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 rarely follow a simple tax pattern, and the issues doctors bring to us tend to stem from the way their income, expenses and professional obligations overlap. Some of the most common considerations include:
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 your only income is a straightforward NHS salary taxed through PAYE and you claim nothing unusual, your tax affairs may be simple enough to handle yourself. An accountant tends to become worthwhile once you add private fees, locum or consultancy income, hold a partnership or director role, or need to file a Self Assessment return covering several income sources. At that point, professional support can help you report the right figures, claim the expenses you are entitled to and avoid unnecessary correspondence with HMRC.
It depends on your circumstances rather than your job title. Many doctors need to file because they have income that is not fully taxed at source — private practice fees, locum earnings, consultancy income, rental income or untaxed savings interest, for example. Others may need to file because of High Income Child Benefit Charge considerations, pension annual allowance charges or directorships. If you are unsure whether a return is required in your case, it is worth checking rather than assuming.
NHS salary is normally taxed through PAYE, so it appears on your return as employment income supported by your P60. Private practice and self-employed medical income is usually reported separately, with allowable expenses deducted before tax is calculated. Because both sit on the same return, the totals interact — which is why it is important that employment figures and self-employed figures are both complete and correctly classified.
Allowable expenses generally need to be incurred wholly and exclusively for your work. For doctors, that can include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional development and training that maintains your existing skills, specialist equipment, and travel to temporary or temporary-ish work locations rather than ordinary commuting. Whether a specific cost qualifies depends on your circumstances and the nature of the expense, so it is worth discussing individual items rather than assuming.
Locum work is often self-employed income, which means registering with HMRC where appropriate, keeping invoices and expense records, understanding payments on account, and being aware of IR35 or off-payroll rules where an agency or trust is involved. Locums may also want to consider whether a limited company structure suits them, particularly if they work through several engagements. The right answer depends on your contracts and how you operate in practice.
A limited company can suit some doctors and not others. It may offer a different approach to how profits are extracted and can create a clearer separation between business and personal finances, but it also brings additional filing obligations, Corporation Tax, payroll responsibilities and potential IR35 considerations. The decision should be based on your income levels, working arrangements and longer-term plans rather than a general rule.
Yes. Where a doctor runs a practice, employs staff, operates through a company or has income streams that raise VAT questions, we can support with bookkeeping, payroll, VAT registration and returns, annual accounts and management reporting. Private medical services are often exempt from VAT, but mixed income and associated activities can complicate matters, so it is worth reviewing your position rather than assuming.
The first step is a conversation about your circumstances — the roles you hold, your income sources and what you currently have in place. From there we can review your accounting and tax position, confirm what support you need, and if you are moving from another accountant, help arrange the handover of your records. You do not need everything perfectly organised before getting in touch; part of the process is working out what needs to be put in order.
