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 deal with a level of financial complexity that a standard personal tax return does not capture. These are 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.
Not every doctor does, but many benefit. If your only income is a salaried NHS role taxed through PAYE and you have no other income, savings interest or untaxed earnings, your position may be straightforward. Once private fees, locum work, consultancy income, partnership profits or rental income come into play, Self Assessment usually applies and the reporting becomes more involved. An accountant can help you report the right figures, claim the expenses you are entitled to and avoid unnecessary queries from HMRC.
It depends on your employment status and how the expense relates to your work. Medical indemnity cover, professional subscriptions and required professional development costs are commonly claimed where they are incurred wholly and exclusively for your work. Equipment, travel and mileage may also be claimable, but the rules differ between employment and self-employment, and travel between home and a permanent workplace is generally not allowable. It is worth reviewing your own circumstances rather than assuming a blanket rule applies.
NHS salary is normally taxed through PAYE, with tax deducted at source by the employer. Private medical income, consultancy fees and most locum earnings are typically self-employed income that you must report through Self Assessment, with tax and National Insurance paid separately. Where you have both, the two are brought together on your tax return, so it helps to keep them clearly separated in your records throughout the year.
Locum work usually means several engagements across the year, sometimes through agencies and sometimes direct. Your accountant will typically need details of each engagement, the income received, any tax already deducted, and records of related expenses such as travel and mileage. Because locum income can be irregular, keeping a simple, consistent system for invoices, receipts and mileage from the outset makes the year-end process far smoother.
There is no single answer, because it depends on your level of private or consultancy income, how you are engaged by clients, your pension position and your wider financial plans. A limited company can suit some doctors with substantial private practice income, while others are better served as a sole trader or through a partnership. The tax and administrative implications differ, so it is worth reviewing the numbers for your own circumstances before deciding.
VAT registration depends on your taxable turnover and the nature of the services you provide, and different medical services can be treated differently. Some healthcare services are exempt while others are standard-rated, which can make the position less obvious than it first appears. If your private income is growing, it is sensible to review your VAT position before you approach the registration threshold.
Doctors often prefer to handle their accounting without fitting appointments around clinics and on-call rotas. Much of the process can be managed remotely, using secure document sharing and digital records, with conversations arranged at times that work for you. What matters most is that your records reach us in good time and that you have a clear route to ask questions when something changes.
Switching is usually more straightforward than doctors expect. Once you decide to move, your new accountant contacts your existing firm to request professional clearance and the records needed to pick up your affairs, and you give authorisation for HMRC correspondence to be updated. The main things you can do to help are to gather your recent accounts, tax returns and bookkeeping records, and to let us know about any deadlines already approaching.
It starts with a conversation about how you work — your employment arrangements, income sources and any business interests — so we can understand what you actually need rather than assume. From there we review your accounting and tax requirements and agree the support that fits, whether that is Self Assessment preparation, ongoing bookkeeping, annual accounts, payroll, VAT or partnership accounts. You can contact us when you are ready to talk things through, with no obligation to proceed.
