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 produce a single, simple tax picture. The challenges below come up frequently when doctors have to bring their financial affairs together.
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 straightforward PAYE-only income may not need ongoing support, particularly if they have no private income and no expenses to claim. However, once you have locum income, private fees, consultancy work, rental income or several income sources in one year, a return becomes more involved. An accountant can help ensure income is reported under the correct category, that allowable expenses are claimed appropriately, and that the return is filed on time — which matters more as the number of income streams grows.
NHS salary is normally taxed through PAYE, with tax deducted at source. Private medical income is usually treated as self-employment income and reported through Self Assessment, and it may need to be accounted for separately from your employment. Locum income can fall into either category depending on the specific arrangement. Because the treatment affects what expenses are available and how the return is completed, it is worth clarifying how each source is being paid rather than assuming.
Common examples include medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, mandatory training and continuing professional development, professional reference materials, and business travel or mileage. Equipment may also qualify depending on its use and cost. What can be claimed depends on the income source the expense relates to, whether it was incurred wholly and exclusively for professional purposes, and whether you have the records to support it. Treatment is not identical for every doctor.
It can. Whether your locum work is paid under PAYE, treated as self-employment, or engaged through an intermediary arrangement affects how the income is reported and what expenses may be available. Agency payments, umbrella arrangements and direct contracts can all produce different outcomes. It is worth reviewing your specific contracts and payment slips so the position is clear before the return is prepared.
There is no single answer, and it depends on factors such as the level and regularity of your private income, whether you have other employment, how you wish to draw money from the business, and the administrative burden you are willing to take on. A limited company brings Corporation Tax, statutory accounts and additional filing obligations, which may or may not be worthwhile in your circumstances. A limited company is not automatically more tax-efficient, so the decision should follow a review rather than a general rule.
NHS pension arrangements and any private pension contributions interact with your overall tax position, and where multiple income sources are involved the picture can become complex. Contribution levels, annual allowance questions and how private income affects the wider calculation are areas where specialist support can help. Because the rules and thresholds change, we work from your actual circumstances and current legislation rather than applying fixed assumptions.
VAT is not usually an issue for purely medical services, which are commonly exempt, but registration can become relevant if you provide other goods or services, run a practice with additional commercial activity, or need to reclaim VAT on significant costs. Whether it applies depends on what you actually supply and your turnover relative to the registration threshold. It is worth checking rather than assuming exemption covers everything.
Yes. Accounting support can be delivered remotely, with records shared securely and communication handled by phone, email or video call, which suits doctors whose working patterns make fixed appointments difficult. We can also discuss how you prefer to keep in touch, and how often, so the arrangement fits around rotas and clinics rather than competing with them.
