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 financial complexity that a standard personal tax return does not reflect. The issues below come up regularly, though how much they affect you will depend on your employment status, your income sources and how your medical work 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.
It depends on your circumstances. A doctor with a single salaried NHS post taxed entirely through PAYE may have fairly simple affairs, although a return can still be required for reasons such as additional income or pension-related tax charges. Doctors with locum work, private practice, consultancy income, partnership or company involvement, property income or investments usually benefit significantly from professional help, because several income sources need to be brought together accurately on one return. Even where the filing itself is simple, advice on allowable expenses, pension contributions and structure often pays for itself in peace of mind.
Not every doctor does, but many do. If all of your income is taxed through PAYE and there is nothing else to report, a return may not be necessary. A return is more likely to be required where you have locum or private income, self-employment or partnership income, untaxed savings or investment income, or certain pension-related tax charges to report. Because HMRC expects you to know whether a return is due, it is worth checking your position rather than assuming PAYE has covered everything.
Commonly claimed items include medical indemnity cover, professional body and registration subscriptions, relevant training and continuing professional development, specialist equipment and business travel or mileage. However, the rules differ depending on whether you are employed or self-employed. Employees can generally only claim expenses that are wholly, exclusively and necessarily incurred in performing their duties, while self-employed doctors may have wider scope. Costs with a dual purpose, such as general clothing or everyday commuting, are not allowable, so it is worth reviewing your spending before assuming it can be claimed.
Yes. Locum work often means several pay streams across a tax year, sometimes through agencies and sometimes paid directly, alongside any salaried or private income. We bring these together so that everything taxable is declared, expenses are claimed correctly and your records support the figures in your return. If you work through an agency, we can also look at how the engagement terms affect your tax treatment and whether the structure you are using remains appropriate.
There is no single right answer. A sole trader structure is straightforward and often suits doctors with modest private or locum income, while a limited company can be worth considering where profits are retained or where engagement terms require it. Partnerships are common where doctors share a practice. Tax treatment, administrative obligations, pension implications and the nature of your contracts all influence the decision, and the right structure for you can change as your work develops.
Most medical care provided by registered health professionals is exempt from VAT, which means no VAT is charged on those fees and VAT on related costs is generally not recoverable. However, some services fall outside that exemption, and the position can be less clear for mixed private practices offering non-medical or cosmetic treatments. VAT registration depends on the level of taxable turnover, so if part of your work is not exempt it is worth reviewing the position rather than assuming all medical income is treated the same way.
Yes. Doctors running or partnering in a practice often need support with bookkeeping, staff payroll, supplier payments, VAT where applicable, annual accounts and profit allocation between partners. We can take on as much or as little of this as you need, from a full bookkeeping and payroll service through to preparing year-end accounts and dealing with the related filings.
We begin with a conversation about how you work, your income sources and any existing accounting arrangements, then review what needs to be done before confirming how we can help. Records and documents can be shared securely online, so support does not depend on being able to visit us in person. If you are moving from another accountant, we can usually manage the handover and request anything we need on your behalf.
