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 their tax affairs are more layered than those of most professionals, because income arrives from several directions and each source carries its own rules. The challenges below are the ones that most frequently need attention.
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 salaried NHS post with standard PAYE deductions may have relatively simple affairs and need little beyond occasional advice. However, once you add private practice fees, locum income, consultancy work, medical-legal reports, rental income or a limited company, the picture changes. Self Assessment becomes necessary, allowable expenses need identifying, and the interaction between your income sources and your pension position becomes harder to manage alone. An accountant for doctors helps ensure income is reported to HMRC correctly and that you are not missing legitimate claims.
Broadly, if you have income that has not been taxed at source — private consultation fees, locum earnings, consultancy income, medical-legal work or untaxed savings and property income — you are likely to need to file. Some doctors also file to claim professional expenses, or because HMRC has issued a notice to file. NHS employment income alone does not automatically require a return. Because the rules depend on your individual position and can change, it is worth reviewing your situation rather than assuming either way.
Yes. This is one of the most common arrangements we deal with. NHS pensionable pay, private consultation income, procedural fees and medical-legal work each carry their own reporting treatment, and employment expenses must be separated from self-employment expenses. We review both sides together, allocate costs sensibly, and make sure your tax return reflects the full picture rather than one income stream in isolation.
Common claims include medical indemnity and defence union subscriptions, GMC and royal college or specialist society fees, required professional training and continuing professional development, specialist equipment and reference materials, and business travel or mileage where the journey is genuinely for work rather than ordinary commuting. Claiming depends on the expense being incurred wholly and exclusively for the purpose of your work, and the rules differ between employment and self-employment. We check what applies to your specific role rather than applying a generic list.
Locum work is usually treated as self-employment, which means declaring income and expenses on a Self Assessment tax return and potentially registering for VAT if your turnover requires it. Locums often travel regularly, so mileage and travel costs need careful records, and the question of whether you are genuinely self-employed rather than employed for tax purposes matters. Because locum arrangements vary considerably between engagements, it is worth reviewing your contracts and working practices with an accountant.
It depends on the level and regularity of your private income, your other earnings, how you want to extract profits, and your wider financial plans. A limited company can suit some doctors and be an unnecessary complication for others, and it brings additional obligations such as statutory accounts, Corporation Tax returns and payroll responsibilities as a director. We look at your total position — NHS income, private work and longer-term plans — before recommending a structure.
Many healthcare services provided by registered medical professionals are exempt from VAT, but not all services fall into that category, and some non-medical or cosmetic services may be treated differently. Whether registration is required depends on your turnover from taxable supplies and the nature of what you provide. We can review your activities and confirm how VAT should be treated, along with any registration or return obligations that follow.
Yes. Accounting support does not depend on being in the same place as your accountant. Many doctors prefer to send records electronically, hold meetings by phone or video, and keep documents in shared folders, which fits around clinical rotas far better than fixed appointments. If you would rather meet in person, that can be arranged. What matters is that your accountant understands medical income and reporting obligations.
