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 PAYE alone does not capture. The challenges below are common considerations rather than issues every doctor will face, and how they apply depends on your employment status, income sources and business structure.
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 whose entire income is taxed through PAYE and who has no other earnings may not need much support. But if you take on locum shifts, private clinics, medicolegal work, consultancy or teaching, you will usually need to file a Self Assessment return, and the position becomes more involved. Doctors who are partners in a practice, run a limited company, or have several income streams typically benefit most from professional support, both to stay compliant and to make sure allowable expenses and planning opportunities are not overlooked.
Not always, but often. If your only income is taxed through PAYE and there is nothing unusual to report, a return may not be required. However, if you have private income, locum earnings, untaxed income, significant dividend or rental income, or HMRC has issued you a notice to file, a return will normally be needed. It is worth checking your position, because penalties for late or missing returns apply even where no tax turns out to be due.
NHS salary is typically taxed through PAYE, with tax deducted at source. Private medical fees, locum income and much of the medicolegal or consultancy work doctors take on is usually treated as self-employed income, which is reported through Self Assessment and taxed after allowable expenses are deducted. The interaction between the two matters, because total income across all sources determines the rate at which the self-employed profit is taxed.
Commonly claimed costs include medical indemnity and professional indemnity insurance, GMC and royal college or specialist society subscriptions, mandatory training and relevant continuing professional development, specialist equipment and some professional travel or mileage. The rules require expenses to be incurred wholly and exclusively for the purposes of the work and, in the case of employment income, generally to be reimbursed or necessarily incurred. Because the detail matters, it is worth reviewing your specific costs rather than assuming a blanket claim.
There is no universal answer, and the right structure depends on your income levels, how many income streams you have, the level of risk you carry and your longer-term plans. Sole trader treatment is straightforward, partnerships suit doctors sharing practice profits, and a limited company can offer different tax and flexibility characteristics in some situations — though it brings additional reporting and payroll obligations. This is an area where the numbers should be worked through properly before deciding.
Yes. Locum work and consultancy fees are common sources of self-employed income for doctors and need to be reported correctly, with the associated expenses recorded and the profit taxed alongside any other income. Where locum work is substantial or irregular, the payment on account system can also affect cash flow, so planning around those payments is often worthwhile.
Sometimes. VAT registration depends on taxable turnover across your business activities rather than on your profession, so it becomes relevant where private work, additional services or related business income crosses the registration threshold. Where registration applies, it brings VAT returns, record keeping and possibly input VAT recovery to consider. Whether it applies to you depends on your specific activities and figures.
Yes. Accounting support does not require you to be in the same place as your accountant, and much of the process — sharing records, reviewing figures, discussing returns — can be handled remotely. What matters is that you have a reliable way to exchange documents and that your accountant understands your income sources and professional circumstances. If you are a doctor working in or around Garforth, or you are considering a change of accountant, the initial conversation is straightforward.
