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 other professionals, because income can arrive from several directions at once and the tax rules do not treat every source in the same way. These are the areas we see raised most often.
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 only income is a straightforward NHS salary taxed through PAYE may have little to file beyond a return if HMRC has asked for one. Once private fees, locum income, consultancy work, partnership profits, property income or a limited company are involved, the reporting becomes considerably more detailed. An accountant can help ensure each income source is treated correctly, that allowable expenses are claimed appropriately, and that deadlines and payments are managed.
Locum arrangements vary, and so does the tax treatment. Some locum work is engaged on a self-employed basis, which means reporting income and expenses through Self Assessment and paying tax and National Insurance accordingly. Other arrangements are technically employment, with tax deducted at source. It is worth reviewing your contracts, because the classification affects how you report income, what expenses you can claim and whether you need to register for Self Assessment at all.
Commonly considered items include medical indemnity insurance, professional body subscriptions, training and professional development that maintains or updates your existing skills, specialist equipment, and travel or mileage where journeys are undertaken for work purposes. The rules are specific, and whether a cost qualifies depends on your employment status and the reason for the expense, so claims should always be supported by records and considered on an individual basis.
Yes. Many doctors have more than one income stream, and the aim is to report each one correctly and consistently. NHS salary and pension contributions are usually dealt with through PAYE, while private fees, locum payments and consultancy income may need to be reported differently. We bring the figures together in a single Self Assessment where required and check that the tax already paid has been properly accounted for.
There is no single right answer. Each structure has different implications for how profits are taxed, how accounts and returns are prepared, and what administrative obligations apply. A limited company may suit some doctors with substantial private income, while others are better served by self-employment or a partnership arrangement. The choice depends on your level of income, your other earnings, your pension position and your longer-term plans, so it is worth reviewing before committing.
VAT only becomes a consideration once your taxable turnover reaches the registration threshold, and medical services are treated in a specific way under the rules. Private practice income, medico-legal work and other non-medical services can differ in how they are treated, so the position is not always straightforward. If your private income is growing, it is worth reviewing your VAT status well before any threshold is reached.
Pension contributions and the interaction with NHS pension arrangements can affect doctors with higher earnings, particularly where there are multiple income sources or fluctuating profits. The rules around relief and any charges are detailed and depend on your personal position, including your total income and contribution levels across the year. Where relevant, we flag pension points so you can take advice on the implications for your circumstances.
The first step is a conversation about how you work and what you need. From there, we review your existing records, returns and business structure, then agree the services that fit. We can work remotely, with documents and records shared securely, and liaise with HMRC on your behalf where appropriate. If you are already with another accountant, moving across is usually straightforward — we can contact your existing adviser to request the relevant information and records.
