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 careers often create tax situations that a standard PAYE return does not cover. These are some of the areas where doctors most often need specialist accounting input.
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 employed solely on PAYE with no additional income, your tax may largely be handled through payroll. However, as soon as you take on locum shifts, private practice work, consultancy income, a partnership or directorship, or need to claim professional expenses, the position becomes more involved. An accountant helps make sure the right income is declared, allowable expenses are claimed correctly, and deadlines are met. Many doctors also find it useful to have someone review their wider position, including pension contributions and business structure.
Not every doctor does, but many do. Self Assessment is generally required where you have untaxed income, such as private fees, locum earnings, consultancy income or rental income, or where you have income that needs to be reported for other reasons. Higher earners receiving child benefit may also need to file, depending on their income. If you are unsure whether your circumstances require a return, it is worth checking rather than assuming, because penalties for not filing can apply even where no tax turns out to be due.
NHS salary is normally taxed through PAYE, with tax deducted before you are paid. Locum and agency income may be paid with basic rate tax deducted, with no tax deducted, or through an umbrella or limited company arrangement, depending on the contract. The result is that you may owe additional tax at the end of the year, or you may have overpaid and be due a refund. Understanding how each engagement is structured helps you plan for the tax bill and avoid surprises when the return is filed.
Claims depend on your employment status and the specific rules that apply, but costs commonly reviewed include medical indemnity insurance, professional body subscriptions, required training and continuing professional development, specialist equipment, and travel to temporary or temporary-ish work locations rather than ordinary commuting. Mileage can sometimes be claimed instead of actual running costs. The key is that the expense must be incurred wholly and exclusively for the purposes of your work or business and be supported by records, so keeping receipts and a clear mileage log matters.
Yes. Combining NHS employment income with private practice or fee income is common, and it usually means your tax position needs to be looked at as a whole. We reconcile the income sources, make sure the correct allowances and expenses are applied, and review how the private work is structured. Depending on your circumstances and the scale of your private work, it may be worth considering whether a different business structure would suit you better.
There is no single answer, and it is not right for everyone. A limited company can offer flexibility around profit extraction, expenses and pension contributions, but it brings additional compliance obligations such as company accounts, Corporation Tax returns, payroll and possibly VAT. It can also be unsuitable for some types of medical work depending on the contract and the way you are engaged. We look at your income level, working arrangements and personal goals before recommending whether incorporation makes sense.
Many medical services are exempt from VAT, which means doctors often do not need to register, even where turnover is significant. However, the position depends on exactly what you provide and to whom, and some activities such as certain cosmetic or non-medical services, or sales of goods, can be treated differently. If you are unsure whether your work falls within the exemption or whether you should be registered voluntarily, it is worth reviewing before you pass the registration threshold.
Yes. Many doctors prefer to handle their accounting remotely, particularly with clinical rotas and shift patterns that make daytime appointments difficult. Documents can be shared securely online, records can be kept in cloud bookkeeping software, and meetings can be arranged at times that fit around your work. The important thing is that you have a clear point of contact and a straightforward way to raise questions when they come up.
The first step is a conversation about your circumstances — how you are employed, what income sources you have, whether you run a practice or company, and what you need help with. From there we review your current records and previous returns, confirm what support is required, and agree how the work will be handled going forward. If you are moving from another accountant, we can help manage the handover and confirm what information is needed to get everything transferred smoothly.
