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 juggle several income streams, tight clinical schedules and tax rules that do not fit neatly around a hospital rota or a practice timetable. These are some of the areas where accounting and tax questions most commonly arise.
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. If you are a salaried doctor with tax deducted through PAYE and no other income, your affairs may be straightforward enough to handle yourself. However, once you take on locum shifts, private medical fees, consultancy work, a practice directorship or company income, the reporting requirements, allowable expenses and deadlines multiply quickly. An accountant can help ensure everything is reported correctly, that relevant reliefs are considered and that you are not doing unnecessary work at the end of the tax year.
NHS salary is normally taxed through PAYE, but private medical fees, locum earnings and consultancy income usually need to be reported through Self Assessment. The return pulls your taxable income together, gives credit for tax already paid through PAYE and calculates what remains due. Because NHS pension contributions and expenses can affect the final figure, it is worth keeping clear records of both income streams so the return is accurate and any relief is properly supported.
Allowable expenses depend on your employment status, contract terms and how the expense relates to your work. Doctors often ask about medical indemnity insurance, professional subscriptions, training and professional development, specialist equipment, and travel or mileage for work-related journeys. Employment expenses for a salaried doctor are subject to stricter rules than costs incurred in a self-employed or company context, so the correct treatment varies. We review each expense against your particular circumstances rather than applying a blanket list.
Locum work is generally treated as self-employment, which usually means registering with HMRC and filing a Self Assessment tax return to report that income alongside any employment income. You may also need to consider payments on account once your tax bill reaches certain levels. Record keeping matters here, because locum income can be irregular and expenses may be spread across multiple assignments. The specific requirements depend on how you contract and how much you earn.
There is no universal answer. A limited company can suit some doctors with substantial private or consultancy income, while others are better served as a sole trader or through a partnership. The right structure depends on your income levels, how you draw money, your pension position, IR35 considerations, administrative appetite and future plans. We can talk through the practical implications of each option so you can make an informed decision rather than assuming one route is always better.
Yes. Pension issues often affect doctors because NHS pension contributions, annual allowance questions and private income can interact in ways that are easy to overlook. We can factor pension information into your broader tax position and highlight where specialist pension advice may be appropriate. The treatment varies considerably between individuals, so it is always reviewed against your own circumstances rather than general assumptions.
No. Many doctors prefer to manage their accounting remotely, sharing documents securely and communicating by email, phone or video call at times that fit around clinics and rotas. If you would rather meet in person, that can be arranged. What matters most is that your records are complete, your filings are timely and you have someone who understands your income streams and can answer questions when they arise.
It is usually more straightforward than doctors expect. We ask for your authorisation to contact your existing accountant, take over the professional clearance process and obtain the information needed to pick up your records, such as previous returns, accounts and HMRC correspondence. Once we understand your position, we confirm what needs to be filed and when. Any outstanding matters with HMRC can be reviewed as part of the handover so you start with a clean, clear picture.
