Specialist Accountants for GPs, Consultants & Locum Doctors
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 rarely follow a single, tidy income pattern, and that is where most accounting difficulties begin. These are the areas doctors most often ask us about.
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. If you are a salaried doctor with a single NHS employer and straightforward tax affairs, your position may be relatively simple, though you will still want to be confident that medical indemnity, professional subscriptions and other allowable costs are being claimed correctly. Where an accountant tends to add most value is when your income comes from more than one source, for example NHS pay plus private fees, locum shifts, consultancy or medicolegal work. Multiple income streams increase the chance of errors, missed expenses and unexpected tax bills, and professional support helps keep all of it accurate and organised.
Your NHS salary is normally taxed through PAYE, but private fees, locum payments and consultancy income usually need to be reported on a Self Assessment tax return alongside it. The return brings the different sources together so HMRC can calculate the correct overall liability. In practice, this means keeping clear records of private income and the costs associated with earning it, and being aware that once your total income rises you may be asked to make payments on account towards the following year. The precise treatment depends on your individual position, which is why we review it rather than applying a standard approach.
Commonly claimed costs include medical indemnity insurance, professional body subscriptions such as GMC and royal college fees, and certain training or professional development costs where they are relevant to your existing work. Equipment, professional books and travel to temporary or multiple work locations may also be allowable in the right circumstances. What matters is that the cost is incurred wholly and exclusively for the purposes of your work and that it is claimed against the correct income source. Some costs are clearly allowable, others sit in greyer territory, and we assess each one against the rules rather than assuming.
Locum income is generally treated as self-employed earnings if you are engaged on that basis, rather than as employment income, which means it is reported on a Self Assessment return and you are responsible for the associated tax and National Insurance. You will usually want to keep records of each engagement, the income received, and expenses such as travel and indemnity cover. Where locum work sits alongside a salaried NHS post or private practice, the combination needs to be reported carefully. The engagement terms matter, because they influence how the income is classified.
There is no single answer, because it depends on your level of private income, how you want to extract profits, your pension position and how much administrative work you are willing to take on. A limited company can suit some doctors with substantial private or consultancy earnings, while a sole trader or partnership arrangement may be simpler and more appropriate for others. IR35 rules also need to be considered where contracts are involved. We talk through the practical and tax implications of each option so you can make an informed decision rather than following a general rule of thumb.
Yes, where those obligations apply. Many private medical services are exempt from VAT, but not all activities are treated the same way, and medicolegal or consultancy work can sit outside the exemption. If you employ reception, administrative or clinical staff, payroll needs to be run correctly with the appropriate deductions reported to HMRC. We assess whether VAT registration is required or advisable in your case and, where you are registered, handle the reporting. Payroll, bookkeeping and management accounts are often handled alongside your annual accounts.
Many doctors find remote accounting support convenient because it fits around clinical rotas and unpredictable working patterns. Records can be shared securely online, meetings can be held by video or phone, and there is no need for your accounting arrangements to depend on when you happen to be free during office hours. If you would prefer to meet in person, that can be discussed as part of the initial conversation. The practical setup is agreed with you at the outset so it works with your schedule rather than against it.
It starts with a conversation about how you work and what you need. We will ask about your employment arrangements, the income sources you have, whether you operate as a sole trader, partner or limited company, and what is currently causing you difficulty or uncertainty. From there we review your existing records and filing position, identify anything outstanding, and set out how the ongoing accounting support would work. If you are currently with another accountant, we can manage the handover and liaise with them so the transition is orderly and nothing is missed.
