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 tend to accumulate financial complexity over a career rather than starting with it. A few common themes come up time and again, though the detail always depends on your individual circumstances.
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 salaried doctor with a single PAYE income and no additional income may have limited accounting needs, although checking your position is still worthwhile. Once you have untaxed income — private fees, locum work, consultancy earnings, rental income or investment income above the reporting thresholds — Self Assessment becomes necessary, and the return is usually more involved than a standard one. An accountant can help ensure the figures are correct, the right expenses are claimed and the deadlines are met, and can identify planning points that are easy to miss when you are preparing a return yourself.
Yes. This is one of the most common situations for doctors, particularly consultants and those who take on private practice alongside NHS employment. The two income streams often arrive on different timescales and through different reporting systems, so part of the work involves making sure everything has been captured before the return is prepared. We also consider which expenses relate to which income stream, since the rules for employed and self-employed income are not identical, and how any tax already paid through PAYE interacts with the liability on the self-employed element.
Locum doctors are typically self-employed for the locum work they undertake, which means expenses must be incurred wholly and exclusively for that work. Common examples include professional indemnity insurance, professional body and registration subscriptions, training and professional development relevant to the work, and travel between assignments or sites. Ordinary commuting to a regular place of work is generally not allowable, which is why clear mileage and travel records matter. Equipment and other costs may also qualify depending on how they are used. Because the detail affects the outcome, we usually review expenses against your specific working pattern rather than applying a generic list.
Medical indemnity insurance and professional subscriptions are among the expenses doctors most frequently ask about. Whether they are claimable, and how, depends on whether the cost relates to employed or self-employed work, and on your particular arrangements. Where a cost is allowable, it can reduce your taxable profit or, in some employment situations, be claimed through the relevant tax relief route. We look at each expense in context rather than assuming a single answer applies to every doctor.
VAT registration is compulsory once taxable turnover exceeds the current registration threshold, and voluntary registration is possible below it. For doctors, the position is rarely straightforward — some medical services may be exempt, while others may not be, and mixed private practice income can make the calculation less obvious than total turnover alone suggests. If VAT applies, there are also record-keeping and reporting obligations to manage. It is worth reviewing your position before you approach the threshold rather than after.
There is no universally correct answer, and the right structure depends on your income levels, how many engagements you take on, how you want to be paid, and your wider plans. Working as a sole trader is simpler administratively, while a limited company introduces company accounts, Corporation Tax and payroll obligations but may suit certain working arrangements better. Doctors in partnerships have a different set of considerations again, including profit-sharing and joint liability. We can talk through the practical implications of each option so you can make a decision based on your own circumstances.
Yes. Much of the information we need — income records, expense documentation, bank statements and correspondence — can be shared electronically, and many of our processes are designed to work without an in-person visit. That said, some doctors prefer a face-to-face conversation at key points, particularly when discussing business structure or longer-term planning, and we are happy to arrange that where it is practical for you. What matters most is that you have a clear route to raise questions and get a proper answer.
The process is usually more straightforward than people expect. We begin with a conversation about your current arrangements, who currently handles your affairs if anyone, and what is coming up in terms of deadlines and filings. We can then contact your existing accountant directly for the relevant records, which removes the awkwardness of that conversation for you. Once we have the information, we review your position, confirm what support you need and take things forward from there. If you are partway through a tax year or have an upcoming filing date, it is worth starting the conversation sooner rather than later.
