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 level of financial complexity that standard accounting templates rarely capture. The points below are common considerations for doctors, although how much they affect you will depend on your employment status, income sources and business structure.
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.
There is no legal requirement for every doctor to use an accountant, but the more complex your affairs become, the more valuable specialist support tends to be. A doctor with a single salaried NHS post and no other income may have little to do beyond checking their tax code, whereas locum work, private fees, consultancy income, a partnership or a limited company all bring filing obligations and questions about allowable expenses. An accountant can prepare and check your return, make sure reliefs and expenses are claimed correctly, and help you plan for payments on account rather than being caught out by them. Whether it makes sense for you depends on your personal circumstances.
If you receive an NHS salary through PAYE and also earn private or locum income, you will usually need to complete a Self Assessment tax return. Your employed income is reported alongside your self-employed profits, and any tax already deducted through PAYE is credited against the total liability. The calculation can be affected by expenses, pension contributions, and whether your private work is treated as self-employment or as additional employment. Because the two income streams interact, it is worth reviewing your position well before the return is due rather than after it has been filed.
Medical indemnity cover, GMC registration and royal college or specialist society subscriptions are commonly claimed by doctors where they are required for the work you do. Training and CPD costs can also be allowable in certain circumstances, particularly where the training maintains or updates skills you already use in your current role, while the cost of gaining an entirely new qualification is usually treated differently. As with any expense, the test is whether it was incurred wholly and exclusively for the purposes of your work, and the treatment can vary depending on whether you are employed or self-employed.
Locum work often means several engagements across the year, sometimes through agencies and sometimes arranged directly with practices or trusts. Your accountant will need to know about all of it — the income received, any expenses you paid personally, travel and mileage between sites, and whether each engagement was employment or self-employment. Keeping a clear record of shifts, invoices and payments makes it far easier to produce accurate figures and to demonstrate your position if HMRC ever raises questions.
A limited company can suit some doctors, particularly those with substantial private practice, consultancy or medico-legal income, because profits are taxed differently and there may be scope for planning how you take money out of the business. It also brings additional obligations, including company accounts, Corporation Tax returns, payroll and potentially VAT. Whether incorporation is worthwhile depends on your levels of income, your NHS position, pension considerations and your longer-term plans — it is not automatically the right answer, and the numbers should be reviewed before any change is made.
Many private medical services are exempt from VAT, so a doctor providing consultations or treatment to patients may not need to register even with significant private income. However, not everything a doctor does falls within that exemption — some services, including certain reports and non-medical work, can be standard-rated. If you also run a clinic offering services outside the medical exemption, VAT registration thresholds and record keeping become relevant. The position is fact-specific, so it should be checked against what you actually provide.
You should keep records of all professional income, including NHS payslips and P60s, private invoices, locum payments and any consultancy or medico-legal fees. On the expense side, retain receipts and documentation for indemnity cover, subscriptions, equipment, training, professional travel and mileage. A simple, consistent system — whether that is accounting software, a spreadsheet or a bookkeeping service — makes the annual return far less stressful and helps you respond quickly if anything needs to be checked. Retaining records for the required period is also part of keeping your tax affairs in order.
Changing accountants is usually a straightforward process. Your new accountant will normally write to your existing one to request professional clearance and the information needed to take over, and you will be asked for details of your income sources, previous returns and any ongoing compliance. Much of the work can be handled remotely using secure document sharing and email, which many doctors find easier to fit around clinical commitments, though you may prefer to meet in person if your affairs are more complex. The important thing is that the handover is organised and that nothing is missed between filing deadlines.
