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 generate a distinctive set of accounting and tax issues, and most of them stem from the same root cause: income and expenses that do not fit neatly into a single tax box. These are the areas we see doctors thinking about most often.
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 manage perfectly well without one while their income is purely salaried and taxed through PAYE. The picture usually changes once you take on private work, locum shifts, consultancy fees or partnership profits, because those earnings are not taxed at source and need to be reported through Self Assessment. An accountant can help make sure the return is accurate, that allowable professional expenses such as medical indemnity and professional subscriptions are properly claimed, and that any tax liabilities are anticipated rather than discovered at short notice. Whether you need ongoing support or a one-off review depends on how complicated your income has become.
Yes. This combination is one of the most common reasons doctors seek accounting support. Your NHS salary is taxed through PAYE, while private fees, consultation income or medico-legal earnings usually need to be declared separately, and the two interact when your overall tax position and payments on account are calculated. We can pull the figures together, check that your private income is recorded correctly, review the expenses that relate to it, and help you plan for the tax that will fall due.
They often are, but the treatment depends on your circumstances. Medical indemnity cover and professional body subscriptions are typically considered allowable where they are incurred wholly and exclusively for your professional work, and the position can differ between employed and self-employed doctors. Rather than assuming, we review each cost against how you earn your income and confirm what can be claimed before the return is submitted.
Locum work is usually treated as self-employment, which means registering with HMRC, keeping records of fees and expenses, and reporting profits through Self Assessment. Because there is no employer deducting tax, you are responsible for setting money aside for the eventual bill. Mileage between assignments, equipment, training and professional insurance may be relevant expenses. It is also worth considering whether a limited company structure suits your working pattern, particularly if you work through agencies or across several engagements.
Most medical services are exempt from VAT, but exemption is not the same as being outside the system, and there are situations where registration or voluntary registration may still be relevant, for example where you supply certain goods or non-medical services. The answer depends on your turnover, the nature of what you provide and how the practice is structured. We can review your activities and advise on whether registration is required or beneficial.
Yes. Partnership accounting involves preparing practice accounts, allocating profits between partners in line with the partnership agreement, and filing the partnership tax return alongside each partner's individual return. It helps when the accounts are produced on a consistent basis and the profit share is clearly agreed, because that is what each partner's tax position is built on. We can also support practice bookkeeping and payroll for staff where that is needed.
There is no single answer, because it depends on your income level, how you take money out of the business, your pension arrangements and your long-term plans. A limited company can offer different tax treatment and flexibility in some situations, but it also brings additional compliance obligations such as annual accounts, Corporation Tax, payroll and confirmation statements. We look at your specific circumstances and explain the practical implications of each option before you commit to a structure.
Yes. Many doctors prefer to handle things remotely around clinical commitments, and there is no requirement to be nearby for accounting work to run smoothly. Sharing records securely and communicating by email, phone or video call works well. If you are moving from another accountant, we can manage the handover, obtain the information needed and confirm the position with HMRC so the transition does not disrupt your filing obligations.
