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 heavier tax admin load than most people in employment, and small oversights can become costly. These are the areas where we see doctors needing the most support.
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, but many benefit from one. If you are employed solely on PAYE with no other income, your tax is usually handled through the payroll. The picture changes as soon as you have private fees, locum income, medico-legal work, consultancy, rental income, a practice partnership or a limited company. At that point you are dealing with Self Assessment, allowable expenses, payment on account and possibly VAT, and an accountant can help ensure nothing is missed and the figures are correct.
Your NHS salary is taxed through PAYE, and your private or locum income is usually reported through Self Assessment, where the tax already paid through your salary is taken into account. The return combines all your income sources, and the total determines your overall liability and whether payments on account are required. Because everyone's mix of income differs, the treatment of expenses, pension contributions and any company income depends on your individual circumstances.
Commonly claimed items include medical indemnity cover, GMC and royal college or specialist society subscriptions, professional training and continuing development costs, specialist equipment, and business mileage or travel between work locations. Whether a particular cost is allowable depends on the rules and on your circumstances — for example, ordinary commuting is generally not deductible, while travel between separate workplaces may be. We review your spending and advise on what can reasonably be claimed.
Locum work often creates a mix of income types, particularly where you move between agencies, trusts or practices, and it can raise questions about employment status under IR35 rules. If you work through your own limited company, the way you take income — salary, dividends and expenses — needs to be handled correctly. If you work directly and are paid gross, you will normally report that income through Self Assessment and manage payments on account.
There is no single right answer. Sole trader status is simple and works well when private income is modest. Partnerships suit doctors sharing a practice, with profits split according to the agreement. A limited company can be worth considering where private or consultancy income is significant, but it brings additional reporting, payroll and compliance obligations. The right structure depends on your income levels, plans and how you want to draw money from the business.
Yes. Where a practice is VAT registered, we can manage VAT registration, returns and record keeping, and we can run payroll for practice staff as well as for doctors taking a salary from their own company. VAT treatment in healthcare is not always straightforward, so it is worth reviewing your position rather than assuming a particular income stream is exempt or taxable.
Yes. Most of the work involved in accounts, tax returns and bookkeeping can be handled remotely, with documents shared securely and meetings held by phone or video at times that suit your rota. Many doctors prefer this flexibility, and being based in Gainsborough does not limit the support available to you.
Usually we need some identification documents, your Unique Taxpayer Reference, details of your income sources and access to your previous records or accounts. If you already have an accountant, we can contact them directly to request professional clearance and transfer your information, so the changeover is handled for you. From there we agree what support you need and set up a schedule for bookkeeping, accounts and filings.
