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 rarely follow a simple financial pattern, and that is where most accounting difficulties arise. Some of the issues we see doctors working through include the following.
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 single salary with no additional income, your tax may already be handled through PAYE and you might have little need for support beyond occasional advice. However, many doctors do benefit from accounting help once their position becomes more complex, for example if they take on locum shifts, private consultations, medicolegal work, a partnership role or a company directorship. Even where a Self Assessment return is not strictly required, a review can be useful to confirm you are claiming the professional expenses you are entitled to.
Common triggers include receiving income that has not been fully taxed at source, such as private practice fees, locum income paid gross, consultancy earnings or rental income, as well as higher earnings that mean you need to pay additional tax or the High Income Child Benefit Charge. Changes in your working arrangements partway through the year can also bring you into the system. Because the rules depend on your total income and how it is paid, it is worth checking your position rather than assuming your payslip has settled everything.
NHS employment income normally reaches HMRC through PAYE, while private fees and consultancy earnings usually need to be reported through Self Assessment, often with records kept separately for each stream. The two can interact, because private income is taxed on top of your salary and can push you into a higher band, and it can also affect your payments on account for the following year. We map out each income source clearly so you can see what is being taxed where and plan for the liability rather than being surprised by it.
In many cases these costs are claimable when they are incurred wholly and exclusively for the purposes of your professional work. Medical indemnity and defence union subscriptions, GMC registration and specialist register fees, and memberships of relevant professional bodies are commonly claimed, although the position is not identical for every doctor. Where you are employed, relief is usually given through Self Assessment rather than your tax code, and where you are self-employed the treatment follows business expense rules. We look at your specific costs and identify what can legitimately be claimed.
Locum income is usually paid without tax deducted, which means the responsibility for reporting it sits with you. Records of each booking, along with invoices or agency statements, form the foundation. Alongside those, keep evidence of travel and mileage between sites, any equipment or clothing you buy for work, professional fees and training costs, and details of any expenses you incur while working away from your normal base. Accurate records make the tax return far simpler and reduce the risk of queries. If your locum work becomes substantial, it is also worth reviewing whether a limited company structure would suit you.
There is no universal answer. A limited company can be appropriate for some doctors with substantial private, locum or consultancy income, depending on how contracts are arranged and the IR35 or off-payroll rules that apply to your engagements. It introduces additional obligations such as annual accounts, Corporation Tax returns, payroll and potential dividend paperwork. For others, sole trader status is simpler and just as tax efficient. The right choice depends on your income levels, your clients and how you want to operate, so it is worth reviewing properly rather than following what colleagues happen to do.
Most doctors build pension entitlement through the NHS Pension Scheme, and the annual allowance and lifetime allowance considerations can create tax charges in certain situations, particularly where income is high or has grown quickly. Private pension contributions may also be relevant, and the tax relief available depends on your earnings and the annual limits that apply. Because these rules change and depend heavily on your individual figures, pension questions are best looked at as part of a wider review of your income rather than in isolation.
Many doctors prefer to handle their accounts remotely, sharing documents securely and communicating by email, phone or video, which works well alongside clinical rotas. If you are already working with another accountant, switching is usually a straightforward process: we confirm the position, request professional clearance, obtain your records and take over the filings that are due. If you have never used an accountant before, we start from your current circumstances and build the records from there.
