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 carry a level of financial complexity that a standard payslip and tax return do not capture. These are the areas that most frequently need attention.
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 your only income is an NHS salary taxed entirely through PAYE and you have no private income, savings complexity or untaxed earnings, your affairs may be straightforward. The picture usually changes once you take on private fees, locum work, consultancy, medico-legal reports or partnership profit, because you then need to report income through Self Assessment and claim expenses correctly. Doctors also often have pension contributions, indemnity costs and professional subscriptions to account for, which is where specialist help tends to be worthwhile.
Your NHS salary is normally taxed through PAYE, and your private or locum income is reported on a Self Assessment tax return alongside it. The return brings together your pay records, private income, pension contributions and allowable expenses, and HMRC then calculates any additional tax due after accounting for what has already been paid. Issues often arise where tax codes do not reflect private income, where expenses are claimed inconsistently, or where payments on account are misunderstood. Getting the figures right and consistent year to year is the priority.
How you are engaged matters. Some locum work is paid through PAYE, some through an agency or umbrella arrangement, and some directly to a limited company. You should keep a record of every engagement, the payer, gross and net amounts, any tax deducted, and the expenses you incurred, including travel between sites, indemnity cover and professional subscriptions. If you work through an agency in the public sector, off-payroll working rules may affect how you are taxed, so it is worth reviewing your arrangement rather than assuming last year's approach still applies.
Common claims include medical indemnity insurance, GMC and royal college or specialist society subscriptions, job-related training and continuing professional development, professional books and journals, specialist equipment, and business mileage where you travel between work locations. Each claim needs to be genuinely incurred in carrying out your work and supported by evidence. What is allowable depends on whether you are employed or self-employed and on the specific nature of the cost, so it is worth checking before assuming something qualifies.
Medical indemnity cover is generally treated as an allowable professional expense where it is required for your work, whether you are employed or self-employed, although the way relief is given can differ depending on how you are taxed. Because the treatment can vary, and because indemnity arrangements differ between doctors, it is best to review your own policy and circumstances rather than rely on a general assumption.
It depends on the level and regularity of your private income, how your contracts are structured and your wider financial position. A limited company can offer flexibility over how profits are extracted and may be administratively sensible for some doctors, but it brings additional filing, payroll and accountancy obligations and may not suit those with smaller or occasional earnings. Off-payroll working rules can also affect whether a company structure is appropriate for particular engagements. It is a decision best made after reviewing your actual circumstances.
Much of the medical care doctors provide is exempt from VAT, which means many doctors never need to register. However, not all services fall within the exemption. Medico-legal reporting, certain non-medical services and some cosmetic or aesthetic work may be treated differently. If you provide services of that kind, or your turnover from taxable work approaches the registration threshold, you should review your position. Registration obligations depend on turnover and on the nature of the services, so the answer is specific to what you actually do.
Yes. Accounting support can be provided remotely, with documents shared securely and meetings held by phone or video, which suits doctors whose rotas make daytime appointments difficult. If you are moving from another accountant, we can handle much of the process, including requesting professional clearance and obtaining your records from HMRC, and we will confirm what information we need from you. Many doctors find the transition simpler than expected, particularly where bookkeeping is brought up to date as part of the handover.
