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 one simple tax pattern. Income can arrive from the NHS, private patients, agencies, medico-legal instructions and teaching, often at the same time, and each source carries its own reporting and record-keeping expectations.
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 salary taxed through PAYE and you have no additional income, expenses to claim or complex affairs, your tax may already be settled. However, many doctors benefit from professional support once they take on locum shifts, private patients, consultancy work, a partnership share or a directorship, or once their professional expenses and pension position become more involved. An accountant can confirm what needs declaring, what can be claimed and when payments are due.
It depends on your circumstances. A doctor whose entire income is taxed through PAYE may not need to file, but a return is generally required where you have self-employed income from locum or private work, untaxed income, higher-rate income that HMRC has not collected correctly, or certain pension and investment matters. If you are unsure, it is worth checking your position rather than assuming you are outside the system.
Salaried NHS income is normally taxed through PAYE, with tax deducted at source. Locum work is often treated as self-employment, which means reporting income and expenses on a Self Assessment return, potentially registering for Self Assessment, and dealing with payments on account and Class 4 National Insurance contributions. The two income types can sit alongside each other, so it helps to keep records for each stream separately.
Common areas to consider include medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, mandatory training and continuing professional development, and equipment or uniforms required for the role. Whether a cost is allowable depends on factors such as whether it relates to your employment or self-employment, whether it is wholly and exclusively for the purpose of your work, and whether your employer reimburses it. Because treatment varies, expenses should be reviewed case by case rather than assumed.
Yes. Combining NHS pay with private fees, medico-legal work or consultancy income is common, and it usually means more than one income stream to report and reconcile. We can bring those sources together into a single coherent position, check that expenses are allocated sensibly, and plan for the tax due so you are not caught out by an unexpected bill.
There is no universal answer. Some doctors working privately or in consultancy find a limited company suits their circumstances, while others are better served as a sole trader or through a partnership, and in some cases tax rules make incorporation less attractive than it first appears. The right structure depends on your income level, how you contract with clients, your pension position and your plans. We can talk through the practical and tax implications before you commit.
Yes. Much of the information we need can be shared securely online, and documents, records and queries can be handled remotely. Many doctors find this easier to fit around clinical commitments. If you would prefer to meet in person, that can also be arranged, and we will agree a way of working that suits your schedule and keeps your records flowing.
The process is usually straightforward. Once you decide to move, we can contact your existing accountant to request professional clearance and the information needed to take over, and you provide some identification and records so we can review your position. We will then confirm what needs filing, when it is due and how we will keep your bookkeeping and returns on track from that point onwards.
