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 work rarely produces a single, tidy income stream. Most doctors we speak to are balancing several responsibilities at once, and the tax consequences of that are not always obvious.
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 whose entire income is taxed through PAYE and who has no other income or complications may not need ongoing support. However, once private fees, locum income, consultancy work, medicolegal income, rental income or significant professional expenses come into play, a Self Assessment return is usually required, and the interaction between those income streams is where mistakes tend to happen. An accountant can also help you claim expenses you may not realise are allowable and keep records that stand up if HMRC asks questions.
Locum doctors are often treated as self-employed for tax purposes, which means income and expenses are reported through Self Assessment rather than being fully taxed under PAYE. That said, the position is not identical for everyone — some locum arrangements are treated differently depending on the contract and how the work is carried out. If you work as a self-employed locum, you will generally need to register with HMRC, keep records of your income and expenses, and file a return each year. Where locum work sits alongside a salaried NHS post, both need to be reported together.
Typically, costs that are wholly and exclusively incurred for the purposes of your work may be allowable. For doctors this can include medical indemnity insurance, GMC and royal college or specialist society subscriptions, mandatory training and continuing professional development, professional journals, relevant specialist equipment, and business travel between sites. For employed doctors, expenses are usually claimed against employment income and the rules are stricter than for the self-employed. Because eligibility depends on your circumstances and the specific cost, it is worth having expenses reviewed rather than assumed.
Yes. Combining NHS employment income with private practice fees is one of the most common situations we deal with. The NHS element is usually taxed through PAYE, while private income generally needs to be reported and taxed through Self Assessment, and the two interact when it comes to your overall liability. Getting this right matters, because under-declaring private income or applying the wrong expenses can lead to unexpected tax bills later. We bring the different income streams together in one place so your position is clear.
There is no universal answer. A limited company can suit some doctors with substantial private or consultancy income, and it changes how you are taxed, what accounts and returns you must file, and how you pay yourself. For others, working as a sole trader or through a partnership remains the simpler and more appropriate route. The decision depends on your income levels, your plans for the practice, your pension position and how much administrative work you are willing to take on. We can talk through the advantages and disadvantages for your specific situation before you commit.
These are among the most commonly claimed professional expenses for doctors, but they still need to be correctly linked to your work and properly recorded. Indemnity cover, GMC registration, royal college and specialist society fees, and similar professional subscriptions are usually claimable where they are required for your role. Where you have both employed and self-employed income, the expense may need to be allocated appropriately between them. Keeping the paperwork for these costs makes the claim straightforward at year end.
We work with clients using secure digital document sharing, email and telephone or video calls, which suits doctors whose rotas make daytime appointments difficult. You can send records electronically at a time that works for you, and we will let you know exactly what is needed and when. If you prefer to discuss matters by phone or in a scheduled call, we can arrange that around your working pattern.
Less than most people expect. We ask for authority to act on your behalf and contact your existing accountant for the relevant records and information, which typically includes prior returns, accounts and bookkeeping data. Professional clearance is handled between the two firms. Once everything is in place, we review your position, confirm what needs to be filed and when, and take over the ongoing work. If there are outstanding filings or deadlines approaching, we will flag those early so nothing is missed.
