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 financial complexity that has little to do with clinical work, and the difficulties usually come from how that income is structured and recorded rather than from the amounts involved. A few themes come up regularly.
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 role and no other income may find their tax affairs straightforward enough to manage personally. Once you add private fees, locum shifts, consultancy work, partnership profit shares or investment income, the position becomes more involved, and the risk of missing allowable expenses or completing a return incorrectly rises. An accountant is often most valuable not simply for filing the return, but for identifying what can legitimately be claimed, keeping records in order and helping you plan ahead.
NHS salary is normally taxed through PAYE, while private medical fees are usually reported through Self Assessment, where they are added to your other income for the year. Because the two are taxed together, additional private earnings can push part of your overall income into a higher band, so the effective tax on that work may be more than you expect. Keeping accurate records of private income and related expenses throughout the year makes the position much clearer when your return is prepared.
Locum work often brings irregular income from several sources, so a reliable record of each engagement is important, including dates, amounts, payers and any deductions already made. Expenses such as medical indemnity, professional subscriptions, training, travel and mileage may be relevant, but whether they can be claimed depends on your employment status and the nature of each engagement. It is worth reviewing your arrangements rather than assuming a single treatment applies to all of your locum work.
Common examples include medical indemnity insurance, professional body subscriptions, costs associated with training and professional development that maintain or update your existing skills, specialist equipment, and business travel or mileage where journeys are wholly and exclusively for work purposes. What qualifies depends on whether the cost relates to your employment, your self-employment or both, and on the specific rules for that category of expense. Records such as receipts, invoices and a mileage log are essential to support any claim.
There is no single answer that suits every doctor. Sole trader status is common for straightforward private or locum work, partnerships fit practice arrangements where profits are shared, and a limited company may suit certain private practices or consultancy activities. Each structure carries different reporting obligations, tax treatment and administrative responsibilities, and the most suitable option can change as your income grows or your working pattern shifts. Any decision should be based on your own circumstances rather than a general rule.
VAT treatment for medical services depends on the nature of the service provided and the rules that apply to it, and not all healthcare-related income is treated the same way. Some services are exempt, while others may be standard-rated, particularly where they fall outside the scope of recognised medical care or involve commercial activities alongside clinical work. Registration also depends on your overall taxable turnover. Because the position varies, it is worth reviewing your specific services before deciding whether registration is required.
Yes. Accounting support does not depend on regular in-person meetings, and most of the information needed can be shared securely and discussed by phone or video call at times that fit around clinical commitments. What matters far more is having complete and accurate records and a clear understanding of your income sources, so the work can be prepared properly and any questions resolved without delay.
Changing accountants is usually a straightforward process. We would review your current position, confirm the details of your existing arrangement and take on the necessary information, including details of previous filings and any outstanding matters that need attention. It helps to begin before a filing deadline is close, particularly if there are gaps in your records, so any catch-up work can be dealt with calmly rather than under time pressure.
