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 deal with a level of financial complexity that many standard tax returns do not capture. The challenges below are common considerations, though the impact on you will depend on your contracts, income sources and how your work is structured.
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 is usually handled through PAYE and an accountant may not be necessary. However, many doctors have at least one complication: locum shifts, private fees, partnership profits, consultancy work, rental income or pension matters. Where any of these apply, a Self Assessment return is often required, and professional support can help ensure income is reported correctly and that legitimate expenses such as medical indemnity and professional subscriptions are not overlooked.
In many cases, yes. Tax on NHS employment is normally collected through PAYE, but private medical income, locum earnings and other untaxed sources usually need to be reported separately. Whether a return is required depends on the nature and level of that additional income. Once a return is required, all relevant income sources generally need to be included, so it is important to gather details from both your NHS employment and private work.
There is no single list that applies to everyone, because what is allowable depends on whether the cost is incurred wholly and exclusively for the purposes of your work or practice. Common areas doctors ask about include medical indemnity insurance, GMC and royal college subscriptions, mandatory training and continuing professional development, professional publications, specialist equipment, and business travel or mileage. Some costs are straightforward; others need careful consideration, and the treatment can differ between employment and self-employment. Accurate records make it far easier to support a claim.
Locum doctors are often treated as self-employed for the work they carry out through agencies or directly with practices and trusts, although the correct position depends on the actual terms of engagement. That means keeping records of income and expenses, potentially registering for Self Assessment, and understanding how payments on account may work. Locums frequently combine this work with employed roles, so the interaction between the two needs to be reported correctly.
Incorporation can suit some doctors with substantial private income, but it is not automatically the right choice. It brings additional obligations such as statutory accounts, Corporation Tax returns and confirmation statements, along with payroll and dividend considerations if you take money out of the company. The tax outcome depends on your profit levels, other income, pension position and personal circumstances. It is worth reviewing the numbers and the practical implications before deciding.
Yes. Many medical services are exempt from VAT, but the position is not identical for every type of work, and non-medical elements such as some cosmetic or advisory services can be treated differently. Where VAT registration applies, we can help with registration, returns and record keeping. Because the rules depend on the exact nature of the services provided, it is best to review your specific activities rather than assume a general position.
We support doctors using secure digital communication, which suits those juggling clinics, on-call rotas and shift patterns. Documents can be shared electronically and meetings arranged at times that work around your commitments. If you prefer to discuss matters in person or by phone, that can be arranged as part of the ongoing relationship.
Changing accountants is usually straightforward. We can contact your existing adviser to request professional clearance and the information needed to take over your affairs, and we will let you know what records and details are required. Once everything is in place, we review your position, confirm what needs to be filed and when, and set up a schedule for ongoing support. If you are mid-way through a tax year or approaching a filing deadline, we will plan the handover so nothing is missed.
