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 heavier administrative load than their tax affairs strictly require, largely because income arrives from several directions at once. A few recurring challenges are worth understanding before they become a problem.
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 from one. If your only income is a single NHS salary taxed through PAYE and your affairs are straightforward, your position may be manageable without support. Once you add locum work, private fees, consultancy income, a partnership share, or a limited company, the reporting requirements and the scope for error increase considerably, and professional support usually becomes worthwhile. A large part of the value is simply knowing your return is complete and your records are in order.
Yes. Self Assessment is where multiple income sources are brought together, so we gather your NHS employment details along with any self-employed locum, private or consultancy income and report them correctly on the return. The key considerations are making sure no income stream is missed, that employment expenses are claimed only where appropriate, and that any tax already deducted is accounted for. How this works in practice depends on your individual circumstances, so we review your position before filing.
There are several categories that commonly apply to medical work, including medical indemnity cover, professional subscriptions, certain training and professional development costs, equipment used for your work, and travel and mileage for business journeys. Whether an expense is allowable depends on the nature of the cost and how it relates to your work, and some costs are treated differently depending on whether you are employed or self-employed. We review your spending and confirm what can be claimed and what evidence you should keep.
Locum work is usually treated as self-employed income, which means you are responsible for reporting it and for paying the associated tax and National Insurance rather than having it deducted through PAYE. Where an agency or hospital does deduct tax, that needs to be reconciled properly. Locum doctors often benefit from tracking income and expenses through the year, since irregular earnings can make the eventual tax bill harder to anticipate.
There is no single answer, and it is not a decision that should be made on tax alone. Working as a sole trader is simpler from an administrative perspective, while a limited company changes how you are taxed, how you pay yourself, and what accounts and filings are required. A partnership may suit doctors working together in a practice. We look at your income levels, your mix of NHS and private work, and your plans before advising on the most suitable structure.
VAT is a consideration for some doctors and not others. Many medical services are exempt from VAT, but not all activities connected to private practice are treated the same way, and there are registration thresholds that can become relevant as income grows. We look at the nature of your services and your income level to determine whether VAT needs to be considered at all.
Yes. Clinical rotas do not fit neatly around standard working hours, so we work with doctors by sharing documents securely and communicating when it suits your schedule. Many clients prefer to send information electronically and discuss matters at a pre-arranged time. What matters is that the information reaches us with enough time to meet filing deadlines.
It is usually a straightforward process. We ask for your authorisation to contact your existing accountant, request the relevant records and tax history, and confirm your position with HMRC. From there we review what has been filed and what needs attention. You do not need to reconstruct years of paperwork yourself — part of our role is to take that on and make the handover as smooth as possible.
