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 find that the accounting side of their working life is harder to manage than the medicine. A few recurring themes tend to come up, and they usually stem from having more than one income source or more than one way of being paid.
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 have straightforward employed income and can be well served by a general accountant. However, once you add private fees, locum income, consultancy work, a partnership share or a limited company, the picture becomes harder to manage accurately. A specialist accountant for doctors is used to separating employment and self-employment income, understanding how NHS pension figures feed into tax calculations, and knowing how professional expenses such as indemnity and registration fees should be treated in each context. If your income comes from more than one place, that experience tends to make a practical difference.
It depends on your circumstances. If you are employed and taxed through PAYE with no other income, you may not need to file. But a return is usually required where you have private medical income, locum or consultancy earnings, untaxed savings or investment income above the reporting threshold, income from a partnership or limited company, or certain pension-related charges. Doctors with high income can also fall within the requirement to file even where PAYE has been applied. The right answer depends on your own position, so it is worth checking rather than assuming.
NHS salary is taxed through PAYE, with tax deducted at source. Private fees, locum income and consultancy earnings are generally taxed through Self Assessment, where you report your taxable profits and pay any tax due. Because both sit within the same overall tax position, income from private work can affect the rate at which other income is taxed, and may also affect payments on account for the following year. Keeping accurate records of private income and related expenses throughout the year makes the calculation far more reliable.
Allowable expenses depend on whether you are employed or self-employed. Medical indemnity insurance, professional body subscriptions and registration fees, and training that maintains existing skills are among the costs doctors commonly claim, but the rules differ between employment and self-employment. Equipment, mileage and travel, home office costs and professional development all have conditions attached. Claiming costs that do not qualify can create problems with HMRC, so each item is best assessed against your actual working arrangements rather than a general list.
Both structures are used by locum doctors, and the right choice depends on your level of income, how many contracts you hold, whether you have other income, and how you want to be paid. Sole trader status is simpler to administer, while a limited company can suit certain working patterns and longer-term arrangements, but it brings additional compliance requirements such as annual accounts, Corporation Tax, payroll and potentially VAT. There is no universally correct answer, and the position can change over time as your work develops.
You should keep records of all income received — private fees, locum payments, consultancy invoices, NHS payslips and any pension figures provided — alongside evidence of expenses you intend to claim, such as indemnity renewals, subscription receipts, equipment purchases, mileage logs and training costs. If you operate through a company or partnership, bookkeeping records, bank statements and payroll information are also needed. Good records make filing quicker, reduce the risk of errors and support your position if HMRC ever queries a figure.
Yes. Most accounting work can be handled securely through digital document sharing, cloud bookkeeping software and scheduled calls or meetings, which suits doctors whose clinical schedules make travelling to appointments difficult. What matters is having a clear process for sending information, a set timetable for filings, and a reliable way to ask questions when something changes in your working life.
Switching is usually more straightforward than doctors expect. Once you decide to move, your new accountant will normally write to your existing firm to request professional clearance and the relevant information, such as prior year returns, accounts and records. From there, the focus shifts to confirming your current tax position, identifying any outstanding filings and setting up a system that suits your income sources. Any existing deadlines continue to apply during the transition, so it is sensible to begin the process before a filing date is imminent.
