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 frequently deal with a tax position that is more complicated than a single employment or a single trading income. The challenges below are common considerations rather than a fixed list — which ones affect you depends on how you work, where your income comes from, and the structure you use.
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.
Many doctors can technically file their own return, but the difficulty usually lies in correctly bringing together PAYE income, private fees, locum earnings and consultancy income, and in identifying which professional expenses are allowable. Where your affairs are straightforward, self-filing may be manageable. Where you have multiple income sources, private practice income, partnership involvement or a limited company, an accountant can help reduce the risk of errors, missed reliefs and avoidable correspondence from HMRC.
Private medical income, locum income and consultancy fees are generally reported through Self Assessment and taxed alongside your employment income, with tax collected through payments on account or an adjustment to your tax code. The interaction between the two can affect your overall liability, so it is worth looking at the combined picture rather than treating each stream separately. The exact treatment depends on how the income arises and whether you are employed or self-employed for that work.
Locum doctors typically need to keep records of each contract or placement, the income received, and the expenses directly connected with that work, such as travel between sites, professional subscriptions and indemnity cover. Because locum income can vary considerably from month to month, keeping records current makes both the tax return and any cash flow planning far easier. Whether you operate as a sole trader or through a company will also influence what needs to be recorded and reported.
Professional subscriptions and indemnity cover are commonly claimed, but the correct treatment depends on the source of the income they relate to. Where a cost relates to employed work, relief may be available through the employment expense rules or via Self Assessment; where it relates to self-employment, it is usually treated as a business expense. Doctors with a mix of NHS and private work often need the cost apportioned correctly.
There is no single answer that suits every doctor. The right structure depends on the level and consistency of your private or consultancy income, how much you need to draw from the business, your pension position, and the administrative burden you are willing to take on. A limited company can suit some doctors with substantial private earnings, while sole trader or partnership status may remain more appropriate for others. It is worth reviewing the position as your income changes.
Yes. Where you run a private practice or medical business, the accounting requirements can extend beyond your personal tax return to include annual accounts, bookkeeping, payroll for staff, and VAT registration and reporting where your turnover requires it. Corporation Tax and company accounts also apply if you operate through a limited company. We look at which of these are relevant to your practice rather than assuming a standard package.
Yes. Accounting work is well suited to remote working — documents, records and correspondence can be shared securely, and meetings can take place by phone or video at times that fit around clinics and on-call commitments. Many doctors prefer this because it removes the need to travel. The important thing is that your records reach us in a usable form, and we will explain the simplest way to do that.
Changing accountants is usually straightforward. We will ask for details of your current accountant so that professional clearance can be requested and the necessary records transferred, including your previous returns and accounts where relevant. Once your information is in place, we review your position and confirm what needs to be filed and by when. Most doctors find the transition takes very little of their own time.
