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 straight line, and the tax and accounting consequences can catch doctors out. These are some of the areas where specialist support often makes the biggest difference.
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. If you have a single salaried NHS post, straightforward tax affairs and no additional income, your position may be simple enough to manage yourself. However, once you take on private work, locum shifts, consultancy income, partnership profit or a limited company, the position becomes noticeably more involved. Even where an accountant is not strictly necessary, professional support can help ensure expenses are claimed correctly, payments on account are set at sensible levels and deadlines are met without last-minute pressure.
It depends on your circumstances. Salaried doctors taxed entirely through PAYE may not need to file a return, although HMRC sometimes issues one anyway and it still has to be completed. Doctors with private practice income, locum earnings, consultancy fees, rental income, untaxed savings or income above certain levels are generally required to file. The rules are not identical for everyone, so it is worth checking your specific position rather than assuming.
Locum work is often treated as self-employed income, which means registering with HMRC, keeping records of fees received and expenses incurred, and reporting profits through Self Assessment. However, some locum engagements are structured as employment, which changes how tax and National Insurance are handled. The contract and working arrangements usually determine the correct treatment, which is why we review the detail before advising.
Commonly claimed costs include medical indemnity insurance, professional body and registration subscriptions, specialist equipment and uniforms, and training or professional development that maintains your existing role rather than training you for a new one. Travel and mileage for genuine business journeys may also qualify. Relief is not automatic, and the rules around what counts as wholly and exclusively for work purposes can be subtle, so keeping receipts and clear records matters.
Yes. Combining NHS salary, private medical fees, locum payments and consultancy income in one return is routine, but each element needs to be recorded accurately because the sources are treated differently. We reconcile PAYE income against your private and self-employed earnings to reduce the risk of overpayments or unexpected liabilities appearing later.
It depends on the type of work you do, your level of profit, your pension arrangements and how you want to draw income. Limited company structures are more commonly considered for private practice and consultancy income than for direct NHS employment. Corporation Tax, payroll, dividend planning and additional reporting obligations all come into the decision, and the right answer varies considerably from one doctor to the next.
Yes. Many doctors prefer to handle their accounting digitally, sharing documents securely and communicating by email, phone or online meeting at times that fit around clinical commitments. Remote arrangements work well provided records are shared promptly and there is a clear understanding of deadlines. If you would rather meet in person, that can be arranged through our usual appointment process.
Changing accountants is usually less disruptive than doctors expect. We contact your existing accountant to request professional clearance and the relevant records, confirm the position on your tax and filing history, and check that nothing is outstanding with HMRC. Once the handover is complete, we take responsibility for your filings going forward. Timing the change outside a busy filing period often makes the transition smoother.
