Specialist Accountants for GPs, Consultants & Locum Doctors
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 administrative load than their tax affairs alone would suggest, and several recurring issues tend to arise. The points below are common considerations rather than universal rules, since the right treatment depends on your contract, income sources and personal 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.
Not every doctor does. If all your income is taxed through PAYE, your tax affairs may be simple enough to manage without professional help. However, once you take on private work, locum shifts, consultancy income, medicolegal work, a partnership share or a limited company, the picture becomes more involved. At that point an accountant can help you report income accurately, claim the expenses you are entitled to, and avoid the penalties and interest that can follow an incorrect or late return. Doctors with more complex arrangements often find the reassurance and time saved are worthwhile.
It depends on where your income comes from. If you are employed and all your pay is taxed through PAYE with no other income, you may not need to file. If you receive private fees, locum payments, consultancy income, untaxed savings or rental income, or if HMRC has asked you to submit a return, you will usually need to file one. Doctors who hold a company directorship, sit on a partnership, or have income that is not taxed at source should generally expect to complete a return each year.
NHS employment income is normally taxed through PAYE, with tax deducted from your salary and reported through your payslips. Private fees, locum earnings and consultancy income are usually paid gross, meaning tax is not deducted at source, so they generally need to be reported and taxed through Self Assessment. Because both types of income can affect your overall tax position, and because expenses and pension contributions may apply differently, it is worth having the figures reviewed together rather than in isolation.
In many cases, yes. Medical indemnity or defence union cover, GMC registration fees and subscriptions to relevant professional bodies such as royal colleges are commonly claimed, provided they relate to your professional work. Employees can generally claim these where they are required for the job, and self-employed doctors may treat them as business expenses. The exact treatment depends on your employment status and the nature of the payment, so it is worth checking before submitting your return.
Locum work usually generates self-employed income, which means you will typically need to register with HMRC, keep records of every placement and payment, and retain receipts for related costs. Common claims include travel and mileage between placements, medical indemnity, professional subscriptions, equipment and training. Keeping a running record of shifts, income and expenses throughout the year makes your return far easier to prepare and reduces the risk of understating or overstating your profits.
There is no single answer that suits everyone. Working through a limited company can be appropriate for some private practitioners, consultants and medicolegal practitioners, but it brings additional obligations such as statutory accounts, Corporation Tax returns, and company payroll and dividend considerations. It also may not be suitable where IR35 rules or NHS pension implications apply. Whether a limited company is beneficial depends on your income level, contract terms and long-term plans, so structure should be reviewed against your own circumstances rather than copied from someone else.
Yes, where those obligations apply. VAT treatment depends on the specific services you provide and how your practice is organised, so it is important to establish whether registration is required before anything is set up. If you employ reception staff, administrators or other team members, we can run payroll, handle PAYE reporting and prepare the associated filings. For doctors operating in partnerships or limited companies, these services can be combined with annual accounts and tax returns.
Yes. Many doctors prefer to handle their accounting remotely, sharing documents securely and communicating by email, phone or video at times that fit around clinical commitments. If you are moving from another accountant, the process is usually straightforward: we carry out an initial review of your circumstances, contact your existing accountant for the relevant records with your authorisation, and confirm the necessary HMRC permissions. Once everything is in place, we agree how and when information will be shared, so the transition does not disrupt your filing deadlines.
