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 careers rarely produce a neat, single-stream tax position. Income arrives from different sources, on different terms, and the administration can easily fall behind clinical priorities. These are some of the areas where doctors tend to need the most support.
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 your income is taxed through PAYE and your affairs are straightforward, your tax position may look after itself. The picture changes once you take on locum work, private fees, consultancy, medico-legal reporting, partnership profits or company income, because those streams usually need to be reported through Self Assessment and can carry tax that has not been collected at source. An accountant helps make sure everything is reported correctly, that legitimate professional expenses are claimed, and that you are not surprised by a liability you had not accounted for.
Yes. This is one of the most common situations doctors face. NHS pay is typically taxed through PAYE, while private fees, locum income and consultancy earnings often are not, so the two need to be brought together on a single return. We review your P60, your private income records, any tax already deducted and your expense claims, then prepare the return so the overall position is accurate rather than piecemeal. Because PAYE can under or over-collect once additional income is involved, reviewing the combined picture matters.
It depends on your circumstances and how the expense relates to your work. Costs that doctors commonly review include medical indemnity and professional indemnity cover, GMC and royal college or specialist society subscriptions, required professional development and training, specialist equipment and uniforms, and travel between work locations that is not ordinary commuting. Some costs are claimable in full, some only partly, and some not at all, so each item needs to be considered against the rules and supported by records. We can work through your outgoings and identify what is genuinely allowable in your case.
Locum work is usually treated as self-employment, which means registering with HMRC, keeping records of income and expenses, and reporting profits through Self Assessment. Travel between temporary work locations can be an important part of the picture, as can indemnity cover, agency fees and equipment. If you also hold an NHS contract or salaried post, the employed and self-employed elements need to be reported together, and the way your income is structured can affect how much tax and National Insurance you pay overall.
There is no universally correct answer, and it depends on your level of private or consultancy income, how you want to take money out of the business, your pension position and your longer-term plans. A limited company can suit some doctors with substantial private practice income, while others are better served as a sole trader or through a partnership arrangement. The tax and administrative consequences differ, including filing obligations, Corporation Tax, payroll and how profits are distributed, so it is worth reviewing your specific numbers before deciding.
We can work in a way that fits around your schedule. Many doctors prefer to keep original records, such as receipts, invoices and mileage logs, in a simple digital format, and we take it from there. We can also recommend software that makes record keeping quicker, and where appropriate help with Making Tax Digital compatible processes. The aim is to keep your records current through the year so that preparing your accounts and tax return does not depend on tracking down paperwork at the last minute.
VAT is not usually a concern for doctors whose income consists mainly of exempt medical services, but it becomes relevant where you provide services that fall outside that exemption, or where your private practice generates other types of income. Registration is compulsory once taxable turnover crosses the relevant threshold, and voluntary registration can sometimes be worth considering. Because the rules depend on the nature of the services you provide, VAT needs to be reviewed against what you actually do rather than assumed.
Yes, and it is usually far less disruptive than people expect. The process typically involves confirming your new appointment in writing, contacting your existing accountant to request your records and professional clearance, and then bringing your bookkeeping and filings up to date. Timing can matter if there are returns or accounts already due, so it is sensible to review the position before you switch. If you are moving because of a change in circumstances, such as starting locum work or setting up a private practice, we can factor that into how we set things up.
