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 rarely produce a simple tax position. Doctors commonly deal with several income streams, a wide range of professional costs, and rules that differ depending on whether income is earned through employment, self-employment or a company.
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, but many doctors benefit from professional support. If your income comes solely from NHS employment and is taxed through PAYE with no untaxed income, your position may be relatively straightforward. However, doctors who earn locum income, private practice fees, consultancy income, or who have investments and property income alongside their salary usually need to file a Self Assessment tax return, and the interaction between those income streams can be easy to get wrong. An accountant helps ensure the return is complete and accurate, that allowable expenses are claimed correctly, and that any planning opportunities are considered.
Commonly considered expenses include medical indemnity insurance, GMC and royal college or specialist society subscriptions, and certain training and professional development costs. Mileage for practice-related travel, specialist equipment, professional books and journals, and a proportionate share of home office costs may also be relevant in some circumstances. The rules differ between employment and self-employment, and some costs that feel professional in nature are not allowable. Because eligibility depends on the specifics of your role and how the expense was incurred, we review each item on its own merits rather than applying a blanket list.
Locum work is usually treated as self-employment if you work on your own account and invoice practices or agencies directly, though arrangements vary and some locum engagement is taxed through PAYE. Where you are self-employed, you generally report income and allowable expenses through Self Assessment, and you may need to consider whether registration for VAT is required. Keeping accurate records of each booking, the fees invoiced, agency deductions and travel between sites makes the year-end position far easier to establish.
Yes — a Self Assessment tax return can report employment income from the NHS alongside self-employed private practice or consultancy income, and any other income you receive. The important part is that each source is reported under the correct category and supported by accurate records, because employment expenses and self-employment expenses follow different rules. Where private income is substantial, it may also be worth reviewing whether operating through a limited company or partnership would be more appropriate.
It can be beneficial for some doctors, but it is not automatically the right answer. A limited company brings Corporation Tax, statutory accounts, payroll and additional filing obligations, and the tax outcome depends on how profits are extracted, your other income, and your pension position. For doctors with modest or occasional private income, self-employment is often simpler and equally effective. We look at your actual numbers and working patterns before recommending a structure.
VAT registration depends on the nature and level of your income, and some medical services are exempt while others are not. This is a technical area, so it is worth reviewing before you assume either that registration is unnecessary or that it is required. If private income has grown, or if you are generating significant consultancy or medico-legal fees, we can assess your position and handle registration and returns if they apply to you.
NHS pension contributions reduce your taxable pay, and pension growth can also interact with annual allowance considerations, particularly for doctors with high or variable earnings. Because pension rules and limits change, and because your position depends on your total income and contribution history, this is an area where forward planning is usually more valuable than reacting after the tax year has ended.
Yes. Most of the information we need — records, invoices, statements and prior filings — can be shared securely online, and meetings can be arranged remotely to fit around clinical rotas and practice commitments. What matters is not the format of the meeting but having clear records and an accountant who understands how medical income is earned and reported. If you are changing accountants, we can help with the handover from your existing adviser.
