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 follow a single, simple income pattern, and that is where accounting and tax complications tend to appear. The points below are common considerations for doctors rather than a checklist that applies to everyone, since treatment depends on your employment status, income sources and structure.
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.
Some doctors with a single salaried role and straightforward affairs may manage their own return, but complexity tends to build quickly. Private fees, locum shifts, consultancy days, medico-legal reports, partnership profits and pension contributions all create reporting questions that are easy to get wrong. An accountant can confirm which expenses are allowable, make sure every income source is reported correctly, keep filings on schedule and highlight planning opportunities before the tax year closes.
Your NHS salary is normally taxed through PAYE, while private medical income is usually reported through Self Assessment. Because PAYE does not account for the untaxed element, additional tax may be due once the return is submitted, and payments on account can follow. How much depends on your total income, expenses and the timing of payments, so the figures are reviewed individually rather than applied as a rule of thumb. Good record keeping across both income streams makes the position much clearer.
Locum work is not treated uniformly. Some engagements are paid through an agency with tax deducted, while others are self-employed arrangements where you are responsible for reporting income and paying tax yourself. Mileage between sites, equipment, indemnity cover and professional costs may all be relevant, depending on the contract. We review each engagement and consolidate the position in your return so nothing is overlooked.
Claims depend on your employment status and the nature of the cost. In self-employment, expenses must be incurred wholly and exclusively for the work, which can include medical indemnity insurance, professional registration and body subscriptions, continuing professional development, specialist equipment and certain travel. Employees face tighter rules and typically need to demonstrate that costs were necessary for the role. We review what you are paying for and identify what is genuinely supportable.
There is no universal answer. A limited company can suit some doctors with substantial private income, but it brings additional administration, payroll obligations and filing requirements, and some engagements raise off-payroll working considerations. Sole trader status or a partnership may be simpler and equally tax-efficient in other situations. We look at your income levels, contracts and future plans before recommending a structure.
Yes. Partnership work typically involves preparing partnership accounts and the partnership tax return, allocating profit shares between partners, tracking capital accounts and drawings, and making sure each partner's Self Assessment reflects their share correctly. Joint expenses and practice overheads need to be treated consistently, and we can coordinate with whoever maintains the practice's day-to-day records.
NHS pension contributions are not always straightforward for tax purposes, and where private income sits alongside pensionable NHS earnings, annual allowance questions can arise. The position depends on your earnings, contribution levels and total pension input across all schemes. It is an area worth reviewing before the tax year ends rather than after, and we can flag where specialist pension input is needed.
Switching is usually straightforward. With your authorisation we can contact your existing accountant, request professional clearance and take over the records needed to prepare your accounts and returns. Much of the work can be handled remotely through secure document sharing and digital bookkeeping, which suits doctors working irregular hours, and we can agree how you prefer to communicate and when filings will be prepared.
