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 income and expenses in ways that standard tax software rarely handles neatly. The challenges below are common considerations for doctors, and how much they affect you will depend on your employment status, income sources, business structure and individual circumstances.
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 with a single salaried post and no other income may manage a straightforward tax return without help, though there are still professional expenses worth claiming correctly. Where you have locum income, private practice fees, consultancy or medicolegal payments, partnership involvement or a limited company, the reporting requirements become more involved and the risk of overpaying tax or filing incorrectly increases. An accountant can help you report the right figures, claim what you are entitled to and plan ahead for the tax that will fall due.
Your NHS salary is normally taxed through PAYE, while private fees, locum work and consultancy income are usually reported through Self Assessment. The two are not taxed in isolation — your total income for the year determines the rates that apply, and untaxed income can also affect payments on account for the following year. Good record keeping across both streams makes the return far more accurate and helps you anticipate the bill rather than being surprised by it.
Common claims include medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, and training or professional development that maintains or updates skills you already use in your work. Equipment, uniforms and business mileage may also qualify where they are genuinely used for work. The rules are specific, particularly around training that leads to a new qualification, so it is worth reviewing your claims rather than assuming they are correct.
Locum work can be paid through PAYE, through an agency, or as self-employed income, and the treatment depends on how the engagement is arranged. If you are taxed as self-employed, you will report income and allowable expenses on a Self Assessment return and may need to consider payments on account. If you work through an umbrella company or agency payroll, tax is usually deducted at source but you still need to report any untaxed income from elsewhere.
It depends on your level of private income, how you take money out of the business, your pension position and your longer-term plans. A limited company can suit some doctors with substantial private or consultancy earnings, but it brings additional obligations including annual accounts, Corporation Tax returns, payroll and potentially VAT registration. For others, sole trader or partnership status remains simpler and more tax-efficient. The right answer is based on your individual circumstances rather than a general rule.
Yes. Many medical services are exempt from VAT, but that does not automatically mean VAT is irrelevant to a practice — income from certain non-medical goods and services, or from activities outside the exemption, can create a registration requirement. We can review your income streams, confirm where you stand, and handle VAT registration and returns where they apply.
In most cases, yes. We start by understanding what records exist and what is outstanding, then work through the position with you. Bringing historic records up to date and agreeing a clear filing plan is a normal part of taking on new clients, and it is usually easier to resolve than doctors expect.
Remote arrangements work well for doctors, since documents can be shared securely and meetings held at times that fit around clinical commitments. If you are moving from another accountant, we can contact them for your records and handle the handover, and you should check your current engagement terms for anything you need to give notice on. We will confirm exactly what we need from you once we understand your circumstances.
