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 deal with financial arrangements that are more layered than those of many other professionals. A few of the areas we see most frequently are set out below.
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 salaried doctor with a single employer and no additional income may find their tax is largely handled through PAYE, although a return may still be required in some cases. Once private work, locum shifts, consultancy fees, medico-legal income, partnership profits or a limited company enter the picture, the reporting becomes more detailed, and professional support can help ensure income and expenses are recorded correctly and that your position is planned rather than reactive.
NHS employment income is normally reported from your payslips and P60, while private fees and self-employed income are usually reported separately as trading or professional income with the associated expenses. Both can appear on the same Self Assessment return, but they are treated differently, so it is important to keep the records distinct and to understand how each element feeds into the calculation.
Medical indemnity and professional body subscriptions are commonly claimed by doctors, but whether a particular payment is allowable depends on how the cost relates to your work, which income source it belongs to and your employment status. Some costs are reliefs against employment income rather than trading expenses, so they need to be reported in the right place. We review what you have paid and confirm how each item should be treated.
Locum work is often treated as self-employment, which usually means registering with HMRC and filing a Self Assessment return reporting your fees and allowable expenses. Where you also hold an employed post, both sets of income are brought together on the same return. If locum work is arranged through an agency or a limited company, the reporting position can differ, so it is worth checking before you assume which rules apply.
There is no universal answer, because the right structure depends on your level of profit, how much private or locum income you expect, your pension position, whether you want to retain earnings in the business and how you prefer to take money out. A limited company can suit some doctors with substantial private or consultancy income, while sole trader or partnership arrangements may be simpler for others. The decision is best made with a comparison of your own figures.
VAT can become relevant where you provide private medical services, run clinics or have significant business income, and the treatment of medical services is not the same as for general businesses. We can review whether registration is required or advisable, help with VAT returns where you are registered, and make sure private income is recorded in a way that supports the figures reported.
Partnerships typically need annual accounts, allocation of profits between partners based on the agreed sharing ratio, support with drawings and capital accounts, and individual Self Assessment returns for each partner. Practice overheads, staff costs and premises expenses also need to be recorded properly, and payroll or VAT obligations can apply depending on how the practice is organised.
Switching is usually more straightforward than doctors expect. We ask for details of your current arrangements and income sources, agree what needs to be handed over, and correspond with your existing accountant to obtain the information we need. Once records and prior returns are transferred, we review your position and confirm how the ongoing service will work before any filing deadlines arise.
