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 tend to generate complex financial footprints rather than a single payslip. The challenges below are common considerations for doctors, though how they apply depends on your employment status, income sources and individual circumstances.
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. A doctor whose entire income is taxed through PAYE and who claims nothing beyond the standard allowance may manage without one. However, once you have private fees, locum income, consultancy earnings, partnership profits or a limited company, the reporting requirements become more involved. An accountant can help ensure income from NHS and private sources is reported correctly, legitimate professional expenses are claimed, and deadlines are met, which is often where the real value lies.
Possibly. PAYE only accounts for your employment income from NHS or salaried work. If you also receive private patient fees, locum payments, consultancy income, untaxed savings or rental income, that usually needs to be reported through Self Assessment, even if the PAYE position looks settled. HMRC's own guidance sets out when a return is required, and we can review your income sources to confirm your position.
NHS salary is normally taxed through PAYE before it reaches you, so the tax is already deducted. Private medical fees, by contrast, are usually paid gross and need to be declared through Self Assessment, with tax paid separately. Where you have both, the two need to be brought together correctly on the return, and payments on account may apply because of the untaxed element. Pension growth from NHS service can also be a consideration in its own right.
Both are possible, and the right answer depends on your income levels, how you secure work, and who engages you. Where an NHS body or agency engages you, off-payroll working rules may influence whether working through your own company is appropriate. Limited company status brings additional obligations such as annual accounts, Corporation Tax returns and payroll, while sole trader status is simpler but offers less flexibility on how profits are drawn. We can talk through the practical implications for your situation.
Common claims include medical indemnity insurance, professional body and GMC subscriptions, mandatory training and continuing professional development, specialist equipment used for work, and business mileage or travel between sites. The underlying test is whether a cost is incurred wholly and exclusively for your professional work, so personal expenses cannot be claimed and apportionment may be needed where something has mixed use. Keeping receipts and a clear record throughout the year makes this far easier at filing time.
Most healthcare provided by registered health professionals is exempt from VAT, which means you generally do not charge VAT on standard clinical services. However, some activities sit outside that exemption, and if you also provide non-clinical services, mixed income can complicate the position. Registration is only compulsory once taxable turnover crosses the relevant threshold, so it is worth reviewing your specific activities rather than assuming either way.
Yes. Much of the information involved in accounting and tax work can be shared securely online, and many doctors find remote arrangements easier to fit around clinical commitments. We can agree a way of working that suits your schedule, whether that involves exchanging records digitally, holding meetings at times that work around rotas, or a combination of both.
Switching is usually more straightforward than people expect. We would ask for authorisation to act on your behalf, contact your existing accountant for the relevant records and professional clearance, and review your position before your next filing deadline. If returns or accounts are outstanding, we will establish where things stand and set out a clear plan to bring everything up to date.
