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 heavy administrative load on top of clinical work, and tax matters are easy to defer until a deadline is close. The challenges below are common considerations rather than universal rules — how they affect you depends 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, but many benefit from one. If you are a salaried doctor on PAYE with no other income, your tax position may be straightforward enough to handle yourself. Once you take on locum sessions, private practice income, consultancy work, a directorship or a GP partnership, the reporting becomes more involved — several income sources, expense rules that differ between employment and self-employment, and the risk of unexpected payments on account. An accountant helps make sure everything is reported correctly and that you are not paying more tax than you should.
Your NHS salary is usually taxed through PAYE, while private practice fees, locum income and consultancy earnings are generally reported through Self Assessment. The return brings these together, applies your allowances and works out what is still owed. Pension contributions, allowable expenses and any tax already deducted through PAYE all feed into the calculation. Because figures come from several sources, timing and accuracy matter — and higher incomes can trigger payments on account, which is worth planning for in advance.
Potentially claimable items often include medical indemnity or professional indemnity cover, GMC and royal college subscriptions, specialist journals and professional body fees, job-related training that maintains existing skills, and the business proportion of travel, mileage, phone, equipment and home office costs. What is allowable depends on whether the cost relates to employment or self-employment, and whether it is wholly and exclusively for the purpose of the work. Claims need to be reasonable and supported by records.
Many locum doctors providing medical services fall outside the scope of VAT, but VAT treatment depends on the exact nature of the services and the way they are supplied. It can differ if you work through a limited company or provide services that are not treated as medical care. Because the rules are specific, it is worth checking your position before assuming you need to register — or assuming you do not.
It depends on your circumstances. Working through a limited company can suit some private practitioners, consultants and doctors with substantial non-employment income, but it brings additional obligations such as annual accounts, Corporation Tax, payroll and potential VAT registration. Off-payroll working rules can also affect contracts with NHS bodies and other public sector clients. The right structure depends on your income sources, how much you earn, and how you want to take money out of the business.
Yes. Partnership accounting usually involves allocating profits between partners, dealing with drawings and capital accounts, preparing partnership accounts and returns, and reporting each partner's share on their own tax return. Practice payroll, VAT and expense treatment are also common considerations. We can keep the bookkeeping running through the year so the year-end position is clear rather than a surprise.
Yes. Much of the information needed for accounts and tax returns can be shared securely online, and many doctors find remote communication easier to fit around clinical commitments. You can also arrange to discuss matters by phone or video at a time that suits your rota, with documents exchanged electronically.
It usually helps to have your latest tax return, recent accounts, bank and credit card statements, details of your income sources and any ongoing HMRC correspondence. Your new accountant will typically contact your previous accountant for professional clearance and the relevant records. Once that is done, the handover is usually straightforward and can generally be arranged so that deadlines are not disrupted.
