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 rarely have a single, simple income stream, and that is usually where the difficulty begins. A few common issues tend to come up again and again.
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, but the more varied your income becomes, the stronger the case for professional support. A salaried doctor with no other income may find PAYE handles most of their tax, though pension contributions and benefits can still affect their position. Once private fees, locum work, consultancy income, practice profits or a limited company are involved, the reporting becomes considerably more involved and errors are easier to make. An accountant can bring the figures together accurately, identify expenses you may not have claimed and keep you ahead of filing obligations.
Your NHS pay is normally taxed through PAYE, while private fees, locum income and consultancy earnings are typically reported through Self Assessment. You declare all sources together, and any tax already paid through PAYE is offset against the total liability. The practical challenge is making sure everything is captured and that the figures reconcile with your payslips and records. Pension contributions, professional expenses and any payments on account can all influence the final amount, so it is worth having the calculation reviewed rather than estimated.
Common claims include medical indemnity cover, professional body subscriptions, required training and continuing professional development, specialist equipment and uniform, and travel to temporary or temporary-workplace locations. What is allowable depends on your employment status and the purpose of the expense — employed doctors face stricter rules than the self-employed, and ordinary commuting costs are generally not claimable. Because the detail matters, it is best to review your specific costs rather than rely on general guidance.
Locum doctors are usually treated as self-employed for the shifts they take on, which means registering with HMRC where appropriate, keeping records of income and expenses, and reporting profits through Self Assessment. Some locums are engaged through agencies and paid under PAYE instead, which changes the position. If locum work forms a significant part of your income, it may also be worth considering whether operating through a limited company suits your circumstances, though that decision depends on your overall earnings and arrangements.
It depends on the level and regularity of your private income, how you are engaged, and your wider tax position. A limited company can suit doctors with substantial private practice, consultancy or medico-legal income, and it separates business finances from personal ones. It also brings additional obligations, including annual accounts, Corporation Tax returns, payroll for any salary you draw and potential VAT registration. For lower or irregular private earnings, a sole trader or partnership arrangement is often more proportionate. We can talk through the trade-offs for your situation.
Yes. Partnership work involves allocating profits between partners, preparing partnership tax returns and supporting the individual returns of each partner, along with drawings, capital accounts and reporting requirements. Where partners work different numbers of sessions or hold unequal profit shares, the calculations need to reflect the agreement precisely. We can also review the wider financial reporting of the practice so partners have a clear picture of its position.
VAT registration depends on your taxable turnover rather than your profession. Some medical services are exempt from VAT, while others — including certain cosmetic, medico-legal or advisory services — may be standard-rated, and mixed income requires careful analysis. Registration also affects your invoicing and record keeping. If you are close to the registration threshold or unsure how your services are classified, it is worth reviewing before you register or assume you do not need to.
The first step is a conversation about how you work, what income you receive and what currently needs filing. We can then review your records, identify any gaps and agree the support that makes sense for you. Much of the process can be handled remotely using secure document sharing, which suits doctors with busy clinical schedules, and arrangements can be discussed when we speak. If you are moving from another accountant, we can liaise on the handover and confirm what information is needed to take over smoothly.
