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 tend to carry a tax burden that is more complicated than the average taxpayer's, largely because income arrives from several directions at once. These are some of the issues we see most often.
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 your only income is a single NHS salary taxed through PAYE and you have no private work, your tax affairs may be straightforward enough to manage yourself. An accountant becomes far more valuable once you have more than one income source, such as locum shifts, private fees, medicolegal or consultancy income, or partnership profits. At that point, the risk of a missed expense claim, an incorrectly reported income stream or a late filing penalty usually outweighs the cost of professional support. Doctors whose pension position is complex or whose income varies significantly year to year also often benefit from a second pair of eyes.
Common claims include medical indemnity insurance, GMC and specialist registration fees, Royal College and professional body subscriptions, mandatory training and continuing professional development, professional books and journals, and travel between work sites or to training that is not ordinary commuting. What is allowable depends on whether the cost was incurred wholly and exclusively for your work and, in the case of employment, whether it is refundable by your employer. Because the rules differ between employed, self-employed and incorporated work, it is worth having your specific expenses reviewed rather than assuming a standard list applies.
Locum work is often treated as self-employment, which means you may need to register for Self Assessment and report that income alongside any NHS employment. If you work through an agency, the payroll arrangements can vary, and some locum doctors are taxed through PAYE by the agency instead. Where you are self-employed, you can usually deduct allowable business expenses before tax, and you may need to keep records of mileage, equipment and professional costs. Because the classification of locum arrangements differs, it is important to confirm how your particular contracts are set up.
Yes, this is one of the most common situations we assist with. NHS salary is taxed through PAYE, while private fees, clinic income or medicolegal work are typically reported through Self Assessment, and the two need to be brought together accurately on one return. We help reconcile your P60 and payslips with your private income records, review the expenses relating to each stream and make sure the right amounts are reported. If your private work is significant, we may also discuss whether operating through a limited company or partnership is worth considering.
There is no universal answer. The right structure depends on your level of private income, your attitude to risk, your plans for how long you will continue the work, your pension position and how you wish to take money out of the business. A limited company can offer different tax and profit extraction options but brings additional filing, payroll and accounting obligations. Partnerships suit doctors working together in a practice or shared private arrangement but require clear profit-sharing and capital account records. We look at your individual circumstances before recommending a structure.
Whether VAT applies depends on the nature of the services you provide and your turnover. Some medical services are exempt, while others may be standard-rated, and the position can differ for cosmetic procedures, reports, teaching and consultancy. Registration is compulsory once your taxable turnover exceeds the relevant threshold, and voluntary registration can sometimes be worthwhile. Because the rules are nuanced, VAT should be assessed against your specific services rather than assumed either way.
Yes. Doctors frequently arrive with incomplete bookkeeping, unfiled returns or correspondence from HMRC that has gone unanswered because of work pressures. The first step is usually a review of what has been filed, what is outstanding and what records exist. From there we can help bring matters up to date, prepare the necessary returns and set up a simpler routine going forward. It is generally better to address outstanding matters sooner rather than let them accumulate, as penalties and interest can build over time.
Many doctors prefer to work remotely, sharing documents securely and communicating by email, phone or video around their rota. Others value an in-person meeting. Either way, the accounting work is the same. Changing accountants is usually straightforward: you simply inform your current accountant and provide us with authorisation to act, and we can request the relevant information on your behalf. We will review your existing position as part of the onboarding process so nothing is missed during the transition.
