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 accumulate a more complicated financial picture than most professionals, largely because income arrives from several directions and each source carries its own reporting rules. These are some of the challenges we see most often.
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, but many benefit from one. A salaried hospital doctor with only PAYE income and no additional work may have straightforward affairs, and a general accountant can usually manage those. Once private fees, locum income, consultancy payments, practice profits, a limited company or pension complexities enter the picture, the position becomes far less standard. An accountant used to medical income will understand the difference between employment and self-employment expenses, recognise medical indemnity and professional subscriptions as recurring costs, and know how NHS and private income should be reported together.
Your NHS salary is normally taxed through PAYE, while private fees, locum payments and consultancy income are usually reported through Self Assessment. Both need to appear on the return, and any tax already paid through PAYE is credited against your overall liability. The practical challenges are usually record keeping and expense claims — for example, making sure mileage, indemnity cover and professional subscriptions are captured properly across both strands of your work. Because the correct treatment depends on your individual circumstances, we review the detail before filing rather than applying a blanket approach.
Common examples include medical indemnity cover, GMC and royal college or specialist society subscriptions, professional journals, and training that maintains your existing clinical skills. Where you are self-employed, the rules on items such as equipment, professional fees and travel between work locations tend to be more generous than under employment rules, which are stricter. Mileage and travel claims in particular need good records, because the allowable treatment differs between employment and self-employment and depends on where you were travelling to and why. We assess each expense against your actual working arrangements.
Both structures are used by locum doctors, and the right answer depends on your level of earnings, how many contracts you expect, how much you need to draw from the business, your pension position and how much administrative responsibility you want to take on. A limited company can offer flexibility in how income is extracted and may suit certain locum arrangements, but it brings additional filing, payroll and record-keeping obligations. We look at your circumstances and explain the practical implications of each option rather than assuming one structure fits every locum.
Yes. Practice and partnership work involves accounts preparation, profit allocation between partners, capital account tracking, and reporting each partner's share on their personal tax return. Where a practice employs staff, payroll and pension auto-enrolment obligations also need managing, and VAT may be relevant depending on the services provided and your turnover. For doctors running a private clinic or consulting business, we can handle bookkeeping, annual accounts, Corporation Tax where a company is used, and ongoing tax planning.
NHS pension contributions and any private pension arrangements can influence your taxable income and may interact with annual allowance considerations, particularly where your earnings vary from year to year because of private work or additional roles. This is an area where the detail matters and where the position depends heavily on your individual circumstances. We can factor pension contributions into the wider tax planning we do for you and flag where specialist pensions advice may be appropriate.
Yes. Accounts, records, queries and correspondence can all be handled electronically, with documents shared securely and meetings held by phone or video where that is easier than travelling. Many doctors find this helpful because shift patterns, on-call commitments and time spent at different hospital sites make fixed appointments difficult. You can also speak to us directly when something needs discussing, so remote working does not mean a less personal service.
Changing accountants is usually straightforward. We will ask for details of your current position, contact your existing accountant for the relevant records and professional clearance where needed, and confirm what information is still outstanding. Once everything is in place, we review your affairs, take over the compliance work that applies to you and set out clearly what you need to provide going forward. If there are returns or accounts already overdue, tell us at the outset so we can plan the sequence of work sensibly.
