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 juggle more financial moving parts than most people realise, and those parts interact in ways that are easy to overlook. Common pressure points include:
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 only income is a salaried NHS role taxed through PAYE and you have no other earnings or complications, your tax affairs may be simple enough to handle yourself. An accountant becomes far more valuable once you have private medical income, locum work, consultancy or medico-legal fees, partnership profits, a limited company, or pension contributions that need reviewing. Even where a Self Assessment return is required simply because of one additional income stream, an accountant can help ensure the right expenses are claimed and the return is filed correctly and on time.
Your NHS salary is usually taxed through PAYE, and your private or locum income is then reported through Self Assessment alongside it. In practice, this means the tax already deducted from your salary is taken into account, and any additional tax due on your other income is calculated on the return. Depending on your circumstances, you may also need to make payments on account towards the following year. Because your NHS pension contributions and other reliefs can affect the calculation, it is worth having the whole picture reviewed rather than looking at each income stream separately.
Common claims include medical indemnity insurance, professional body subscriptions, professional development and training that maintains or updates your existing skills, specialist equipment, and travel or mileage for work-related journeys. Whether a particular cost is allowable depends on your employment status, your contract and the reason for the expense — some costs are treated differently for employees and the self-employed, and some training is only claimable in limited circumstances. We review your spending and tell you what can realistically be claimed for your situation.
It depends on how you are engaged. Locum work arranged through an agency may be treated as employment for tax purposes, while locum sessions booked directly with a practice are often treated as self-employed income. Some arrangements involving agencies or intermediaries bring off-payroll working rules into play. The distinction affects how much tax and National Insurance is due, what expenses you can claim, and how the income is reported. If you combine agency shifts, direct sessions and a salaried post, the interaction between them is worth getting right.
It depends on your level of income, how you are engaged and your longer-term plans. Working through a limited company can suit some doctors with substantial private, consultancy or medico-legal income, but it brings additional obligations such as annual accounts, Corporation Tax returns, payroll for any salary you draw and potentially VAT considerations. For other doctors, remaining a sole trader or working through an existing partnership is more straightforward and equally appropriate. There is no universally correct answer, and the tax rules for personal service companies and off-payroll arrangements mean the decision needs to be looked at case by case.
Yes. Practice partnerships typically need annual accounts that allocate profits between partners, along with bookkeeping, payroll for practice staff and support with partner tax returns. We can also help with capital accounts, drawings, and questions around admitting or retiring a partner. Because every partnership agreement and profit-sharing arrangement differs, the work starts with understanding how your practice is structured.
Medical services provided by registered health professionals are generally exempt from VAT, but the position is not identical for every activity a practice or practitioner carries out. Non-medical goods and services, certain cosmetic or non-clinical work, and private practice arrangements can raise questions about liability and, in some cases, about registration. If your practice or private work generates income from mixed sources, it is worth reviewing whether VAT applies and how it should be handled.
It is usually simpler than people expect. We begin with a conversation about your circumstances and current arrangements, then ask for your permission to contact your existing accountant for the information we need, such as prior returns, accounts and records. You are not required to tell your current accountant anything yourself, and there is normally no need to wait for a particular date. Once we have what we need, we confirm the scope of work and take over your filings from the agreed point onward.
