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 financial workload that goes well beyond a straightforward salary, and the tax treatment of each element can differ. Some of the accounting and tax considerations doctors frequently ask us about include the following.
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.
It depends on your circumstances. A doctor with a single salaried NHS post taxed through PAYE may only need occasional help, for example to confirm which professional expenses can be claimed or to check a tax code. Once you have locum income, private fees, consultancy work, a practice, a partnership or a limited company, the position becomes more involved and an accountant can help ensure everything is reported correctly and on time. Many doctors find that the value comes from knowing their returns are accurate and from having someone to ask when their working arrangements change.
Yes. This is one of the most common situations we deal with. NHS salary is usually taxed through PAYE, while private fees, locum work and consultancy income may need to be reported through Self Assessment, often alongside expenses that relate to the self-employed side of your work. The important part is making sure each stream of income is treated correctly and that any overlap, such as expenses already covered by your employer, is not claimed twice.
Common examples include medical indemnity cover, professional subscriptions and registration fees, training and professional development costs that maintain or update your existing skills, and certain equipment and specialist clothing. Travel and mileage can also be claimed in specific circumstances, though ordinary commuting is generally not allowable. What you can claim depends on whether you are employed, self-employed or both, so the same expense can be treated differently depending on your position.
There is no single answer, because it depends on your level of earnings, how many engagements you take on, whether agencies are involved, your pension position and your wider plans. Some locums work as sole traders, others operate through a limited company, and the tax and administrative consequences differ considerably between the two. We can talk through the practical implications before you commit to a structure.
VAT treatment in healthcare is not uniform — some medical services are exempt while others are not, and it can depend on the nature of the service, who provides it and how it is delivered. If you run a private clinic, employ staff, sell goods or provide non-medical services alongside medical care, the position needs reviewing. We can look at your specific activities rather than assume the same answer applies to every doctor.
Yes. GP practices and consultant partnerships often need accounts that allocate profits accurately between partners, track drawings and capital, and deal with practice overheads and any changes in the partnership during the year. Clear partnership accounts also make each partner's Self Assessment position easier to establish and help avoid disagreements about how profits should be divided.
If you provide medical services through a limited company, you will normally need annual accounts, a Corporation Tax return, payroll for any salary you take and possibly VAT returns, alongside your personal Self Assessment. We can prepare these, keep the bookkeeping in order and help you think about how to take income out of the company tax-efficiently within the rules, based on your own circumstances rather than a generic template.
Changing accountants is usually straightforward. Once you decide to move, we can contact your existing accountant to request the information and records we need, so you do not have to manage that correspondence yourself. Many doctors prefer to work remotely because it fits around clinical commitments — documents can be shared electronically and meetings arranged at times that suit you, and there is no requirement for you to visit an office.
