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 produce a simple tax position. Doctors commonly deal with several income sources, tight clinical schedules and a tax system that does not always explain itself well. These are the areas that most often cause difficulty.
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.
Many doctors can prepare a return themselves, particularly where the only income is a single NHS salary taxed through PAYE. The picture changes once you add locum work, private fees, consultancy income, partnership profits, company dividends or significant pension contributions. At that point the risk shifts from the mechanics of filing to whether income has been reported correctly and whether every legitimate expense — medical indemnity, professional subscriptions, equipment, training, travel — has been claimed. An accountant is essentially there to make sure nothing is missed in either direction.
Locum income is usually treated as self-employment, which means registering with HMRC where appropriate, keeping records of every shift and payment received, and reporting profits on a Self Assessment tax return. Expenses directly connected to the work — travel between sites, professional indemnity cover, subscriptions, and certain equipment or training costs — may be claimable, provided the rules are met. Because locum pay is irregular and often paid gross, setting money aside through the year tends to be far less painful than dealing with a large bill in January.
Medical indemnity and professional defence cover are commonly claimed where they are required for your work, and subscriptions to professional bodies such as the GMC and relevant royal colleges are usually allowable where they relate to your profession. The position is not automatic for every payment, though. Where an employer reimburses a cost, or where a subscription covers a broader personal element, the treatment can differ. It is worth having these reviewed rather than assuming.
Your NHS income is normally taxed through PAYE, while private practice, consultancy and locum income is generally reported through Self Assessment. The two are not separate systems for tax purposes — they combine to determine your overall liability, so PAYE may not cover everything owed. That is why it matters to track private income carefully, keep records of associated expenses, and check whether payments on account are appropriate. If private work grows, it may also be worth reviewing whether operating through a limited company suits your circumstances.
VAT depends on the nature of your work and your turnover, not on your profession. Some medical services are exempt, while others — including certain consultancy, medico-legal and non-medical services — may be standard rated. Registration becomes relevant once taxable turnover crosses the threshold, and the way different services are treated can be complex. If you provide a mix of exempt and taxable services, it is worth reviewing the position before making assumptions.
There is no universal answer. Salaried doctors with modest private income often find sole trader reporting straightforward. GPs working together commonly operate through a partnership, which brings its own accounting and profit allocation considerations. Doctors with substantial private or consultancy income sometimes find a limited company offers useful flexibility around profit extraction and pension planning, though it also brings filing obligations, payroll and Corporation Tax responsibilities. The right structure depends on your income level, contract terms, pension position and long-term plans.
Yes. Most accounting work can be handled remotely — sharing records securely, preparing returns, discussing your position by phone or video, and dealing with HMRC on your behalf. What matters most is that you can reach someone who understands your circumstances and responds clearly when you have a question. The practical logistics are usually straightforward to arrange around your working pattern.
Changing accountants is normally simpler than doctors expect. Once you decide to move, we would contact your existing accountant for the records and information needed, including any professional clearance requirements, and take over responsibility for future filings. It helps to have your most recent tax return, accounts, and details of your income sources to hand, but we can guide you through what is required at each stage.
