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 deal with a more complicated financial picture than their payslip alone suggests, and the tax treatment of each element can differ. The points below are among the most common areas where specialist support tends to make a difference.
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 an NHS salary taxed fully through PAYE and you have no other income sources, an accountant may not be essential, though many doctors still value a review of their expenses and tax position. An accountant becomes far more useful once you have locum income, private practice or consultancy fees, partnership profits, rental income, shareholdings or pension complications, because these usually mean a Self Assessment return is required and the correct tax is not always collected through PAYE. Even where a return is straightforward, having someone check the figures, claim the right expenses and diarise the deadlines can prevent avoidable errors and penalties.
It depends on your income sources rather than your job title. If all of your income is taxed at source through PAYE and nothing else applies, a return may not be necessary. However, a return is typically required where you receive untaxed income such as private practice fees, locum payments treated as self-employment, consultancy or medico-legal income, partnership profit shares, rental income, or significant savings and dividend income. HMRC may also ask you to file for other reasons. If you are unsure, it is worth checking your position before the filing deadline rather than afterwards, as late returns and unpaid tax can attract interest and penalties.
It depends on how the engagement is arranged. Some locum positions are employment, in which case tax is deducted through PAYE, while others are genuinely self-employed and need to be reported through Self Assessment with tax paid separately. Where an agency is involved, off-payroll working rules can affect whether tax is deducted at source, particularly if you work through your own limited company. The practical consequence is that two doctors doing similar locum work can have quite different tax outcomes, so it is worth reviewing your contracts and payment arrangements rather than assuming a single answer applies.
There is no fixed list, but common claims include medical indemnity and defence union cover, GMC and royal college fees, professional body subscriptions, CPD and training that maintains or updates your existing skills, specialist equipment and reference materials, and business travel such as mileage between sites or to patients. Ordinary home-to-work commuting is not normally allowable, and costs incurred to train for a new specialism or career direction are usually treated differently from maintaining your current role. Records matter here, which is why we encourage doctors to keep receipts, subscription confirmations and mileage logs throughout the year rather than reconstructing them at the deadline.
Typically, your NHS salary continues to be taxed through PAYE, while private fees and other untaxed income are reported on your Self Assessment return. Because PAYE only accounts for your employment income, the tax due on the private side is usually collected through the return, often alongside payments on account towards the following year. That is why private income can feel like it is taxed more heavily in the first year or two after it starts. Keeping clear records of private fees, related expenses and any indemnity cover makes the return far easier to prepare and reduces the risk of an unexpected liability.
Not automatically. Whether a limited company is worthwhile depends on your level of private or locum income, how the work is contracted, whether off-payroll working rules apply, your pension position and your wider personal tax circumstances. Incorporation can offer advantages in some situations and add cost and complexity in others, and the right answer can change as your income grows or your working pattern shifts. We look at the numbers and the practical implications before recommending a structure, rather than assuming a company is always the better route.
Yes. Many doctors find remote accounting support easier to manage around clinical commitments, with documents, payslips, invoices and pension statements shared securely online and questions handled by email or video call at a time that suits you. The underlying work is the same as it would be with a local accountant: bookkeeping, returns, accounts and advice. What matters most is that the firm understands medical income and responds in a timely way, so it is worth discussing how you prefer to communicate before you appoint anyone.
The process is usually straightforward. We ask for some background on your income sources, copies of your most recent tax returns or accounts, and details of your current structure, then review what needs to be done and confirm the scope of work with you. If you decide to proceed, we contact your existing accountant for the professional clearance information and notify HMRC that we are acting on your behalf. It helps to plan the switch outside the busiest filing periods where possible, so that nothing is left unfinished or duplicated, and we will talk you through the timing before anything is actioned.
