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 follow a single, simple income path, and that is where most tax and accounting difficulties begin. A few of the areas we help doctors work through 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.
It depends on your circumstances. A doctor whose only income is a salaried NHS role taxed through PAYE may have relatively straightforward affairs, although professional expenses relief, pension contributions and any small private income can still make a return worthwhile. Where you have locum income, private practice fees, consultancy work, a partnership share or a limited company, the reporting and record-keeping requirements increase considerably, and specialist support usually saves both time and unnecessary tax risk.
Not every doctor does, but many do. You would generally need to file if you have self-employed income from locum or private work, receive untaxed income from another source, are a director of a limited company, or have income that PAYE has not fully accounted for. HMRC will usually notify you if they expect a return, but the responsibility to declare income sits with you, so it is worth checking your position rather than assuming PAYE covers everything.
Locum doctors are often treated as self-employed, particularly where they take on sessions on a freelance basis with control over when and where they work. However, employment status depends on the facts of each engagement, and if you provide services through your own limited company, the off-payroll working rules may apply. Getting this wrong can change both your tax position and your filing obligations, so it is an area worth reviewing carefully.
Common areas include medical indemnity or defence union cover, GMC and royal college subscriptions, professional body memberships, specialist equipment, professional books and journals, and travel or mileage for business journeys such as visits to other sites or private patients. Training costs may be allowable where they maintain or update skills used in your existing work, but not where they qualify you for a new area of medicine. Each claim needs to be genuinely connected to your work and properly evidenced.
Yes. Combining NHS salary with private fees, locum sessions or consultancy income is one of the most common situations we see, and it usually raises questions about how each source is reported, which expenses relate to which stream of income, and whether your current structure still works well. Bringing everything together into accurate records and a complete return is a large part of what the work involves.
There is no single answer, because it depends on your income levels, how your contracts are arranged, whether the off-payroll working rules apply, and how much administrative work you are willing to take on. A limited company can suit some doctors with significant private or consultancy income, while others are better served as a sole trader or partner. We can talk through the practical differences so you can decide with a clear understanding of the obligations involved.
Yes, and it is often the part that makes the biggest difference day to day. Regular bookkeeping means income and expenses are captured as they happen, receipts are stored securely, and the figures are ready when accounts or tax returns are due. It also gives you a clearer view of how your private practice or locum work is performing, which is hard to judge from a pile of unopened envelopes.
Remote working suits many doctors well, with records shared securely and meetings arranged around clinical rotas rather than fixed office hours. If you already have an accountant, moving across is usually straightforward: we can contact them for professional clearance and the information needed to take over, then confirm what is required from you to get everything transferred smoothly.
