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 accounting and tax complications begin. The points below are common considerations rather than issues that affect every doctor — your own position depends on how you work and how your income is structured.
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 from one. If your income is entirely salaried and taxed through PAYE, your position may be straightforward, and you would only need to file a Self Assessment return if you have additional income such as private work, locum shifts, rental income or investment income. Once self-employed income, a partnership or a limited company is involved, the picture becomes more involved, and professional support helps ensure everything is reported correctly and that allowable expenses are claimed. An accountant can also help you plan ahead rather than simply producing a return after the tax year has ended.
Your NHS salary is normally taxed through PAYE, while private, locum or consultancy income is usually reported through Self Assessment, with any tax already deducted through PAYE taken into account. Depending on the amounts involved, HMRC may also require payments on account towards the following year's liability. The exact treatment depends on your employment status, how your private work is arranged and whether you are self-employed or working through a company, so it is worth confirming how your own circumstances should be reported rather than assuming a standard approach.
Common claims include medical indemnity and professional indemnity cover, GMC and royal college or specialist society subscriptions, and training or professional development costs that maintain or update skills used in your existing work. Travel to temporary locations, mileage, and equipment used for work may also qualify. What is actually claimable depends on whether you are employed or self-employed, whether the cost was incurred wholly and exclusively for your work, and whether your employer has already reimbursed it — so one list does not fit every doctor.
Locum work is often treated as self-employment, which means keeping records of income and expenses, registering with HMRC where required, and completing a tax return each year. Because locum income can fluctuate, tracking it consistently makes it far easier to set money aside for tax and to claim allowable costs such as mileage, indemnity cover and professional subscriptions. If you also hold a salaried post, both income streams need to be reported together correctly, and expenses cannot be claimed twice.
It depends on the nature of your work. A limited company can suit some doctors with private practice or consultancy income, particularly where engagements fall outside the intermediaries legislation, but it also brings added responsibilities such as annual accounts, Corporation Tax returns and payroll obligations. For other doctors, sole trader or partnership status is simpler and more appropriate. The right structure should be decided with advice based on your specific income sources, contracts and longer-term plans rather than a general rule of thumb.
Yes. Doctors in a partnership or running a practice may need partnership accounts, profit allocation, capital account records and the individual tax returns that follow for each partner, along with payroll for practice staff and VAT returns if the practice is VAT registered. Private practitioners whose turnover exceeds the VAT registration threshold will normally need to account for VAT on their fees. We look at which of these obligations actually apply to your setup rather than assuming a fixed package.
Both arrangements can work, and many doctors prefer to deal with their accountant remotely around clinical commitments, sharing documents securely and communicating by email, phone or video. Cloud bookkeeping makes this practical for records and reporting. What matters most is that your information reaches us accurately and on time, and that you know who to contact when a question arises, so we agree a way of working that fits your schedule.
It is usually straightforward. Once you decide to move, your new accountant contacts your existing accountant to request professional clearance and the records needed, while you continue keeping your records in the meantime. We then review your previous returns and accounts to understand how your affairs have been handled, flag anything that needs attention, and agree the next filing dates. Timing the move shortly after a return has been filed, or early in the tax year, often makes the handover smoother.
