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 rarely have a single, simple source of income, and that is usually where the tax complications begin. These are the areas that tend to cause the most difficulty.
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.
Some doctors with straightforward PAYE income and no additional earnings may manage perfectly well alone. The picture changes once you have private fees, locum income, medico-legal or consultancy earnings, a partnership share, or property and investment income on top of your NHS salary. At that point the return involves multiple sources, possible payments on account, and expense claims where the rules differ between employment and self-employment. An accountant helps ensure the return is complete and accurate, that you are claiming what you are entitled to, and that you are not caught out by a larger tax bill than you expected.
Yes. Self Assessment captures all of your taxable income for the year, so NHS salary, private practice fees, locum earnings, consultancy income and any other taxable amounts are reported together, even though they arise in different ways. Your NHS pay is normally taxed through PAYE, and the return reconciles that with everything else. Where a meaningful amount of tax has not been collected at source, HMRC will usually expect payments on account towards the following year, which is worth planning for in advance.
It matters a great deal. Self-employed doctors can generally claim costs incurred wholly and exclusively for the business, while employees must meet a stricter test that the cost is incurred wholly, exclusively and necessarily in performing their duties. Costs that commonly come up include medical indemnity insurance, registration and professional body subscriptions, professional equipment, specialist clothing, and travel or mileage to temporary or business locations. Training that maintains your existing professional skills is usually treated differently from training that qualifies you for a new area of work. Because each case turns on your own circumstances, it is worth checking before you claim.
It depends on how the engagement is structured. Some locum work is paid through PAYE by an agency or directly by the practice or trust, while other arrangements are treated as self-employment, requiring you to report income and expenses, possibly register for VAT if turnover is high enough, and keep records that support your expenses. Where a locum works through their own limited company for an NHS body, off-payroll working rules may affect how the engagement is taxed. We review the contracts and working practices before advising, because the same job title can lead to different tax outcomes.
There is no single right answer, and the choice depends on your income level, how many engagements you take on, whether you work with others, and whether off-payroll working rules are likely to apply to your contracts. A sole trader structure is simple and often adequate for modest private or locum income, a partnership suits doctors sharing a practice, and a limited company can offer flexibility on profit extraction and timing where the rules allow. We compare the practical and tax consequences of each option for your situation before you commit.
The NHS Pension Scheme is a defined benefit arrangement, so the value of the pension growth in a year, rather than simply the contributions paid, determines whether an annual allowance charge may arise. At higher income levels the tapered annual allowance can reduce the amount available, and unused allowances from earlier years may be carried forward in some circumstances. This is a complex area where the detail matters, so we look at your overall income and pension position together and, where appropriate, work alongside your pension or financial adviser.
Yes to both. Much of our work is done through secure document sharing and virtual meetings, which suits doctors with unpredictable schedules and those who prefer not to travel. Switching accountants is normally straightforward at any point in the year: we contact your current accountant for professional clearance, obtain the relevant records and prior returns, and confirm with HMRC that we are acting on your behalf. If there are overdue filings, we deal with those as part of the handover rather than leaving them for you to resolve.
It helps to have your most recent tax return, any self-employment or partnership accounts, your NHS and private income statements, details of professional expenses such as indemnity and subscriptions, pension information, and records of any equipment, mileage or home office costs. If your records are incomplete, that is not a barrier: part of the initial review is establishing what exists, what is missing, and how to keep things organised going forward. Once that picture is clear, we can confirm which services you need and how they will be delivered.
