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 follow a single straight line, and the tax position can become complicated quickly. These are some of the areas we see doctors working through, and why they matter.
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 on your circumstances. If you are a salaried hospital doctor with only PAYE income, your tax may already be largely correct through payroll. However, if you have private fees, locum income, consultancy work, a partnership share, rental income or investment income, you will usually need to file a Self Assessment tax return. An accountant can make sure all income is reported, allowable professional expenses are claimed where they qualify, and deadlines are met. Doctors with several income streams or a change in working arrangements often find the support most valuable.
Yes. These income sources are taxed differently in practice: NHS salary is usually handled through PAYE, while private fees, medico-legal work and self-employed income are reported through Self Assessment. Bringing them together in one place helps ensure nothing is missed and that payments on account are set at the right level. The correct treatment depends on whether you are employed, self-employed or operating through a company, so we review your arrangement before advising.
Locum income is generally treated as self-employed income if you work on that basis, which means you report it on a Self Assessment tax return, pay tax and Class 4 National Insurance on your profits, and can claim allowable expenses connected with the work. Some locums work through agencies on PAYE, and some operate through a limited company. Which route applies to you affects your tax, your filing obligations and your record keeping, so it is worth getting the structure right from the outset.
Commonly considered costs include medical indemnity insurance, professional body subscriptions and registration fees, training and continuing professional development that maintains your existing skills, specialist equipment, and travel or mileage for work purposes. Whether a cost is allowable depends on the rules and on your specific situation, and not every expense a doctor incurs will qualify. We advise on what can be claimed in your case and how to record it properly.
There is no single answer, and it is not automatically beneficial. A limited company can suit some locum doctors, consultants and private practitioners, depending on income levels, your wider financial position and how you want to draw money from the business. It also brings additional obligations such as annual accounts, Corporation Tax returns, payroll and potentially VAT. We look at your circumstances and explain the practical trade-offs before any change is made.
This is very common, and it usually means a Self Assessment tax return is required in addition to PAYE on your NHS income. The main issues are ensuring private fees, expenses and any reimbursements are reported correctly, that payments on account are accurate, and that medical indemnity and professional subscriptions are claimed where they qualify. Pension contributions and annual allowance considerations can also affect the picture, so it is worth reviewing your position as a whole.
VAT depends on the type and level of the services you provide. Some medical services are exempt, while others, such as certain cosmetic, medico-legal or consultancy services, may be standard-rated. If your taxable turnover approaches the registration threshold, you may need to register. We review the specific services you provide and advise on registration and reporting where relevant.
Yes. Most accounting work does not require face-to-face meetings, and information can be shared securely online, which suits doctors with crowded clinic schedules. Getting started usually means an initial conversation about how you work, your income sources and what you currently file, followed by a review of your records and a clear outline of the services that fit. If you are already with another accountant, we can help manage the transition.
