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 often generate more complex financial records than people expect. These are some of the areas where doctors most often need clarity.
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. If your only income is a single NHS salary taxed through PAYE and you have no untaxed income or unusual expenses, your tax affairs may be straightforward. An accountant becomes much more valuable when you have locum income, private practice fees, consultancy or medico-legal income, a share of practice profits, or a company structure, because these create reporting obligations, expense questions and planning opportunities that are easy to get wrong on your own.
It depends on your circumstances. Salaried doctors taxed entirely through PAYE may not need to file, but you are likely to need a return if you have untaxed income such as locum work, private fees or consultancy earnings, if you are a partner in a practice, if you have significant investment or rental income, or if HMRC has asked you to file. We can review your position and confirm whether a return is required.
NHS salary is normally taxed through PAYE, whereas private fees, locum payments and consultancy income are usually reported through Self Assessment, with any tax already deducted at source taken into account. The distinction matters because it affects what expenses are deductible against each stream and how your payments on account are calculated. Getting the split right from the start avoids corrections later.
Potentially allowable costs often include medical indemnity insurance, professional body subscriptions, training and CPD that maintains or updates your existing skills, specialist equipment, and business travel or mileage between sites. Each expense must genuinely relate to your work, and the rules differ depending on whether the cost sits against employment or self-employment income. We review your outgoings individually rather than assuming a blanket treatment.
Yes. Doctors frequently combine NHS salary with locum shifts, private practice, teaching, research or consultancy work, and each stream has its own reporting requirements. We map out where every payment comes from, how it should be treated, and whether any tax has already been deducted, so your return reflects your actual income rather than a partial picture. This is also where planning opportunities tend to appear.
There is no single answer, because it depends on your level of profits, how you are engaged, your pension position and how much administrative work you are prepared to take on. Operating through a limited company can suit some doctors with substantial private or consultancy income, while others are better served as a sole trader or partner. We look at your specific circumstances and explain the tax and compliance implications of each option.
Yes. Practices with employees, including reception or administrative staff, need payroll that handles PAYE, National Insurance and pension duties correctly, and VAT registration may be relevant depending on the services you provide, who you provide them to and your turnover. Managing these obligations alongside your clinical work is difficult, so we can take on the routine compliance and keep you informed of what is due.
Yes. Much of our work with doctors is carried out remotely using secure digital sharing of documents, so you are not tied to appointments during clinical hours. Records can be uploaded as you go, questions answered by email or call, and meetings arranged at times that fit around clinics and on-call rotas. If you are changing accountants, we can also help coordinate the handover with your previous adviser.
