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 rarely produce a tidy set of accounts. Income arrives from different sources, on different timescales and under different tax rules, and clinical workloads leave little room for admin. These are the areas where doctors most often need support.
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 whose entire income is taxed through PAYE with no additional income sources may have little to report beyond routine matters. But once private fees, locum income, consultancy work, rental income or untaxed earnings are involved, a Self Assessment return is usually required, and the return has to account for every source correctly. An accountant's role is to make sure nothing is missed, that claims are properly supported, and that you are not paying more tax than you need to — as well as dealing with HMRC on your behalf if questions arise.
Your NHS pay is normally taxed through PAYE, with tax deducted before you receive it. Private fees, locum earnings and consultancy income are often paid gross, meaning no tax has been deducted at source. Self Assessment brings both together: the return reports your total income, gives credit for the tax already paid through PAYE, and calculates any further liability. This is why keeping accurate records of private income and associated expenses matters — the return needs to be complete, not approximate.
Commonly considered costs include medical indemnity and defence organisation subscriptions, professional registration and body membership fees, training and continuing professional development that maintains your existing expertise, specialist equipment and reference materials, and travel to temporary or multiple workplaces. What is allowable depends on whether the cost relates to employed or self-employed work, whether it is incurred wholly and exclusively for that work, and whether the rules on travel and equipment are met. We review your expenditure and confirm what can be claimed and what should be excluded.
It often does. Locum work is frequently treated as self-employment, which means income is not taxed at source, expenses are claimed under self-employment rules, and you may need to consider payments on account and, in some cases, VAT registration. If you provide locum services through your own limited company, off-payroll working rules may also apply depending on who you engage with. The practical consequences for your record keeping, cash flow and tax returns are significant enough to be worth reviewing properly rather than assuming PAYE is doing the work for you.
There is no universal answer. Incorporation can suit some doctors, particularly where there is substantial private or consultancy income, but it brings additional obligations: statutory accounts, Corporation Tax returns, confirmation statements, payroll and a greater administrative burden. It can also be the wrong choice where off-payroll rules apply to the engagements involved. The decision should follow an analysis of your income mix, how your contracts are structured, your pension arrangements, and how much you value simplicity versus flexibility.
VAT is not automatic, and the position is not the same for every service. Some medical services provided by registered health professionals may fall outside the scope of VAT, while others — including certain non-medical, cosmetic, advisory or product-related activities — may not. Where a private practice supplies mixed services, the VAT treatment can differ across them. We review what you actually provide and advise on registration, record keeping and reporting obligations where they apply.
Yes, and it is often worth looking at the two together. Contributions to the NHS Pension Scheme and to private arrangements can affect the tax relief you receive, and annual allowance questions sometimes arise where earnings are high or have changed significantly during the year. Pension matters also interact with decisions about business structure and how income is drawn. We can review the position with you and flag where specialist pension or financial advice would be sensible.
Switching is usually more straightforward than doctors expect. We write to your existing accountant for professional clearance, obtain the information needed to take over your records, and confirm what is outstanding with HMRC so nothing is missed. Timing matters most if a filing deadline is approaching, so it helps to start the conversation early. We work with clients remotely, sharing documents securely, and can also meet in person — whichever suits how you prefer to work.
