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 tax position that is more layered than a standard employed role, and the complications build up quietly over time. These are the areas that most frequently need attention.
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. If you are employed on a straightforward NHS contract with no other income, your tax affairs may be simple. But once you add private medical income, locum shifts, consultancy work, a partnership share or a limited company, the position becomes considerably more involved. An accountant can help ensure the right expenses are claimed, that Self Assessment is accurate, and that your structure still works for how you are actually earning. Many doctors find the reassurance of having the position reviewed properly is worth more than the fee itself.
Your NHS salary is taxed through PAYE, while private medical or locum income is usually reported through Self Assessment. Both are brought together on your tax return, and tax already paid through PAYE is offset against your overall liability. Two things commonly catch doctors out: the interaction between PAYE and your tax code, and payments on account, which can create a larger bill than expected in the early years of self-employment. Getting the figures right at the outset avoids most of the difficulty.
Medical indemnity cover, professional body subscriptions and similar costs are often allowable, but the precise treatment depends on whether the expense relates to employed or self-employed work and whether it meets the relevant rules. For employed doctors, relief is generally available for professional fees and subscriptions on the approved list. For self-employed doctors, the test is whether the cost was incurred wholly and exclusively for the purposes of the trade. We review these costs as part of your return rather than assuming either way.
Locum work can be engaged in several ways — directly with a practice or trust, through an agency, or via your own limited company — and each has different tax and administrative consequences. Sole trader status is common and relatively simple, but a limited company can offer different planning options depending on your income and plans. Where you provide services through a company to a public sector body, the off-payroll working rules may also need to be considered. The right structure depends on your individual circumstances, so it is worth talking it through before committing.
Not automatically. A limited company can bring advantages around profit extraction, pension contributions and retained earnings, but it also means company accounts, Corporation Tax returns, payroll and additional compliance obligations. For doctors with lower levels of private income, sole trader or partnership status is often perfectly adequate. The decision should be based on your income levels, how you intend to draw money from the business, and how much administrative work you are comfortable with.
For self-employed or private practice income, you should keep records of invoices issued, fees received, bank statements, expense receipts, mileage logs and any payroll or pension information. HMRC generally expects self-employment records to be retained for at least five years after the relevant filing deadline, and longer in some circumstances. Keeping these organised through the year, rather than reconstructing them afterwards, makes both your tax return and any enquiry far less stressful.
Both approaches work. Many doctors prefer to handle things remotely because rotas, shift patterns and travel make fixed appointments difficult, and documents can be shared securely online. Others prefer a mix of remote communication and occasional conversations. What matters is that you have a clear point of contact and that your records reach us in a workable format, whether that is digital bookkeeping, scanned documents or something else.
Switching is usually more straightforward than people expect. Once you decide to move, we can contact your existing accountant to request the handover of information, including prior returns, accounts and any relevant working papers. You remain responsible for ensuring your records are complete, but we can guide you through what is needed. If a deadline is approaching, we will tell you honestly what can realistically be done and what cannot.
