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 carry a heavier administrative load than their employed income alone would suggest. The issues below are common considerations, though how they affect you will depend on your employment status, income sources and business structure.
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 only income is a straightforward NHS salary taxed through PAYE and you have no untaxed income, savings interest above the reporting threshold, or complex pension position, you may not need one. However, an accountant becomes valuable as soon as you take on locum shifts, private practice fees, consultancy or medico-legal work, join a partnership, or run a limited company. At that point the reporting requirements, expense rules and interactions between income sources are easier to manage with professional support.
It depends on your circumstances. Many salaried doctors with only PAYE income do not need to file, although HMRC may still issue a return if there is another reason, such as high income, untaxed savings or a pension charge. Doctors with self-employed income from locum work, private practice or consultancy generally do need to report it. If you also receive NHS income as an employee, that will usually be taxed through PAYE, but the self-employed side still needs to be declared in full.
NHS employment income is normally taxed through PAYE, with tax deducted at source, so it appears on your tax return but is generally not taxed again. Private medical income, locum fees and consultancy earnings are usually self-employed income, reported through Self Assessment, and no tax is deducted at source. That means you are responsible for calculating and paying the tax due, often through payments on account. Because the two income types are reported together, accurate records from both are essential.
Medical indemnity or defence union subscriptions are commonly treated as allowable expenses where they are required for your professional work. Professional body subscriptions and mandatory registration fees can also qualify, along with required training and professional development costs. Whether a particular cost is allowable depends on your employment or self-employed status, the reason for the expense and whether it relates to your existing role or a new one. It is worth checking before assuming a cost can be claimed.
Locum income is usually self-employed, so you need clear records of every shift or placement worked, the fees invoiced and the payments received. Keep timesheets, agency statements, bank records and details of expenses such as travel to temporary workplaces, indemnity cover, professional subscriptions and any equipment you have purchased for the work. Records of mileage for locum travel are particularly important, as the amounts can add up significantly over a year.
There is no single right answer. A sole trader structure is simple and often suitable when private income is modest, while a partnership may fit doctors running a practice jointly. A limited company can suit higher or more consistent private income, but it brings additional obligations such as annual accounts, Corporation Tax returns, payroll requirements and the need to consider how you extract income tax-efficiently. The decision should be based on your income levels, plans and personal circumstances.
VAT registration depends on your taxable turnover and the nature of your services. Some medical services are exempt from VAT, which can affect whether registration is compulsory or beneficial, while other activities may be treated differently. If you provide private services, run a practice with additional commercial activities or are approaching the registration threshold, it is worth reviewing your position rather than assuming either way.
Changing accountants is usually straightforward. Once you decide to move, your new accountant can contact your current one to request professional clearance and the handover of records, including copies of previous tax returns, accounts and bookkeeping files. Bringing your records up to date first helps the transition run smoothly, and we can help you identify anything outstanding so nothing is missed between firms.
