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 rarely have one simple income stream, and that is usually where the complexity begins. The points below are common considerations rather than fixed rules — how they apply depends on your employment status, your income sources, your business structure and your 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. A salaried doctor with a single employer, straightforward tax code and no other income may manage perfectly well alone. The position changes once private fees, locum work, consultancy, pension income or a partnership share come into play, because there is more to declare, expenses to claim correctly, payments on account to budget for and deadlines to track. An accountant can help make sure your return reflects your actual circumstances and that you are claiming the reliefs you are entitled to, while giving you a clearer view of what is owed and when.
Yes — this is one of the most common situations we deal with. NHS salary is usually taxed through PAYE, while private fees, medico-legal work and some locum income may need to be declared through Self Assessment. Bringing both together in one return helps ensure the correct amount of tax is paid across the year and reduces the risk of an unexpected bill later. We can also look at how expenses and pension contributions relating to each income source interact, since the treatment is not always identical.
Potentially allowable costs include medical indemnity insurance, GMC and royal college or specialist society subscriptions, CPD and training that maintains or updates existing skills, specialist equipment and instruments, uniforms, professional journals and mileage for business travel. Whether an expense can be claimed depends on your employment status and how the cost relates to your work, so it is worth reviewing your outgoings rather than assuming either way. We look at these items as part of your return and keep evidence organised to support them.
Locum work can be engaged in different ways, and the tax treatment follows the arrangement. Some locums work through an agency or umbrella company on a PAYE basis, while others are treated as self-employed and need to file a Self Assessment return, account for their own expenses and budget for tax payments on account. Travel between temporary assignments, equipment and indemnity costs often feature in the figures. Because employment status questions sit behind all of this, it is worth getting your position reviewed rather than relying on how a previous contract was structured.
It depends entirely on your circumstances. A limited company can suit some private practitioners, particularly where profits are retained in the business or where income is shared, but it also brings company accounts, Corporation Tax filings, payroll obligations and additional administration. A partnership or sole trader arrangement may be more appropriate for others, especially where NHS pension implications are involved. We look at your income levels, working pattern, pension position and long-term plans before recommending a structure, and we explain the trade-offs rather than presenting one option as universally better.
NHS Pension Scheme contributions are deducted from pay and attract tax relief, but they still count towards your annual allowance position, which can become relevant where private income increases your overall earnings or where your pension growth is higher than expected. Private pension contributions you make personally may also attract relief, subject to the rules that apply to your circumstances. Because these areas interact with your tax bands and can trigger additional charges, they are worth planning for rather than revisiting after the tax year ends.
We work with doctors using secure digital processes for sharing documents, approving accounts and signing returns, so distance is rarely a barrier. Records can be uploaded through the year, queries handled by phone, email or video call, and meetings arranged when they are genuinely useful rather than for routine paperwork. If you prefer to meet in person at key points, that can be arranged — the priority is a way of working that fits around clinics, theatre lists and on-call rotas.
It is usually more straightforward than doctors expect. We ask for your authorisation, contact your existing accountant for the relevant handover information, and review your previous returns, accounts and records so we understand your history before taking anything on. Once the transfer is complete, we confirm your filing deadlines, identify anything outstanding, and set up a record keeping routine that works for you. If your accounts or returns are behind, we can help you understand what needs to be brought up to date and in what order.
