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 often carry a set of tax and accounting pressures that a generalist accountant may not immediately recognise. These are some of the areas where specialist support tends to make 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.
Some doctors with simple affairs complete their own returns successfully, and that can work well where income is straightforward. The picture becomes more complicated once you have any mix of NHS salary, private fees, locum income, consultancy work, partnership profit or company income. At that point the questions shift from simply entering figures to deciding which expenses are allowable, how income should be recognised, whether payments on account apply and whether your current structure is still the right one. An accountant who works with doctors regularly can help reduce the risk of errors, missed reliefs and unexpected liabilities, and can take the administrative burden off your plate.
Yes, and this is one of the most common situations we see. NHS pay is typically taxed through PAYE, while private practice fees, medico-legal income and consultancy earnings usually need to be reported through Self Assessment. The two streams also interact in other ways, which is why your total income matters. What we do is bring the sources together properly, keep separate records for each, make sure the right expenses are attributed to the right stream, and check whether additional payments on account may be due. The exact treatment depends on how you are engaged and how your private work is structured.
It depends on whether the cost relates to employment, self-employment or both, and the rules are not identical for each. Costs that commonly arise in medical careers include medical indemnity insurance, GMC and royal college or specialist society subscriptions, CPD and professional training, professional journals and reference materials, and certain equipment. Mileage and travel between work locations can also be relevant, though ordinary commuting generally is not. Because the rules apply differently depending on your circumstances, we review expenses individually rather than applying a blanket list.
Locum work often brings variability, which raises practical questions about record keeping, invoicing, and budgeting for tax that reflects a good year rather than an average one. Depending on how you are engaged, locum income may be taxed at source or reported through Self Assessment, and expenses such as travel, indemnity cover and equipment can be relevant. It is also worth considering how locum earnings interact with any NHS pension or employment income you hold, because your combined position affects the overall picture.
There is no universal answer. A limited company can suit some doctors, particularly where private income is substantial, profits are retained in the business, or there is a clear separation between personal and practice finances. For others, the additional compliance, payroll and filing obligations outweigh the benefit, and operating as a sole trader or within a partnership is more practical. The decision depends on your income levels, how you are engaged by hospitals and clinics, your pension position and your longer-term plans. We look at your specific circumstances and explain the trade-offs before you commit to a structure.
Pensions are a substantial area for many doctors, particularly those in NHS schemes who also make additional contributions or hold separate arrangements. The interaction between pension contributions, tax relief and your overall tax position is specific to your circumstances, and there are rules that can affect doctors with higher earnings or significant annual contributions. We do not provide regulated financial advice, but we do make sure your accounting and tax reporting reflects your pension position accurately, and we will flag where a matter may be better explored with a suitably qualified adviser.
Yes. Much of the work involved in preparing returns, maintaining bookkeeping and handling compliance can be done remotely, with documents and records shared securely. Many doctors prefer this because it fits around clinical commitments and avoids unnecessary travel. We also understand the importance of being contactable when a question arises, whether that is by email, phone or a planned call at a time that suits your rota.
Changing accountants is usually a straightforward process. We would ask for details of your current arrangements, contact your existing accountant to request the relevant records and information, and review your position so nothing is missed. Any outstanding returns, filings or correspondence are identified early so deadlines are not put at risk. Once everything is in place, we take over the ongoing work and explain what will be handled and when.
