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 find that the difficulty is not the tax itself, but keeping pace with several income streams, deadlines and rule sets at once. Some of the more common accounting considerations include:
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 employed on a straightforward salary with no other income and no unusual expenses, your PAYE position may largely look after itself. But many doctors have at least one element that complicates things — private fees, locum income, consultancy payments, medical indemnity, professional subscriptions, pension contributions, or a partnership share. Once a Self Assessment return is required, or once income arrives from more than one source, professional support usually pays for itself through accurate claims, fewer errors and a clearer view of what you owe and when.
The general rule is that a cost must be incurred wholly and exclusively for the purposes of your work to be allowable. In practice, doctors often review medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional development and training that maintains or updates existing skills, specialist equipment and reference materials, and travel to temporary or multi-site assignments. Whether a particular cost is claimable, and against which income stream, depends on your employment status — employed doctors and self-employed doctors are treated differently, and some costs are restricted for employees.
Locum work is generally treated as self-employment, which means you report income and expenses through Self Assessment and pay Income Tax and Class 4 National Insurance on your profits, usually via payments on account. Some locums work through a limited company or an umbrella arrangement instead, which changes the compliance and tax position considerably. Which route suits you depends on your volume of work, your other income and your longer-term plans.
Yes. A common situation is a doctor employed by the NHS with additional private or medico-legal income on the side. The NHS element is usually taxed through PAYE, while the private element is reported through Self Assessment. Getting this right involves making sure the self-employment or miscellaneous income pages are completed accurately, that private expenses are claimed where appropriate, and that your payments on account reflect the full picture rather than just the employed income.
Not automatically. A limited company can suit doctors with substantial, regular private or locum income, offering a formal structure for drawings and Corporation Tax treatment. But it also brings additional obligations — annual accounts, confirmation statements, payroll and potentially VAT — and there are rules that can affect how contract work is taxed. For doctors with smaller or irregular private income, sole trader or partnership arrangements are often simpler and perfectly adequate. The right answer depends on your numbers and plans, so it is worth reviewing properly before making a change.
NHS pension contributions are deducted from your pay, but the wider question of annual allowance and how contributions interact with your total taxable income can be significant — particularly in years where private income lifts your overall earnings. Private pension contributions can also relieve tax within the applicable rules. Because the rules and limits change, and because your position depends on your total income across all sources, this is an area best reviewed as part of your annual tax planning rather than in isolation.
Yes. Much of the work involved in preparing accounts and tax returns can be handled remotely, using secure document sharing and calls or video meetings where convenient. What matters most is that your records reach us in good time and that we understand your circumstances. Some doctors prefer to meet in person, others prefer everything handled digitally — we can work around whichever approach suits you.
Switching is usually more straightforward than doctors expect. We would ask for your authority to contact your existing accountant and request professional clearance along with your records, accounts and tax return history. From there we review your position, identify anything outstanding and confirm what needs to be filed and by when. Most of the administrative work sits with us rather than you.
