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 generate tax and accounting issues that a generalist accountant may not see every day. These are some of the areas doctors commonly need help to work through.
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 from one. If your income is entirely PAYE and you have no other complications, your tax is usually handled through your salary. Once you take on locum shifts, private fees, consultancy work, medicolegal reports, teaching or a practice role, your affairs become more complex and a Self Assessment return is often required. An accountant can help you report that income correctly, identify allowable expenses, plan for payments on account and keep records that support your position.
Your NHS salary is normally taxed through PAYE, but Self Assessment brings your total income together, including private fees and any other earnings. You report the additional income, claim relevant expenses and allowances, and pay any tax due through the return, often alongside payments on account towards the following year. Because NHS pension records and private income can affect the overall picture, it is worth making sure the figures are complete before the return is submitted.
Commonly claimed items include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional journals, and costs of training that maintains or updates skills you already use in your current role. Specialist equipment, professional travel and business mileage may also be relevant. Whether an expense qualifies depends on your employment status, whether it was incurred wholly and exclusively for your work, and how well it is documented, so the treatment is never identical for every doctor.
Locum work often means dealing with agencies, direct practice bookings and possibly several paymasters in one year, so accurate record keeping matters. Depending on how you contract, you may be treated as employed, self-employed or caught by off-payroll working rules, and each route affects how tax and National Insurance are handled. Mileage between sites, indemnity cover and equipment costs are typical considerations, and if your contracts are arranged through an intermediary, the structure needs to be reviewed carefully.
It depends on your circumstances. A limited company can suit consultants and private practitioners with substantial self-employed income and a desire for a formal structure, but it brings additional administration, Corporation Tax, payroll and filing obligations, and it is not automatically more tax-efficient. If you are also building NHS pension benefits, there can be further implications. We look at your income levels, working arrangements and longer-term plans before recommending a structure rather than applying a one-size-fits-all answer.
VAT treatment depends on the specific services provided. Many medical services are exempt, but other activities, such as certain non-medical work, medicolegal services, training or the sale of goods, may fall outside that exemption. If your turnover approaches or exceeds the registration threshold, or if you provide a mix of exempt and standard-rated services, it is worth reviewing whether registration is required and how it should be managed.
Yes. Most of the information we need can be shared securely online, and meetings can be held by phone or video, which suits doctors working around rotas and clinical commitments. If you prefer to meet in person, that can be arranged within our usual service arrangements. The important thing is that you have a clear point of contact, a documented process for sending records, and confidence about what is being filed and when.
It is usually more straightforward than doctors expect. Once you decide to move, we contact your existing accountant for professional clearance and the information needed to take over, such as prior returns, accounts and tax computations. We then review your position, identify anything outstanding, and confirm what records we need from you. Most of the work happens behind the scenes, so the disruption to you is minimal.
