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 income is rarely simple, and the tax rules that apply to it often overlap in ways that are easy to overlook. Some of the most common issues doctors 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.
Many doctors manage a straightforward PAYE position without help, but the picture changes once private fees, locum income, consultancy work, partnership profits or a limited company enter the mix. Self Assessment then involves bringing several income streams together, deciding which expenses can be claimed against which income, and meeting payment deadlines based on your overall liability. An accountant can help make sure nothing is omitted, expenses are treated correctly, and any planning opportunities are identified before the tax year closes rather than after.
NHS employment income is normally taxed through PAYE, and the figures are reported on your Self Assessment return as employment income. Private fees, medicolegal work or consultancy income are usually self-employment income and are reported separately, with allowable expenses deducted from those earnings. Because the two streams are taxed differently and have different expense rules, the way you record and report them matters. Your exact treatment will depend on your contracts and how the work is structured.
Locum doctors typically need to keep a clear record of each engagement, including invoices raised, payments received, and the expenses directly connected to that work. Travel between assignments, indemnity cover, professional subscriptions and any equipment you buy for the role may all be relevant, depending on the circumstances. Good record keeping through the year makes the tax return far simpler and helps you respond quickly if HMRC asks questions about how your income has been reported.
It can make a significant difference. Expenses claimed against self-employment income generally need to be wholly and exclusively for the purposes of that trade, while expenses claimed against employment income must meet the stricter rules for employment expenses. Medical indemnity, GMC and royal college subscriptions, professional body fees, specialist equipment and job-related training or CPD are commonly considered, but whether each is allowable depends on your employment status, the purpose of the cost and how it relates to your income. We review these individually rather than applying a standard list.
It depends on the level and consistency of your income, your long-term plans, how much you need to draw out, and your attitude to the extra administration a company brings. A limited company can suit some doctors with substantial private or consultancy earnings, while others are better served as a sole trader or through a partnership. There is no single right answer, and the tax outcome varies with individual circumstances, so it is worth reviewing properly before making a change.
VAT may become relevant if your private or consultancy income crosses the registration threshold, or if you provide services where VAT treatment needs checking. Many medical services are exempt, but not all activity falls into that category, so the position should be reviewed rather than assumed. Payroll matters if you employ staff, such as a practice manager, receptionist or secretary, or if you engage someone through a company structure. Both areas are handled as part of our wider accounting support where they apply to you.
Yes. Accounting support can be delivered remotely, with documents and records shared securely and meetings held by phone or video call. Many doctors find this practical given clinical commitments, shift patterns and time spent across different sites. What matters most is that information reaches us in good time and that you know exactly what is being filed and when.
In most cases it is straightforward. We will ask about your current position, review your existing records and previous returns, and contact your previous accountant for the professional clearance and handover information needed. You do not need to manage that correspondence yourself. Once everything is in place, we confirm what we are taking on — Self Assessment, annual accounts, payroll or VAT — and set out how the year will run from there.
