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 careers rarely follow a single, simple income pattern. Doctors commonly deal with a combination of payroll, self-employment and investment income, and each element brings its own reporting requirements and deadlines.
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. If you are employed on a single NHS payroll, pay tax through PAYE and have no other income, your tax affairs may be manageable without professional help. An accountant becomes far more valuable once your circumstances include private fees, locum income, consultancy or medico-legal work, a practice or partnership interest, or a mix of employment and self-employment. At that point, the questions tend to be about what is allowable, how income should be reported, what structure suits you and when tax is actually payable. Even doctors with straightforward income sometimes use an accountant to review expenses and confirm their position.
Your NHS salary is taxed through PAYE, and your private income is usually reported through Self Assessment. The return brings both together so HMRC can calculate the correct overall liability, which may mean additional tax is due on the private earnings, and potentially on the NHS income if your total pushes you into a higher band. If tax is owed, payments on account towards the following year are often required, so the amounts and dates can differ from what you might expect. Accurate records of private fees and related expenses make the whole process far more straightforward.
Common claims include medical indemnity insurance, professional body subscriptions and registration fees, and the cost of training or equipment where it is relevant to your work. Whether a cost is deductible depends on the rules that apply to your situation, which differ between employment and self-employment, and on whether the expense was incurred wholly and exclusively for the purposes of the work. Mileage and travel between sites can also be claimed in the right circumstances, though ordinary commuting generally cannot. Because the detail matters, it is worth reviewing your expenses rather than assuming a fixed list applies to everyone.
Locum work is often treated as self-employment, particularly where you arrange your own shifts and work across different practices or trusts, although arrangements vary and some locum roles are employed positions. If your locum income is self-employed, you will usually need to register with HMRC, keep records of income and expenses, and report the profits through Self Assessment. You may also need to budget for payments on account and, in some cases, consider whether working through an intermediary affects your position. It is worth checking how each engagement is structured, because the tax treatment follows the facts.
It depends on your circumstances. A limited company can offer a different approach to how profits are extracted and may suit doctors with substantial private income, consultancy work or medico-legal earnings, particularly where profits are retained in the business. It also brings additional obligations, including annual accounts, Corporation Tax returns and payroll for directors. For doctors whose private income is modest, or whose work is largely NHS-based, sole trader or partnership status may be simpler and just as appropriate. The right answer depends on your income mix, plans and how much administrative complexity you want.
Yes. Partnership accounting typically involves preparing the practice accounts, allocating profits between partners in line with the partnership agreement, and using that information to complete each partner's Self Assessment return. Practice owners may also need payroll for staff, VAT advice, management information and support with capital expenditure and drawings. Because partnership profit shares and the underlying agreement do not always match up neatly, it helps to review the figures each year and flag anything that needs attention.
They can. Pension contributions may attract tax relief, and NHS pension arrangements have their own rules and thresholds that can create additional tax charges for higher earners. Private pension contributions are treated differently again and may affect the amount you can contribute overall. Because pension rules interact with your total income and can change, this is an area where it is worth looking at your position as a whole rather than in isolation, and reviewing it as your earnings change.
You do not need to be based close to us to work together. Documents can be shared securely and meetings held by phone or video, which suits doctors with busy rotas. If you are moving from another accountant, we can usually handle the handover by contacting your existing firm for the relevant records and confirming your position with HMRC, and you simply need to let them know you are moving. It is helpful to have your last set of accounts or tax return, your HMRC references and details of your income sources to hand when we begin.
