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 more financial moving parts than a standard PAYE taxpayer, and those moving parts do not always line up neatly with tax deadlines. A few of the areas that tend to cause difficulty include:
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 your only income is an NHS salary taxed through PAYE and you claim nothing beyond the standard position, your affairs may be straightforward. But as soon as private fees, locum work, consultancy, medico-legal income, partnership profits or a limited company are involved, the picture becomes more complex, and an accountant can help ensure everything is reported correctly and allowable expenses are not missed. Many doctors also find that professional expense claims, pension considerations and record keeping are easier to manage with support.
Yes. This is one of the most common situations we deal with. NHS salary is usually taxed through PAYE, while private fees, locum payments and consultancy income often need to be reported through Self Assessment. We bring the figures together, check that the PAYE already deducted is correctly reflected, apply relevant allowable expenses, and file the return on your behalf. The exact treatment depends on how the private income is earned and whether it is received personally or through a company or partnership.
Locum work usually means several paymasters, irregular payment dates and expenses spread across different contracts. Keeping records of timesheets, invoices, travel and mileage, indemnity cover and any agency fees makes a real difference when it comes to preparing your tax return. Depending on how you work, you may be treated as self-employed, and that affects what you can claim and how your tax is calculated. It is worth reviewing the position rather than assuming it is the same as an employed role.
Commonly claimed items include medical indemnity or defence union cover, GMC and royal college subscriptions, professional body fees, work-related training and continuing professional development, specialist equipment, professional books and journals, and business travel or mileage. Whether a particular cost is allowable depends on how it relates to your work and on your employment or self-employment status, so it is worth checking before you claim. Keeping receipts and records throughout the year makes this much simpler.
There is no single answer, and it depends on your level of private income, how you are engaged, your other earnings and your longer-term plans. 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. Tax treatment, administrative obligations and pension implications all differ between structures, so the decision is best made after reviewing your individual position rather than on a general rule.
VAT treatment for medical services is not uniform. Some services are exempt, while others — particularly certain non-NHS or cosmetic procedures — may be standard-rated, which can affect whether registration is required. The answer depends on the specific services you provide and your turnover. If you are unsure where you stand, it is worth reviewing your activities so that registration, reporting and invoicing are handled correctly from the outset.
Yes. Partnership accounts, profit share calculations and the partnership's own filing obligations can all be handled, along with the individual partners' Self Assessment returns. Practice finances often involve partner capital, drawings, practice expenses and sometimes property or equipment arrangements, so it helps to have the figures reviewed as a whole rather than partner by partner in isolation. The correct treatment depends on the partnership agreement and how the practice is structured.
Switching is usually straightforward. We can liaise with your existing accountant to obtain the records and information needed, including prior returns and accounts, so the transition does not fall on you. We can work remotely, using secure document sharing and calls, which suits doctors with busy or irregular schedules. Many doctors prefer a mix of remote contact with the option to speak directly when something needs discussing. The exact handover steps depend on the complexity of your affairs and how your current records are kept.
