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 tax pattern. Most doctors we speak to are juggling more than one income stream, more than one set of rules, and limited time to deal with any of it. A few common pressure points come up again and again.
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 who is employed on a straightforward NHS contract and has no other income can often manage through PAYE alone, though higher earners may still want to check their position. Once you add private fees, locum work, medico-legal income, a partnership share or a limited company, the picture becomes more complex and professional support usually pays for itself in time saved and errors avoided. An accountant can also help identify expenses you may be entitled to claim but have not been, and flag pension or structure questions before they become costly.
Your NHS salary is normally taxed through PAYE, with tax deducted at source. Private medical income, locum earnings and similar self-employed work usually fall outside PAYE, so they need to be reported through Self Assessment, where they are taxed alongside your employment income. That can affect your overall tax band and may mean payments on account are required for the following year. The exact outcome depends on your total income, expenses and any tax already paid, so the figures should always be worked through rather than assumed.
Typically, expenses must be wholly and exclusively incurred for the purposes of your medical work. Common examples include professional indemnity and medical defence subscriptions, GMC registration, royal college and specialist society fees, mandatory training and continuing professional development, specialist equipment, and business travel or mileage between work sites. Whether a particular cost is allowable can depend on whether it relates to employed or self-employed work, and on the evidence you hold. We review your expenses each year and advise on what is claimable in your specific situation.
Locum doctors are generally treated as self-employed for tax purposes, which usually means registering with HMRC, filing a Self Assessment return, and potentially making payments on account towards the following year's liability. It also means you can typically claim allowable expenses such as travel between sites, indemnity cover, professional subscriptions and training. Agency arrangements vary, so it is worth checking how each engagement is structured, and keeping clear records of shifts, income and costs throughout the year.
There is no single answer that suits every doctor. Sole trader status is straightforward but offers no separation between you and the business. A partnership is common in general practice, where profits and expenses are shared between partners. A limited company can be appropriate for some private practices, consultancy or medico-legal work, but it brings additional filing and payroll obligations and needs to be considered alongside your NHS pension position and personal tax circumstances. We can talk through the advantages and drawbacks of each in relation to how you actually work.
Yes. Whether VAT registration is required depends on your turnover and the nature of the services you provide, and some medical services are exempt. Where registration applies, we can handle returns and record keeping, and advise on how VAT interacts with your practice income and costs. It is worth reviewing your position if your private work is growing, as the rules and thresholds can change.
We are able to support doctors who prefer to deal with their accounts digitally, as well as those who want to talk things through directly. Medical work involves unsocial hours, so we keep communication flexible and make sure documents and records can be shared securely. What matters most is that we have a clear picture of your income sources and circumstances and that deadlines are met.
It is usually more straightforward than doctors expect. We ask for permission to contact your existing accountant, obtain professional clearance and request the relevant records, including prior returns, accounts and any outstanding correspondence with HMRC. From there we review the position, confirm what needs to be filed and by when, and take over the ongoing work. If there are unfiled returns or gaps in the records, we will tell you early so there are no surprises.
