income source, such as NHS pay alongside private fees or locum work, once you have expenses to identify and substantiate, once you are considering a partnership or limited company, or once you want reassurance that Self Assessment has been completed correctly. Many doctors also find that the time saved and the accuracy gained outweigh the cost.
Locum work is commonly treated as self-employment, which means you report income and expenses on a Self Assessment return and pay Income Tax and Class 2 and Class 4 National Insurance on your profits, with payments on account towards the following year. However, treatment is not automatic — some locum arrangements are structured as employment, particularly where an agency pays you through PAYE, and short-term contracts can sit awkwardly between the two. The correct position depends on the terms of your engagement, so it is worth reviewing rather than assuming.
Medical indemnity and professional body subscriptions are among the costs doctors most frequently ask about. Whether they can be claimed, and against which income, depends on the nature of the cost and how your income is taxed — employment rules are stricter than those for self-employment. Where a claim is possible, it is important to keep evidence of payment and to record the reason for the cost. We can review your specific outgoings and confirm what can properly be included.
NHS employment income is normally taxed through PAYE, while private practice, locum or consultancy income is usually reported separately through Self Assessment. Both appear on the same return, and the key tasks are making sure the PAYE figures are correct, identifying which expenses relate to which income stream, and tracking any tax already paid so you do not pay twice. Where income comes through a limited company, the structure changes again and different reporting applies.
VAT depends on your turnover and the nature of your services. Many medical services are exempt, but not all associated activities are, and it is the taxable elements of your turnover that determine whether registration becomes necessary. Because the position varies by activity and can change as your work develops, it is worth monitoring turnover rather than waiting until a threshold is crossed unexpectedly. We can assess whether VAT applies to your circumstances and handle registration and returns if it does.
There is no single right answer. A limited company can offer different tax treatment and a clearer separation between your personal and professional finances, but it also brings additional filing, payroll and accounting obligations. For some doctors, particularly those with substantial private or consultancy income, incorporation is worth exploring; for others, remaining a sole trader or working within a partnership is simpler and equally appropriate. The decision should be based on your income levels, plans and appetite for administration.
Yes. Much of the work involved in accounting and tax returns can be handled remotely using digital records and secure document sharing, which suits doctors working unpredictable hours or moving between sites. If you are currently with another accountant, changing over is generally a straightforward matter of authorising us to act on your behalf and obtaining the relevant records and filing history. We can manage that process and make sure nothing important falls between the two firms.
It begins with a conversation. We will ask about your role, your income sources — NHS, private, locum or consultancy — any partnership or company involvement, and what you currently have in place for records and filings. From there we will outline what accounting and tax support is likely to be relevant and how it would work in practice. You do not need everything perfectly organised before contacting us; part of the process is helping you get to that point.
