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 earn through a mixture of PAYE employment and untaxed income, which creates complexity that a standard tax return will not resolve on its own. These are some of the areas where specialist help tends to make the biggest difference.
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 entirely on your circumstances. A doctor with a single salaried NHS post, no other income and straightforward tax affairs may manage without one. But once private fees, locum work, consultancy, medico-legal reporting, rental income or a limited company enter the picture, the tax position becomes noticeably more involved. Self Assessment has to combine PAYE income with untaxed earnings, payments on account need to be calculated correctly, and expense claims have to be supportable. An accountant specialising in doctors can keep that accurate and reduce the risk of missed claims or unexpected liabilities.
Yes, and this is one of the most common situations we work with. Your NHS salary is taxed through PAYE, but private practice fees are usually paid gross, so the tax due on them is settled through Self Assessment. We prepare the return to reflect both streams correctly, make sure your payments on account are set at a sensible level so you are not overpaying or underpaying, and review the expenses relating to your private work, such as indemnity cover, subscriptions, equipment, travel and an appropriate share of home costs where they genuinely apply.
Working through a limited company brings Corporation Tax, director payroll, dividend documentation and annual accounts into play, along with the need to review your contracts and working practices against off-payroll working rules, which can apply where the end client is a public sector body such as an NHS trust. VAT may also need considering depending on the nature of the services. We review your arrangement as a whole — company structure, remuneration mix and compliance obligations — so the reporting is accurate and the structure still makes sense for how you work.
Common claims include medical indemnity insurance, professional body and Royal College subscriptions, CPD and training costs, specialist equipment, professional travel and mileage, and certain home office costs for private practice. The important caveat is that the rules differ depending on whether the cost relates to employed or self-employed work, and costs already reimbursed by an employer generally cannot be claimed again. Everything needs to be recorded and evidenced, which is why we prefer to review expenses as part of ongoing bookkeeping rather than at the last minute.
Not automatically. VAT treatment depends on the nature of the service, because medical care provided by registered health professionals is generally exempt, while other activities such as cosmetic procedures, medico-legal reports and some advisory work can fall outside that exemption. Registration also depends on your taxable turnover across all your business activities. We review what you actually do, identify which services are exempt and which are not, and advise on registration and record keeping where it is needed.
The NHS pension scheme, annual allowance rules and the tapered annual allowance for higher earners make pension planning a genuinely technical area for doctors, particularly when income fluctuates between years because of locum work, private practice or additional roles. Contribution timing, carry forward of unused allowances and accurate records all matter. We look at your overall income position and flag where specialist pension advice and accounting input should work together, so decisions are not made in isolation.
Yes. There is no requirement to wait until a year end, and moving mid-year is common, particularly for doctors who have taken on private work or changed their working arrangements. The process normally involves professional clearance with your existing accountant, a handover of records and prior returns, and a review of deadlines so nothing is missed during the transition. Once that is complete, we take over the compliance work and agree how we will work together going forward.
