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 income in ways that most standard accounting templates do not handle well. These are the areas we see doctors grappling with most often.
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 with a single salaried NHS post and no other income may manage a straightforward Self Assessment return themselves, though professional expenses are often missed. Once you add private fees, locum assignments, consultancy work, a partnership profit share or a limited company, the reporting becomes considerably more involved, and the cost of getting it wrong — through missed expenses, incorrect treatment of income or late filings — usually outweighs the cost of proper support.
Locum work is generally treated as self-employment rather than employment, which means you report income and expenses through Self Assessment and are responsible for your own records. That often surprises doctors moving from a salaried role. Exactly how your income is taxed depends on your total earnings, other income sources and whether you operate as a sole trader or through a company, so it is worth reviewing before you start locuming rather than afterwards.
Potentially allowable items often include medical indemnity cover, professional body and register subscriptions, required training and continuing professional development, specialist equipment, and business travel including mileage. The key tests are that the cost is wholly and exclusively for your professional or business purposes, and that it relates to the right income source. Some costs need apportioning where work is partly private and partly NHS, and capital items such as equipment are usually treated differently from day-to-day running costs.
Yes. NHS employment income and private or locum income are reported together through Self Assessment, but they are not treated identically — employment income is taxed through PAYE while self-employed income is assessed separately, and expenses need to be allocated sensibly between the two. Getting that split right is one of the more common areas where mistakes appear.
There is no single answer that suits every doctor. A limited company can be advantageous in some circumstances, particularly where private or consultancy income is significant, but it brings additional compliance, payroll and reporting obligations. Sole trader status is simpler and often sufficient for smaller or occasional private earnings. The right structure depends on your income levels, working patterns, how you use the profits and your longer-term plans.
VAT registration depends on your turnover and the nature of the services you provide — some medical services are exempt while others are not, and private work mixed with NHS work can complicate matters. If you are approaching or exceeding the registration threshold, or you are unsure whether your services fall within an exemption, it is worth reviewing before HMRC raises questions.
NHS pension arrangements, annual allowance considerations and private pension contributions can all influence your overall tax position, and the interaction is not always intuitive — particularly for higher earners or those with significant private income. We look at pensions as part of the wider tax planning picture rather than in isolation, and we will flag where specialist pension advice is more appropriate.
Yes — records can be shared securely online, so you do not need to visit in person. If you are moving from another accountant, we can contact them on your behalf to request your records and professional clearance, and we will confirm what information we need from you to get started. The changeover is usually handled without any gap in your filing obligations, provided we have time before your next deadline.
