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 and accounting questions that generalist accountants may not encounter often. A few recurring themes tend to come up.
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 all your income is taxed through PAYE and you have no private earnings, no significant expenses and no pension complications, your position may be manageable on your own. But as soon as you take on private consultations, locum shifts, consultancy work, a practice role or multiple income sources, the reporting becomes more involved. An accountant can help ensure everything is declared correctly, that allowable professional expenses are claimed, and that you are not paying more tax than necessary. Many doctors find the reassurance and time saved are worth it well before their affairs become complicated.
Your NHS salary is usually taxed through PAYE, but if you also receive private fees, locum income or consultancy payments, those amounts generally need to be reported through Self Assessment. You would normally need to register for Self Assessment, keep records of your untaxed income and related expenses, and complete a return each year. The PAYE already paid on your salary is taken into account, and any additional tax due on the self-employed element is calculated from there. The exact position depends on whether you are employed, self-employed or both in each role, so it is worth reviewing your specific arrangement.
Commonly claimed costs include medical indemnity insurance, professional body and registration fees, mandatory training and continuing professional development, specialist equipment and uniform costs, and business mileage for travel between work locations. Whether a particular expense qualifies depends on it being incurred wholly and exclusively for your work, and some items are treated differently depending on whether you are employed or self-employed. Claiming incorrectly can cause problems, and missing legitimate expenses means paying more than you should, so it is worth reviewing your costs properly.
Locum work is often treated as self-employment, which means you would typically register with HMRC, report your income and expenses through Self Assessment, and pay tax and National Insurance based on your profits. If you work through an agency, the way you are engaged matters, because some arrangements involve PAYE rather than self-employment. Locums also have to think about record keeping across multiple contracts, travel between sites, indemnity cover and pension implications. Because the correct treatment depends on how each engagement is structured, it is worth checking rather than assuming.
Not automatically. A limited company can suit some doctors with substantial private income, offering a different approach to how profits are extracted and how tax is paid, but it also brings additional obligations such as statutory accounts, Corporation Tax returns, payroll and director responsibilities. For doctors with modest private earnings, sole trader status is often simpler. The right choice depends on your income level, how the income arises, your pension position and your longer-term plans. It is a decision worth discussing before incorporating rather than unpicking afterwards.
Yes. Partnership accounting for medical practices involves preparing partnership accounts, allocating profits between partners in line with the agreement, and preparing each partner's individual tax return. We can also look at capital accounts, drawings, practice expenses, and how the partnership interacts with any private work each partner carries out. Because partners often have different additional income sources and pension arrangements, the work involves coordinating the firm's figures with each individual's wider tax position.
Many medical services provided by registered health professionals are exempt from VAT, which means VAT is not charged on those fees and input VAT on related costs is generally not recoverable. However, the position can become less clear where a practice has mixed income, provides non-medical or cosmetic services, or has significant costs attached to exempt and taxable activities. Registration thresholds and partial exemption rules may become relevant. We can review your specific activities and income mix before any decision is made.
Changing accountants is usually straightforward. We would contact your current accountant with your authority to obtain the handover information, including prior returns, accounts and records, and then review what has been done to date. You do not need to manage that communication yourself. Accounting support can be provided remotely, with records shared securely online, which tends to suit doctors working long or variable hours. If you would prefer to meet in person or discuss matters by phone or video, that can be arranged around your availability.
