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, tidy payslip. Most doctors accumulate several income streams over time, each with its own tax treatment, paperwork and timing. The challenges below are the ones we most often help doctors work through.
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 your only income is a salary taxed through PAYE and you have no untaxed income above the reporting thresholds, you may have limited need. But once you take on private fees, locum shifts, consultancy or medico-legal work, partnership profits, or a directorship, you have reporting obligations that go beyond PAYE, and mistakes or missed deadlines carry penalties. Many doctors use an accountant not just to file a return but to check that expenses, pension contributions and structure are being handled sensibly.
Your NHS salary is normally taxed through PAYE, but private fees, locum earnings and similar income usually are not. Those amounts generally need to be reported through Self Assessment, with any tax already paid through PAYE offset against your overall liability. Where you have income from several sources, the order in which things are taxed and the way payments on account are calculated can affect your cash flow, so it helps to plan for the bill rather than be surprised by it.
Commonly claimed items include medical indemnity insurance, professional body subscriptions, required continuing professional development and training, specialist equipment, professional journals and business travel. Whether a particular cost qualifies depends on the rules — broadly, it must be incurred wholly and exclusively for your work — and treatment differs between employment and self-employment. Keeping receipts and a clear record of the business purpose makes the position much easier to support.
Locum income is usually treated as self-employment income where you contract directly or work through an agency, which means registering with HMRC, keeping records of income and expenses, and reporting profits through Self Assessment. If you work through your own limited company and are engaged by an NHS body, the off-payroll working rules may apply and the fee payer may determine your tax status, so it is worth reviewing your arrangements rather than assuming a single approach fits every contract.
There is no universally right answer. Sole trader status is straightforward but offers no liability separation. Partnerships suit doctors sharing profits in a practice but require clear profit share and current account records. A limited company can be appropriate as private or consultancy income grows, but brings additional compliance, payroll and filing obligations. The right structure depends on your income level, how it is earned, your pension position and your wider plans.
Medical indemnity cover and professional body subscriptions are commonly deductible where they are incurred for the purposes of your work, although the precise treatment can differ depending on whether the cost relates to employment or self-employment, and whether your employer reimburses you. It is worth checking each item rather than assuming, particularly where cover relates to both NHS and private work.
They can, particularly for doctors with high total income across NHS and private work. Contributions may attract tax relief, but the interaction between pension growth, total income and any annual allowance considerations can create unexpected charges. Because the rules are detailed and depend on your individual figures, pension matters are usually best reviewed as part of your wider tax planning rather than in isolation.
Yes. Accounting work is largely digital now, so records, bank statements and documents can be shared securely online, and meetings held by phone or video at times that fit around clinical commitments. Many doctors prefer this because it removes the need to travel. What matters most is that your accountant understands your income mix and keeps your compliance on track, however the working relationship is conducted.
Changing accountants is usually straightforward. You inform your existing accountant in writing, and your new accountant requests professional clearance and the handover of relevant records, including previous accounts, tax returns and filing history. It helps to time the move so that any outstanding returns or accounts are either completed or clearly transferred. Once we have the information, we can review your position, flag anything outstanding and set up the ongoing work.
