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 level of tax complexity that their pay slips do not reveal. NHS employment, private fees, locum sessions and consultancy work can all sit in the same year, and each element brings its own reporting, evidence and timing issues.
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 can prepare a simple return themselves, and there is nothing wrong with doing so. The question is whether your circumstances are still simple. Once private fees, locum income, consultancy or medico-legal work are added to NHS pay, the interaction between your tax code, payments on account and the balancing charge becomes harder to predict, and expenses have to be classified correctly. A specialist accountant is not essential for everyone, but it becomes valuable when your income sources multiply, your structure changes, or the cost of getting something wrong outweighs the cost of the support.
Your NHS salary is usually taxed through PAYE, but HMRC generally still expects a Self Assessment return where you have additional untaxed income or gains above the relevant reporting levels. The private element is reported on the return, and the tax already paid through PAYE is credited against your overall liability. The complication tends to appear in payments on account and in the accuracy of your tax code, which is why doctors with a growing private practice often benefit from a review partway through the year rather than only at filing time.
Locum doctors are usually treated as self-employed for tax purposes, which means reporting income on Self Assessment, keeping records of every session and payment, and retaining evidence for the costs of doing the work. Travel between sites, agency fees, indemnity cover, professional subscriptions and equipment can all be relevant, subject to the usual rules. If you work through a limited company or an agency, off-payroll working rules may also apply to some engagements, so it is worth checking how each contract is structured rather than assuming the position is the same across the board.
The general principle is that a cost must be incurred wholly and exclusively for the purposes of the work. In practice this often includes medical indemnity and defence union subscriptions, GMC and royal college or professional body fees, mandatory training and continuing professional development, specialist equipment and, where relevant, business mileage or travel between work locations. Costs with a personal element, such as home office use or a phone, usually need apportioning. Because the treatment depends on your employment status and the nature of the cost, it is worth reviewing your outgoings properly rather than assuming a standard list applies.
There is no single right answer, and the choice depends on your income level, how many people you work with, how much private or commercial activity you undertake, and what you plan to do over the next few years. Sole trader status is straightforward and suits doctors with modest additional income; a partnership is common in general practice and shared private practice; a limited company can suit certain private and consultancy arrangements, though it brings filing, payroll and possibly off-payroll working considerations. We can talk through the practical and tax consequences of each before you commit.
Many medical services provided by registered health professionals are exempt from VAT, and NHS income generally sits outside the scope, so registration is often not required. However, VAT depends on the nature and level of what you supply, and non-medical or commercial activities — such as certain reports, medico-legal work, product sales or training — can change the picture. If your turnover from taxable activities approaches the registration threshold, it is worth reviewing the position in advance rather than after the fact.
Yes. Doctors increasingly combine NHS sessions with private clinics, consultancy, teaching or medico-legal work, and much of the accounting is about keeping those streams clearly separated and properly reported. We can work with you remotely, using secure document sharing for records and invoices, and we are just as comfortable supporting a doctor whose professional activity spans several settings as one who works from a single base.
Switching tends to be more straightforward than doctors expect. We ask for details of your current position, your existing accountant is contacted for professional clearance and the relevant records, and we review what is in place before taking over the filing obligations. If your accounts or returns are already overdue, that is worth raising early so the position can be handled properly. Once the handover is complete, you have a single point of contact for your accounting and tax matters going forward.
