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 tax issues that many general accountants rarely encounter. These are some of the areas doctors tend to find most demanding, though the exact impact depends on your income sources, employment arrangements 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.
Any qualified accountant can prepare a tax return, but doctors' affairs often involve a combination of PAYE income, self-employed locum or private fees, partnership profits, pension scheme membership and expenses specific to medical practice. A specialist accountant is more likely to recognise the full range of allowable expenses, understand how NHS and private income sit together, and spot structure or pension questions worth considering. Whether that matters to you depends on how straightforward your circumstances are — a salaried doctor with a single employer may need very little, while a consultant with private practice and several income streams usually benefits considerably.
Locum income is generally treated as self-employed income where you are engaged on that basis, which means registering for Self Assessment, keeping records of fees and expenses, and filing a return each year. You may also need to consider whether your engagements fall within IR35 rules, depending on the client and contract terms. Your expenses — travel between sites, indemnity cover, professional subscriptions, equipment and a proportion of home office costs where appropriate — can often be claimed, but the details depend on your specific arrangements.
Commonly claimed items include medical indemnity and defence union subscriptions, GMC and royal college fees, specialist journals, continuing professional development and training directly related to your current role, professional equipment, and business travel or mileage. What is allowable depends on whether you are employed, self-employed or working through a company, and on whether the cost was incurred wholly and exclusively for your work. Because the rules are specific, it is worth reviewing your expenditure properly rather than assuming a standard list applies.
It depends on your circumstances. A doctor whose only income is taxed through PAYE may have no filing obligation at all. However, if you have untaxed income from private practice, locum work, consultancy, rental income or certain other sources, or if you are a partner in a practice, Self Assessment is usually required. Higher earners with additional income, and those with pension contributions or complex expenses, may also benefit from filing even where it is not strictly mandatory. We can confirm your position based on your actual income sources.
NHS salary and pensionable pay are normally taxed through PAYE, with tax deducted at source. Private practice fees, consultancy income and locum earnings are typically self-employed income reported through Self Assessment, which means you are responsible for calculating and paying the tax due, often through payments on account. Where both exist, the interaction matters: your self-employed profits are added to your employment income, which can affect your overall tax position, and pension annual allowance questions can arise.
GP partners typically need partnership accounts prepared, profit shares allocated correctly, and personal Self Assessment returns that reflect both partnership and any other income. Where the practice employs staff, payroll support is often useful, and VAT may be relevant depending on the practice's activities and turnover. Beyond compliance, partners often want advice on drawings, practice expenses, premises costs and how the partnership structure interacts with personal tax planning.
Incorporation can be worth considering where private income is substantial, but it is not automatically the best option. A limited company brings Corporation Tax, statutory accounts, payroll and confirmation statement obligations, and it may affect how you are treated for pension and IR35 purposes. For some doctors it offers useful flexibility; for others the additional administration outweighs the benefit. The right answer depends on your income level, contract terms and long-term plans, so it is worth reviewing before making the change.
Yes. Much of the accounting process can be handled digitally — sharing documents securely, reviewing accounts and returns, and discussing matters by phone or video call. What matters most is that your accountant understands your income sources and responds when you need them. We work with clients in whichever way suits their schedule, which is often important for doctors juggling rotas, on-call commitments and practice responsibilities.
Changing accountants is usually a straightforward process. We would ask for professional clearance from your existing accountant, obtain your records and prior filings, and review your position before taking over. Any outstanding deadlines are identified early so nothing is missed during the transition. If you are unsure whether your current arrangements are working well, a review can help clarify what would improve.
