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 generate income and expenses in ways that do not always sit neatly inside a single tax return or a single employment contract. The challenges below are common considerations for doctors, although the impact will vary depending on your working arrangements and income sources.
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 find one useful. If all your income is taxed through PAYE, your employer handles the tax and your affairs are straightforward, you may not need ongoing help. Where an accountant tends to add value is when you have income outside PAYE — locum sessions, private practice fees, consultancy work, medico-legal reports, awards, rental income or investments — or when HMRC expects a Self Assessment return. Doctors also often benefit from help with allowable expenses, pension questions and reviewing whether their current working structure still fits. The right answer depends on your income sources, employment status and how much you want to manage yourself.
Your NHS or salaried income is normally taxed through PAYE, and the figures already reported to HMRC are included in your return. Private income — such as private practice fees, locum earnings treated as self-employment, or consultancy work — generally needs to be reported separately, with the related expenses claimed against it. The two are then brought together so that your total income, tax already paid and any balance due are calculated in one place. Getting this right depends on how each income source is structured, so it is worth reviewing before the return is prepared rather than after.
Expenses are generally allowable where they are incurred wholly and exclusively for the purposes of your professional work. For doctors, that commonly includes medical indemnity and defence union costs, professional body and royal college subscriptions, registration fees, continuing professional development and training relevant to your existing role, specialist equipment, professional journals, and business travel and mileage between sites. Items with a personal benefit, or costs relating to initial qualification, are usually not claimable. Because the treatment depends on your circumstances and how the expense relates to your work, it is worth checking before you assume something is or is not allowable.
Operating through a limited company brings company accounts, Corporation Tax, payroll for any salary you draw, and potentially VAT obligations. It can also bring the off-payroll working rules into play where you contract with an NHS body, agency or other public sector or large private client, which may affect how the engagement is taxed. Whether a limited company remains the right structure depends on your level of income, how many contracts you hold and how you want to be paid, so it is worth reviewing rather than assuming it is always more tax-efficient.
Yes. These are among the costs doctors most often ask about, and they can typically be claimed where they relate to your professional work and are not reimbursed by an employer. The key is making sure the claim is properly supported and that the treatment is consistent across your self-employed income, partnership or company accounts. Where a cost is partly personal or relates to work you are not yet doing, the position may be different, so it is better to discuss the specifics than to rely on a general rule.
It depends on your turnover and the nature of your income. Most medical services are exempt from VAT, which means many doctors never need to register in respect of clinical care alone. However, some activities — certain medico-legal or report-writing work, for example, or non-medical services — may not be exempt, and a limited company with mixed income can face more complex questions. Registration is based on your taxable turnover, so the position should be reviewed against the actual mix of work you carry out rather than assumed either way.
Yes to both. Records can be shared securely through cloud-based accounting software, so you can work with us without needing to visit an office, and we can communicate in whatever way suits your schedule. If you already have an accountant, changing over is usually straightforward: we can contact your existing accountant for the handover information, obtain the relevant authorisations, and pick up the filing position so that deadlines are not missed. It helps to start the process outside your busiest filing period where possible.
It starts with a short initial conversation about your circumstances — your roles, what you earn and how, whether you are employed, self-employed or operating through a company, and what you would like help with. From there we can review your current position, confirm what accounts, returns and records are needed, and agree how the ongoing support will work. If you are unsure whether you need an accountant at all, that conversation is still worthwhile, because it will clarify what is required and what is optional in your particular case.
