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 deal with a level of financial complexity that many other professionals do not, largely because income often arrives from several directions at once. The challenges below are common considerations rather than universal rules, as the right treatment depends on your contracts, income sources, business structure and personal circumstances.
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 a salaried doctor whose tax is fully handled through PAYE and you have no other income, you may not need ongoing accounting support. However, once you take on locum shifts, private fees, consultancy work, a partnership share or company income, Self Assessment usually becomes necessary, and the tax position becomes more involved. An accountant can help you report everything correctly, claim expenses you are entitled to and plan for tax bills rather than being surprised by them.
Commonly claimed items include medical indemnity insurance, professional body subscriptions, required professional training and continuing development, specialist equipment used for your work, and business mileage or travel between sites where it is not ordinary commuting. There are rules around what counts as wholly and exclusively for the work, and the position differs between employment and self-employment. Because everyone's work patterns differ, it is worth reviewing your own expenses rather than assuming a standard list applies.
NHS salary is normally taxed through PAYE, so tax is deducted at source. Locum income is often treated differently depending on whether you are engaged as an employee or as a self-employed contractor. If you are self-employed, you generally report the income and expenses through Self Assessment and pay tax and National Insurance through that route. Many locums receive income under both arrangements, which is where careful record keeping and correct classification really matter.
Yes. Combining NHS and private income is one of the most common situations we deal with. The key is making sure both streams are reported properly, that any tax already deducted is accounted for, and that the resulting tax liability is understood in advance. Spreading private fees across a tax year can also affect your position, so planning during the year is usually more useful than a last-minute calculation.
There is no single answer, as it depends on your income level, how you intend to take money out of the business, your pension position and how much administration you are willing to take on. A limited company can suit some doctors with substantial private or consultancy income, while others are better served as a sole trader or through a partnership. We review your circumstances and explain the practical and tax implications of each option before you commit.
Yes, partnership accounting is a core part of what doctors need. This typically involves preparing partnership accounts, calculating profit shares, tracking capital accounts and drawings, and reporting each partner's share on their individual tax returns. Getting the allocation right matters, because each partner's tax position depends on their own share and their other income.
VAT may be relevant if your private or consultancy income exceeds the registration threshold, or if you run a practice with taxable supplies. Payroll often applies where you employ practice staff or where you are a director of your own company taking a salary. Both need to be kept up to date, as late submissions and payments can attract penalties.
Yes. Many doctors work across several sites, and accounting support does not require you to be in a particular place to receive it. We can work with you remotely, sharing documents and communicating by email, phone or video, which is often more practical around clinical commitments. If you are thinking of changing accountants, we can also help with the handover from your existing adviser.
