Specialist Accountants for GPs, Consultants & Locum Doctors
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 work rarely arrives through a single pay channel, and that is where most accounting difficulty begins. The challenges below are the ones doctors most often ask us about, though how they apply depends on your contracts, income sources and business structure.
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 with a single salaried NHS post and no other income may find Self Assessment reasonably straightforward, particularly since PAYE already accounts for most of the tax due. The picture becomes more involved once private fees, locum income, consultancy work, teaching, medico-legal reporting or partnership profits are added, or where medical indemnity, professional subscriptions, training costs and mileage need to be claimed correctly. At that point, professional support often pays for itself by identifying expenses you may have overlooked, avoiding errors that attract HMRC interest, and ensuring your overall tax position is planned rather than reactive.
Yes. We prepare returns that bring together employment income reported through PAYE, self-employed profits from private practice or locum work, consultancy fees and any other taxable income, and we check that the tax already deducted is properly accounted for. Where private income is untaxed in the year it is earned, we make sure the liability is provided for rather than becoming a surprise. Reporting is not identical for every doctor — how private income is categorised can depend on whether you work as a sole trader, through a partnership or through your own limited company.
Typically claimable items include medical indemnity insurance, GMC and royal college fees, professional body subscriptions, continuing professional development that maintains existing skills, professional journals, specialist equipment and instruments, and mileage for business journeys such as travel between sites or to see private patients. Treatment depends on the nature of the expense, your employment or self-employment status, and whether the cost has already been reimbursed. Ordinary commuting is not allowable, which is why keeping accurate travel records is worth the effort.
Locum work can be structured in several ways: you may be treated as self-employed, engaged through an agency, or working through your own limited company. The off-payroll working rules can affect which arrangement applies and whether tax must be deducted at source, so it is worth reviewing before committing. If a limited company suits your circumstances, that brings company accounts, Corporation Tax, payroll and director reporting obligations, and salary versus dividend planning becomes part of the picture. We can talk through the practical implications of each route.
Most medical care provided by registered health professionals is exempt from VAT, but not every activity a doctor carries out falls within that exemption. Medico-legal reporting, cosmetic treatments, some advisory or consultancy services and certain teaching activities can be treated differently. Where a doctor carries out a mix of exempt and chargeable work, VAT registration, record keeping and partial exemption calculations may need attention. The right answer depends on your specific services, so this is best reviewed case by case.
NHS pension contributions are generally deducted from pay under a net pay arrangement, which means relief is applied through payroll rather than a separate claim on your return. Private pension contributions work differently — they are normally paid from taxed income and then claimed through Self Assessment. Where pension growth over the year is substantial, annual allowance considerations can arise and may interact with your other income. We can help you understand what needs reporting and when a review of your position would be sensible.
Support can be arranged around your working pattern, with documents shared securely and conversations scheduled to fit around clinics, lists and on-call commitments rather than the other way round. Changing accountants is usually more straightforward than doctors expect. You inform your current accountant, we request professional clearance and the handover of your records, and we confirm what information is needed for the current year. Any outstanding filings are identified early so there are no surprises during the transition.
It starts with a conversation about how you work. Tell us about your NHS income, any private practice, locum shifts, consultancy fees or partnership role, what records you currently keep, and whether you use accounting software. From there we can review your existing arrangements, highlight anything that needs attention, and set out the level of support that fits — whether that is a straightforward annual Self Assessment or a wider package covering bookkeeping, payroll, accounts and tax planning.
