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 accumulate income and expenses from several directions at once, and the paperwork rarely lines up neatly with the tax year. These are the issues we most often help with. Every situation is different, so how any of these applies to you will depend on your employment status, income sources, business structure and individual circumstances.
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.
Some doctors with simple PAYE-only income may not need ongoing support, but the picture changes as soon as you add private fees, locum shifts, consultancy work, partnership profit or rental income. Once several income sources are involved, the return needs to bring them together correctly, and the way certain expenses and pension contributions are treated is not always straightforward. An accountant can help you avoid overpaying and reduce the risk of errors that lead to enquiries or penalties.
NHS employment income is usually taxed through PAYE, while private fees, locum earnings and consultancy income often need to be reported through Self Assessment, sometimes with payments on account. Both need to be declared correctly, and the way expenses and pension contributions interact with each source can differ. Because the treatment depends on how you are engaged, it is worth reviewing your specific arrangements rather than assuming a single rule applies.
Locum work often involves multiple engagements, inconsistent income and travel between sites, which makes record keeping and expense tracking particularly important. You may also need to consider whether an engagement is genuinely self-employed for tax purposes, and how that affects IR35 or off-payroll rules where agencies or trusts are involved. Getting the paperwork right at the outset saves considerable difficulty later.
Commonly discussed items include medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, mandatory training and professional development, equipment used for your work, and travel or mileage for business journeys. Whether an expense is allowable depends on your employment status, your contracts and the exact nature of the cost — for example, ordinary commuting is generally not allowable for employees. Claims should always reflect your actual circumstances.
Not necessarily. Operating as a sole trader is often perfectly adequate for a modest private practice, while a limited company may be worth considering as private income grows or where you want a distinct structure for the practice. The right answer depends on your income levels, your personal tax position, pension implications and how much administration you want to take on, so it is worth a proper review rather than a general recommendation.
Many medical services are exempt from VAT, but the position can be less clear cut where you provide ancillary services, medico-legal work, cosmetic treatments or items alongside your clinical work. Whether registration is required depends on your turnover and the nature of what you supply, so it is important to assess your specific activities rather than assume exemption covers everything.
Yes. Much of the accounting process works perfectly well remotely, with documents shared securely and meetings held online or by phone. Doctors often work across several sites and have limited spare time, so we focus on making it convenient for you to provide information and get answers without needing to be in one place.
The process is usually straightforward. We ask for details of your current accountant so we can contact them for professional clearance and the information needed to take over, then review your existing records and filing position before confirming what is required and when. It helps to start the conversation before a deadline is approaching so the handover can be handled without pressure.
