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 tend to have financial affairs that are more layered than most, largely because income arrives from several directions at once. Some of the most common accounting and tax considerations include the following.
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 your income is entirely from salaried NHS employment and is taxed through PAYE, you may not need to file a Self Assessment return at all. The position usually changes once private fees, locum income, consultancy work, partnership profits or untaxed income are involved, or where you have higher income that creates additional reporting obligations. An accountant can help you work out whether a return is required and, if it is, make sure it is prepared correctly.
Your NHS employment income is normally taxed through PAYE, but it still needs to be included on your Self Assessment return alongside any private medical income, locum earnings or consultancy fees. The two are reported together and your tax is calculated on the combined total, with credit given for tax already deducted through PAYE. This is one of the main reasons doctors find their returns more involved than a standard employment tax position.
Commonly claimed items include medical indemnity and professional indemnity insurance, professional body and registration subscriptions, approved training and continuing professional development costs, specialist equipment and reference materials, and travel undertaken for work purposes rather than ordinary commuting. Whether a specific cost is allowable depends on your employment status, how the expense relates to your work and the structure you operate through, so it is worth checking individual items rather than assuming a blanket rule applies.
Locum work can be paid through PAYE, through an agency, or directly to you as self-employed income, and the treatment follows how the engagement is actually structured. Where you are genuinely self-employed, you would typically report income and expenses through Self Assessment, which also allows allowable costs to be claimed. Where you operate through a limited company, different rules apply. Because locum arrangements vary, the correct treatment should be based on your specific contracts rather than a general assumption.
It depends on your circumstances. Sole trader status is often adequate for small amounts of private or consultancy income, partnerships suit doctors running a practice together, and a limited company can offer a different approach for those with substantial private practice or consultancy earnings. Tax treatment, administration requirements, pension implications and how profits are extracted all differ between structures, so the right choice is a planning decision rather than a default one.
Only some do. VAT registration becomes compulsory once taxable turnover passes the registration threshold, and private medical services can be exempt from VAT in certain circumstances while other services are not. That means the question is rarely a simple yes or no. If you provide private fees, clinic services or consultancy work, it is worth reviewing whether registration applies to your activities and what it would mean for your pricing and record keeping.
We work with doctors wherever they are, including those based in Helmsley and the surrounding area, using secure digital document sharing and remote communication to keep things moving. Accountancy work does not usually require in-person meetings, and most records can be exchanged electronically. If you prefer to discuss matters by phone, video or email, that can be arranged around your clinical commitments.
Switching accountants is generally more straightforward than doctors expect. Once you decide to move, we can contact your existing accountant to request the relevant records and professional clearance, then review your previous returns and accounts to understand your position. The best time to start is before a filing deadline rather than close to one, so there is enough time to review everything properly.
