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 produce a single, simple income stream. The accounting difficulties doctors bring to us tend to stem from that complexity and from the way tax rules interact with it.
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 you are employed on a straightforward NHS contract, pay the correct amount of tax through PAYE and have no other income, your tax may be handled for you. An accountant tends to become worthwhile once your circumstances add layers: private fees, locum shifts, consultancy income, a partnership share, a limited company, pension complications or a mix of these. Even where a return is not strictly required, doctors often value having their position reviewed so that allowable expenses are not missed and future decisions are better informed.
Locum work is typically treated as self-employment, which means you generally need to report your income and expenses on a Self Assessment return and may need to register with HMRC beforehand. Because locum work often involves multiple engagements and travel between sites, the records you keep matter: dates worked, locations, fees received and expenses incurred. Where locum work sits alongside an NHS salary, both sets of income must be reported correctly on the same return. The precise treatment can depend on the terms of your engagements, so it is worth reviewing before your first return.
Expenses must be incurred wholly and exclusively for the purposes of your work, and the position differs between employment and self-employment. Commonly considered items include medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, professional journals, training and professional development costs, equipment and uniforms. Travel and mileage may be claimable in certain circumstances, but ordinary commuting is generally not allowable. Because eligibility depends on your specific role and how the expense relates to it, we review claims individually rather than applying a blanket list.
In many cases yes, because private fees are not taxed through PAYE and need to be reported. The return must bring together your NHS employment income, any private or locum income and any other earnings, and the tax already deducted through PAYE is then offset against the total liability. Where income is significant, payments on account may also apply. The exact position depends on your total income and how it is earned, so a review of your circumstances is the sensible starting point.
There is no single answer. Sole trader status is simpler administratively, while a limited company introduces company accounts, Corporation Tax, payroll and often VAT obligations, and changes how profits can be extracted. The right structure depends on your level of profit, whether you have private or consultancy income, your pension arrangements, your attitude to administration and your longer-term plans. Tax treatment also changes with legislation, so a structure that suited you a few years ago may no longer be the most appropriate. We look at the numbers and the practicalities before recommending anything.
Pension contributions can have a meaningful effect on your taxable income depending on how they are made and whether you are employed, self-employed or both. NHS pension arrangements and any private contributions sit alongside your other income, and the interaction can raise questions about relief and about how contributions are treated across multiple income sources. Because the rules depend on your individual circumstances and can change, pension matters are best reviewed as part of your wider tax planning rather than in isolation.
Yes. Much of the information we need — payslips, invoices, bank statements, practice records and expense receipts — can be shared securely online, and meetings can be held by video or telephone at times that fit around clinics and rotas. Many doctors find remote working more practical than travelling to an office, and it also means your records stay in one organised digital place. If you prefer to meet in person, that can be arranged as part of the initial discussion.
Changing accountants is usually more straightforward than doctors expect. We would ask for your permission to contact your current accountant and request the handover of your records, accounts, tax returns and any outstanding correspondence. Once we have that information, we review your position, identify anything that needs attention and confirm what filings or payments are due. Where a return is already in progress, we coordinate with your existing accountant so that deadlines are not disrupted during the transition.
