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 generate tax questions that a standard salary PAYE code simply cannot answer. 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.
Not every doctor does. If you are salaried, taxed entirely through PAYE and have no other income, your tax affairs may be straightforward. However, many doctors accumulate additional income sources — private fees, locum sessions, consultancy or medico-legal work, rental income or investment income — and those usually require a Self Assessment tax return. An accountant becomes valuable when your income, expenses or pension position is complex enough that mistakes are costly, or when you would rather not spend your evenings reconstructing a year of receipts.
Your NHS salary is taxed through PAYE, but private fees, locum income and consultancy earnings are generally reported through Self Assessment, with any tax due paid separately. It is important that income is recorded under the correct category and that tax already deducted at source is properly accounted for. The interaction between employment income and self-employed income can also affect your overall liability, so the figures need to be reviewed together rather than in isolation.
Common claims include medical indemnity and insurance, professional body subscriptions, registration fees, required professional development, specialist equipment, business mileage and travel between sites, and a proportion of home costs where you genuinely work from home. Whether a specific cost is allowable depends on your employment or self-employment position, whether the expense was incurred wholly and exclusively for your work, and how it is evidenced. We review claims individually rather than applying a blanket list.
Locum work can be treated in different ways depending on your contract, whether you work through an agency, and whether off-payroll working rules apply. Some locums operate as sole traders, others through a limited company, and some are taxed as employees. The structure you use affects how income is taxed, what expenses can be claimed and how much administration is involved, so it is worth reviewing before commitments are made for the year ahead.
Yes. We can prepare annual accounts, partnership tax returns and profit allocation calculations for medical partnerships, and support private practices with bookkeeping, invoicing and management information. Where a practice employs staff, payroll can be handled too, and VAT advice is available if your activities make registration relevant. The right approach depends on how the practice is structured and how profits are shared.
VAT treatment for medical services is not automatic and depends on the nature of the services provided and who provides them. Some healthcare services fall outside the scope of VAT, while others — such as certain cosmetic, non-medical or advisory services — may be taxable. Registration may also be required based on your turnover from taxable supplies. Because the position is specific to your work, it should be reviewed rather than assumed.
For doctors in the NHS pension scheme, contributions usually come out of pay, but additional contributions, scheme changes and annual allowance questions can interact with your taxable income and create unexpected liabilities. The position varies depending on your earnings history, career pattern and any private pension arrangements. We can factor pension information into your tax planning and flag where specialist pension advice is worth seeking.
Yes. Accounting support can be provided remotely using secure document sharing and cloud bookkeeping, which suits doctors who move between sites or work unpredictable hours. If you already have an accountant, switching is usually straightforward: you authorise us to act on your behalf, we request the relevant records and professional clearance, and we review your position before the next filing deadline. We will tell you exactly what is needed at each stage.
