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 tend to create layered finances, and the tax rules do not always treat each layer in the same way. These are the areas where doctors most often need guidance.
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 all your income is taxed through PAYE and you have no additional income, pensions complications or significant expenses to claim, an accountant may not be essential. However, most doctors find that at least one element of their finances is more complex than it first appears, whether that is private fees, locum income, a practice partnership, a limited company, or the interaction between NHS pension contributions and other earnings. An accountant is usually valuable where income needs to be declared, expenses need to be claimed correctly, or decisions about structure and planning are being made.
Your NHS salary is taxed through PAYE, but private fees, locum payments and consultancy income are generally not, which means they usually need to be reported through Self Assessment. The two streams are brought together on your return, and any tax already paid through PAYE is credited against your total liability. The exact position depends on how much you earn, how the private work is structured, and whether expenses are being claimed, so it is worth reviewing rather than assuming.
Commonly claimed items include medical indemnity insurance, professional body subscriptions, required training and continuing professional development, specialist equipment and some travel costs. Whether a particular expense is allowable depends on it being incurred wholly and exclusively for your work, and the rules differ between employment and self-employment. Records matter here: claims are far easier to support when receipts and mileage logs are kept as you go.
There is no single right answer. A limited company can suit doctors with substantial private or locum income who want to control how profits are extracted, but it brings additional obligations including annual accounts, Corporation Tax, confirmation statements and possibly payroll. Operating as a sole trader is simpler and often adequate for smaller or occasional earnings. The decision should consider your level of income, your other employment, pension implications and your longer-term plans.
Partnerships need accounts that allocate profits between partners in line with the partnership agreement, together with each partner's individual tax return. Other areas often include bookkeeping for practice income and overheads, payroll if the practice employs staff, VAT registration where relevant, and clear reporting so partners can see how drawings and profit shares are calculated. Practice finances work best when they are reviewed regularly rather than at the last minute.
NHS pension contributions are typically deducted from your pay, while private income is taxed separately but sits within your overall income position. The combination can affect the tax relief you receive on contributions and may raise questions about pension contribution limits, particularly where private practice profits are significant. Because the rules are detailed and depend on your own figures, this is an area where personalised advice is worthwhile.
Yes. Much of the accounting process can be handled remotely, with documents and records shared securely and meetings held by phone or video at times that fit around clinics and on-call commitments. Where you prefer to meet in person, that can be arranged as part of the engagement. The approach is agreed with you at the outset so you know how the working relationship will operate.
Changing accountants is usually straightforward. We can contact your existing accountant on your behalf to request the information needed, including your records and details of any ongoing filings, and we will confirm what is outstanding with HMRC. Once we have reviewed your position, we will set out how your returns, accounts and any other obligations will be handled going forward.
Start by getting in touch and telling us about your role and income sources, such as NHS employment, private practice, locum work or consultancy. We will ask for some basic information about your current position and what you need help with, then explain how we can support you. From there, we agree the scope of work and the information you will need to provide, and put the necessary accounting arrangements in place.
