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 a particular set of financial complexities, and the tax treatment often depends on how each element of your work is structured. These are the areas doctors most often need help untangling.
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. If you are employed on a straightforward NHS contract with no other income, your tax is usually handled through PAYE and your affairs may stay simple. An accountant becomes genuinely useful once there is anything beyond that — private practice fees, locum income, consultancy earnings, a partnership share, company dividends, rental income or pension contributions that need monitoring. At that point, an accountant helps ensure the right income is reported, the right expenses are claimed, and the structure you are using still makes sense.
Your NHS salary is normally taxed through PAYE, but private fees, locum payments and some consultancy income often arrive with no tax deducted. Those untaxed amounts generally need to be reported through Self Assessment, and the tax due is calculated across your total income. Payments on account can also apply once there is untaxed income in the picture. Because the interaction between PAYE and Self Assessment is where mistakes happen, it is worth keeping payslips, invoices and pension records together so the figures reconcile.
Locum work is usually treated as self-employment, which means you are responsible for recording income and expenses yourself. In practice that means keeping every agency or direct payment record, along with receipts for indemnity cover, travel between sites, professional subscriptions, equipment and any training you fund personally. Registration for Self Assessment, timely filing and accurate expense records all matter more here because there is no payroll department doing the reporting for you.
Commonly claimed items include medical indemnity insurance, professional body subscriptions, required professional development and training, specialist equipment or uniforms, and business travel that is not ordinary commuting. Whether a particular cost is allowable depends on your employment status, your contract and how the expense relates to your work — employed and self-employed doctors are treated differently, and some costs that are reimbursed by an employer cannot be claimed again. Records should always support the claim.
Medical indemnity cover is generally treated as a deductible professional expense where it is required for your work, but the mechanics differ depending on whether you are employed or self-employed, and whether the cost is met by you or your employer. It is a common area where doctors either miss a legitimate claim or claim something that does not apply to their situation. The paperwork matters as much as the rule.
There is no single answer. Sole trader status is simpler and often adequate for modest private or locum income, while a limited company can offer different tax and National Insurance outcomes once profits reach a certain level, alongside additional obligations such as statutory accounts, Corporation Tax, and potentially payroll and VAT. Partnership arrangements bring their own rules. The right structure depends on your income level, how you take money out, your pension position and your long-term plans, so it is worth reviewing rather than assuming.
Many medical services are exempt from VAT, but not all — and the position can differ between services, dispensing, cosmetic or non-medical work and other activities. If your taxable turnover approaches the registration threshold, the question needs proper review rather than assumption. Where registration is required or beneficial, we can handle the registration and ongoing returns.
Yes. Much of the accounting process works perfectly well remotely, with documents shared securely and conversations by phone or video, which suits doctors with unpredictable rotas. If you are moving from another accountant, we can manage the handover, request the relevant records and professional clearance, and confirm what information we need from you to pick things up cleanly. The starting point is simply a conversation about your circumstances and income sources.
