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 financial affairs that are more layered than a straightforward employed role. The challenges below come up regularly, though the impact of each depends on your employment status, income sources and how your work is structured.
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 PAYE with no other income may have relatively simple tax affairs, although a Self Assessment return can still be required in some cases. Where things become more involved, such as locum shifts, private practice income, consultancy fees, a partnership or a limited company, an accountant can help ensure income is reported correctly, expenses are treated properly and deadlines are met. Many doctors also value the reassurance of having their position reviewed rather than assumed.
NHS salary is usually taxed through PAYE, while private medical fees, locum income and consultancy payments are often reported through Self Assessment. Practising through a limited company changes the position again, because the company is taxed differently from the individual. Because the treatment depends on how the income arises and what structure you use, it is important to look at the whole picture rather than each stream in isolation.
Potentially claimable items include medical indemnity cover, professional subscriptions, training and professional development that maintains or updates your existing skills, specialist equipment, and travel or mileage for work-related journeys. There are conditions attached to each, particularly around training that qualifies as new skills rather than updating existing ones, so claims need to be supported by records. Allowable expenses can also differ depending on whether you are employed or self-employed.
Locum doctors frequently have several income sources across the year, sometimes including agency payments, direct bookings and occasional private work. Keeping invoices, timesheets and expense records organised makes the Self Assessment far easier and reduces the risk of missed income. It is also worth checking how each engagement is classified, because employment status affects what you can claim and how the income is reported.
There is no single answer, because the right structure depends on your income level, how the work is arranged, whether you have partners and what you want to achieve. A limited company can suit some private practitioners and consultants, while others are better served as a sole trader or within a partnership. What matters is understanding the tax, filing and administrative implications before committing, and reviewing the decision as your work develops.
VAT registration depends on your taxable turnover and the nature of your services, so it is not automatic for every private practitioner. Some medical services are exempt, while others are not, and the position can change as your practice grows. If you are approaching or crossing a registration threshold, it is worth reviewing the position before HMRC requires you to act.
We can help you understand how your pension contributions interact with your taxable income and where particular issues may arise, and we build that into your broader tax planning. Detailed pension projections and scheme-specific queries often need a pensions specialist, and we will tell you clearly when that is the case so you get the right advice.
Yes. Much of the process can be handled remotely, with documents shared securely and conversations arranged around your rota. If you already have an accountant, switching is usually straightforward, as we can contact your existing firm for the relevant records and take over the filings from an agreed point. It helps to time the change so any upcoming deadlines are covered.
