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 mix of employment and self-employment income, which brings complexities that a straightforward PAYE position does not. The points below are among the most common considerations we see, although the exact position always depends on your individual circumstances.
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 you are employed solely on PAYE with no other income, your tax may be largely handled through your payslip. The position changes once you take on private work, locum shifts, consultancy or medico-legal income, or become self-employed or a partner in a practice, because Self Assessment, allowable expenses and payments on account all come into play. An accountant can help ensure everything is reported correctly and that reliefs you are entitled to are not overlooked.
NHS employment income is usually taxed through PAYE, while private fees, locum payments and consultancy income are typically reported through Self Assessment. Where both exist, the two need to be looked at together so that tax already paid through PAYE is properly credited and any additional liability, including payments on account, is anticipated rather than discovered at the last minute. Keeping clear records for each income stream makes this far more straightforward.
Yes. Locum work often means income from several agencies, trusts or practices across a single tax year, plus expenses such as travel between sites and indemnity cover. We can help you track and report that income, claim relevant expenses, and consider whether working through a limited company makes sense. If you work through an agency in the public sector, off-payroll working rules may affect how you are engaged and taxed, so it is worth reviewing your arrangements.
Commonly claimed items include medical indemnity insurance, GMC registration and professional body subscriptions, professional journals, equipment used in your work, and training that maintains existing skills. Travel between separate work locations can often be claimed, whereas ordinary home-to-work commuting generally cannot. Each expense must be incurred wholly and exclusively for your work, and not all training costs qualify, so the treatment depends on your specific circumstances.
It depends on your income sources. A salaried doctor with only PAYE income and no untaxed earnings may not need to file. You are more likely to need a return if you have self-employment or locum income, private practice fees, consultancy or medico-legal income, untaxed income from savings or investments, or if HMRC has issued you a notice to file. It is worth checking rather than assuming, because penalties can apply for missed returns.
Yes. Depending on how you operate, this can include annual accounts, Corporation Tax returns, partnership accounts and profit allocations, payroll, VAT where relevant, management accounts and advice on drawings or dividends. We can also review whether your current structure still suits your circumstances, particularly if your mix of NHS and private work has changed.
VAT depends on the type and level of your income. Some medical services provided by registered practitioners fall outside the scope of VAT, but other activities can be treated differently, and turnover thresholds also apply. If you run a practice, provide private treatments or sell services beyond standard patient care, it is worth reviewing your position so you do not miss a registration requirement or pay VAT unnecessarily.
Switching is usually straightforward. We will ask for details of your income sources, your current structure and any outstanding filing obligations, then contact your existing accountant to obtain the relevant records with your authorisation. If you have bookkeeping or payroll in place, we can review how it is set up and tidy any gaps. Much of this can be handled remotely, so you do not need to be local to us to work with us.
