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 their tax position is more complex than a single employment or a straightforward self-employment. Common pressure points include the following.
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 needs an accountant, but many benefit from one. PAYE collects tax on your salary, but if you also receive private fees, locum income, consultancy payments, rental income or investment income, you may need to file a Self Assessment return and settle any additional liability. Higher-rate taxpayers, doctors affected by pension annual allowance charges and those with several income sources often find that professional support reduces the risk of errors, missed claims and unexpected bills.
Yes. Combining NHS employment income with private practice fees is a common situation, and it requires both sources to be reported accurately on the same return. This includes accounting for tax already deducted through PAYE, reporting private income and related expenses, and making sure the final calculation reflects your correct position. The treatment depends on your individual circumstances, including your total income and any pension implications.
Potentially allowable expenses often include medical indemnity cover, GMC and specialist registration fees, professional body subscriptions, and certain training or professional development costs. Travel and mileage may also be claimable in specific circumstances. Whether an expense qualifies depends on factors such as whether it is wholly and exclusively for your work, whether it relates to employment or self-employment, and whether it has already been reimbursed by an employer. We review your expenditure in context rather than assuming every cost is claimable.
Both structures are used by locum doctors, and each has different implications for tax, National Insurance, administration and how you take money out of the business. The right choice depends on your income level, how many engagements you take on, whether you work through an agency, and your longer-term plans. There are also rules around intermediaries and off-payroll working that can affect arrangements in some situations, so it is worth reviewing your position before committing to a structure.
VAT registration depends on your taxable turnover and the nature of your services. Some medical services are exempt, while others are not, so the position is not always straightforward. If you are approaching or have exceeded the registration threshold, or you are unsure how your private work is treated, it is sensible to review this before the question becomes urgent. We can help you assess whether registration applies and, if it does, handle the ongoing returns.
Yes. Most of the information needed for accounting and tax work can be shared securely online, and meetings can take place by video call or telephone where that suits you better. Many doctors prefer this flexibility given clinical schedules. What matters most is having a clear process for sending records, confirming deadlines and reviewing your position, and we set that out at the start so you know what to expect.
We usually begin with a conversation about your work, your income sources and how your affairs are currently structured. From there, useful information includes recent tax returns, payslips or locum statements, details of private income and expenses, business or partnership accounts if relevant, and any correspondence from HMRC. If your records are incomplete, that is not a barrier, and we can help you work out what needs to be reconstructed or organised.
Changing accountants is generally a straightforward process. Once you decide to move, we can handle the professional handover, including requesting your records and any outstanding information from your previous accountant, and confirming your position with HMRC where authority needs to be updated. It helps to plan the change outside the busiest filing periods where possible, so nothing is missed and deadlines continue to be met.
