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 often carry a heavier compliance burden than other professionals because income arrives from several directions at once, each with different rules and records. These are the areas that tend to cause the most difficulty.
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. If your only income is a straightforward NHS salary taxed through PAYE and you have no private work, additional income or untaxed savings, your position may be simple. As soon as you take on locum shifts, private patients, consultancy or medico-legal work, or hold a partnership share, you have self-employment income to report, expenses to substantiate and a Self Assessment return to file. That is where professional support tends to pay for itself, both in time saved and in avoiding errors that attract interest or penalties.
Yes. NHS salary is usually taxed through PAYE and appears on your return as employment income, while private practice fees, locum income and consultancy earnings are generally reported as self-employment or as miscellaneous income depending on the arrangement. The two streams need to be recorded separately, with expenses allocated to the correct source, and any tax already paid through PAYE correctly credited. We reconcile all of this into one return so nothing is missed or double-counted.
Common claims include medical indemnity insurance, GMC and specialist register fees, professional body subscriptions, required training and CPD, and equipment used for your work. Travel and mileage may also be claimable depending on the journey and whether it relates to self-employment or employment. The detail matters: some costs are allowable against private income but not against a salary, and some are not allowable at all. We review your expenditure against the rules for your specific income sources rather than applying a blanket list.
Locum work is usually self-employment, which means registering with HMRC, keeping records of every assignment, and reporting income and expenses through Self Assessment. Because income can be irregular, it is worth planning for tax payments across the year rather than waiting for a bill. If you work through an agency or an umbrella arrangement, the employment status can differ, so it is worth checking how your particular contract is treated before assuming.
It depends on your level of profit, how you take money out, your pension position, and how much administration you are comfortable with. A limited company can suit some consultants and private practitioners, but it brings payroll, Corporation Tax, statutory accounts and filing obligations, and it does not suit every situation. We can talk through the practical and tax implications of staying as a sole trader or partnership versus incorporating, so you can make an informed decision rather than a speculative one.
For doctors in the NHS pension scheme, private income can affect your overall tax position and, in some cases, raise annual allowance considerations. Pension decisions are best considered alongside your wider tax planning rather than in isolation, particularly if your income varies year to year. We can look at your overall position and flag where specialist pension advice may be worth seeking.
Yes to both. Documents can be shared securely and meetings held by phone or video, which suits doctors with irregular working patterns, and the location of your accountant does not affect the quality of the support. If you are changing accountants, we will contact your existing firm for the relevant records and information, confirm your position with HMRC, and manage the handover so nothing is missed. A brief review of your previous returns is often a useful starting point.
It usually begins with a short conversation about how you earn — NHS salary, private fees, locum work, consultancy, partnership or a combination — and what you need help with, from a single tax return to ongoing bookkeeping, payroll and accounts. From there we will confirm which services are relevant, agree how records will be shared, and set up a routine that fits around your clinical commitments. If anything needs registering or updating with HMRC, we will handle that as part of getting you set up.
