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 carry a heavier administrative load than their employment contract suggests, and the tax consequences of medical work are not always obvious. The points below are common considerations rather than universal rules — what applies to you depends on your employment status, income sources and individual 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.
Not every doctor does, but many benefit. If all of your income is taxed through PAYE and you have no significant additional income or expenses, your affairs may be straightforward. Once you take on locum shifts, private patient fees, consultancy work or medico-legal income, or you want to claim professional expenses such as medical indemnity and professional subscriptions, a Self Assessment return is usually required and specialist help becomes valuable. An accountant can also help with pensions, business structure and planning, which is often where the real value lies. Your position depends on your own circumstances, so it is worth reviewing rather than assuming.
Commonly considered costs include medical indemnity insurance, GMC and royal college or specialist society subscriptions, approved training and continuing professional development, specialist equipment and professional publications. Travel and mileage may be claimable in certain circumstances, but the rules focus on whether the cost was incurred wholly and exclusively for the professional activity. Some expenses are only allowable against certain types of income, and employment expenses are treated differently from business expenses. Because the detail matters, it is best to review your specific costs rather than rely on a general list.
Locum work usually means fees paid without tax deducted, so you will generally need to register for Self Assessment, keep records of every assignment and its income, and set money aside for the tax and National Insurance that will fall due. You may also need to consider whether you are working through an agency, as a sole trader or through a limited company, because each route affects how you are taxed and what records and filings are required. Mileage and travel between sites, equipment and indemnity cover are among the costs worth tracking carefully from the outset.
Your NHS salary is normally taxed through PAYE, while private fees and similar income often need to be reported through Self Assessment. The two are not separate tax systems — they combine when your overall tax position is calculated, which can mean tax is due on the private income at your marginal rate. Payments on account may also apply once a Self Assessment liability arises. Keeping the income streams clearly separated in your records makes the return far easier to complete and reduces the risk of errors.
Many doctors providing medical services are exempt from VAT, but the position is not automatic for every activity — some non-medical or commercial services, such as certain report writing or cosmetic treatments, may be treated differently. Where you provide a mix of services, or where your practice turnover grows, VAT registration may become relevant. The right approach depends on the nature of your work, so it is worth a specific review rather than a general assumption.
Yes. Doctors running a private practice or working in partnership typically need annual accounts, bookkeeping, payroll if staff or associates are involved, and possibly VAT returns, alongside their personal tax returns. We can also advise on profit shares, drawings, capital accounts and the choice between sole trader, partnership and limited company structures, keeping in mind that the most suitable structure depends on your income levels, your NHS position and your longer-term plans.
Changing accountants is usually a straightforward process. We would normally ask for details of your current arrangements, obtain your authorisation to contact your existing accountant, and arrange the handover of records and any professional clearance correspondence. Once the information is in place, we review your position and confirm how we will work together going forward. If any filings or deadlines are approaching, we will make sure those are accounted for during the transition.
Most of the work can be handled remotely, using secure document sharing, email and calls, which suits doctors with busy or unpredictable schedules. We set out clearly what records we need, when we need them and what deadlines apply, so there are no surprises. If you prefer to meet in person at key points, that can be arranged around your commitments. The aim is a working relationship that is organised and easy to keep up with.
