Specialist Accountants for GPs, Consultants & Locum Doctors
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 more financial complexity than a standard tax return allows for. These are the areas we see most often, and each one can affect how much tax you pay and how much time you spend on admin.
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.
A salaried doctor whose only income is taxed through PAYE may not need much beyond a check that their tax code is correct. Once you add any self-employed income, such as locum shifts, private practice fees, consultancy work, medico-legal reports or teaching, you enter Self Assessment and the picture becomes more involved. An accountant helps you report all of it accurately, claim the expenses you are entitled to, understand payments on account and avoid the amended returns that often follow a first attempt at doing it yourself. Whether that support is worthwhile depends on your circumstances, and we are happy to talk that through honestly.
Yes. NHS salary is usually taxed through PAYE, but it still needs to appear on your Self Assessment return alongside any private or self-employed income, and your tax code and payments on account need to reflect the combined total. We bring the sources together, make sure each is reported in the right place, and check that the resulting tax position is consistent. Where private income is significant or irregular, we also look at how payments on account will fall so the timing of tax bills is not a surprise.
Locum work is generally treated as self-employment, which means you report income and expenses on a Self Assessment return and pay tax and National Insurance through the self-assessment system. That also means you need proper records: timesheets, agency statements, mileage, equipment and any costs directly connected to the work. Many locums work through agencies and sometimes through umbrella arrangements, and the way you are paid affects what you need to report. We can help you work out your position and put a record-keeping routine in place that makes the return straightforward.
Commonly claimed items include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional development and training that maintains your existing skills, specialist equipment, and travel to temporary or temporary-elsewhere sites on a mileage basis. What qualifies depends on the nature of the expense and how it relates to your work, and some costs that seem obvious are not allowable. Rather than working from a generic list, we look at your actual costs and advise on each one, so claims are defensible if HMRC ever asks.
There is no single answer, because it depends on your level of private or self-employed income, the type of work you do, how much risk you carry and your wider financial plans. A limited company can suit some consultants and private practitioners, while many locums and doctors with modest additional income are better served as sole traders. The tax and administrative consequences differ, so the decision should be made with your own figures in front of you. We advise on the options and the practical implications before you commit to a structure.
Medical services provided by registered professionals are generally exempt from VAT, but VAT can become relevant for other activities, such as certain cosmetic or non-medical services, selling goods, or a practice with mixed income streams. Registration thresholds and rules apply, and once registered, reporting becomes an ongoing obligation. If your private work sits close to these boundaries, it is worth reviewing rather than assuming, since getting it wrong can be costly to correct.
Yes. Changing accountants is usually a straightforward process, and we can manage the handover, including requesting the information we need from your previous adviser and picking up your records. It helps if you can share your most recent accounts, tax returns and any correspondence with HMRC, but we can guide you through what is needed. If a deadline is approaching, tell us early so the transfer and any outstanding filing work can be planned sensibly.
We begin with a conversation about your circumstances, income sources and current arrangements, which can be held remotely or in person. From there we confirm what needs to be done, agree how records will be shared and kept up to date, and set out how we will communicate through the year. Most doctors find that sending documents and records digitally works well around clinical schedules, and remote working does not reduce the level of support you receive.
