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 gradually — a few locum shifts here, a private clinic there, a partnership profit share, some teaching income — until the paperwork becomes difficult to manage alone. A few issues come up regularly.
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 with a single salaried role and no other income may manage adequately without one, although Self Assessment can still apply where there is private income, locum work, high-income child benefit considerations or untaxed savings and investment income. Where you have multiple income sources, run a private practice, work as a partner or use a limited company, an accountant can help ensure everything is reported accurately, deadlines are met and allowable expenses are properly considered. The value usually lies in accuracy and peace of mind rather than in any single saving.
NHS salary is normally taxed through PAYE, so tax is deducted as you are paid. Private medical fees, locum payments made gross, consultancy income and medico-legal earnings are generally not taxed at source, meaning they need to be declared through Self Assessment and tax paid separately. Because the two interact, your overall position can be affected — and if you have not set money aside for the tax due on private income, the bill can come as a surprise.
Common areas include medical indemnity insurance, GMC and specialist register fees, professional body subscriptions, mandatory training and continuing professional development tied to your current role, professional reference materials and, in some cases, equipment used for work. Travel between separate work locations can also be relevant, though ordinary commuting is treated differently. What you can actually claim depends on your employment status, whether the cost was incurred wholly and exclusively for work purposes and whether your employer has already reimbursed it, so it is worth reviewing individually.
Often, yes. Locum doctors may be engaged through agencies, paid directly by trusts or practices, or engaged on a self-employed basis, and the tax treatment follows from how the engagement is structured rather than from the title of locum. Some arrangements involve PAYE deductions, others do not, and where you are genuinely self-employed you will need to record income and expenses and report profits through Self Assessment. Working through several agencies at once makes accurate record keeping especially important.
It can be worth considering, but it is not automatically beneficial. Incorporation can suit doctors with substantial private income or those building a practice with retained profits, and it introduces separate accounting, filing and Corporation Tax obligations. For doctors with modest private income alongside NHS employment, the additional administration may outweigh the advantages. The decision should be based on your income levels, plans and personal circumstances rather than a general rule.
VAT registration depends on your turnover and the nature of your services. Much medical care provided by registered health professionals is exempt from VAT, but not every activity a doctor undertakes falls into that category — some consultancy, medico-legal, training or advisory work may be treated differently. If you also sell goods or provide non-exempt services, the position can change. We look at what you actually do before advising on registration and reporting.
Yes. In practice, that is exactly where doctors most often need support. A single Self Assessment return may need to reflect NHS employment income, private fees, locum earnings, consultancy income, partnership profits and any investment or rental income. Getting each element categorised correctly, with the right expenses allocated against the right income stream, is central to filing an accurate return.
We start with a conversation about your current arrangements, your income sources and how your records are kept. From there we can contact your existing accountant for the relevant information and records, review what has been filed previously and confirm what needs to happen next. For most doctors the switch is straightforward, and you do not need to wait for a particular point in the tax year to begin.
