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 several income streams and obligations over the course of a career, and each one brings its own reporting and record-keeping requirements. These are some of the areas we see most often.
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 manage their tax affairs without much difficulty, although pension and expense questions can still arise. Once you add private fees, locum shifts, consultancy income, a practice partnership or a limited company, the reporting becomes more involved, and an accountant can help ensure everything is captured correctly, expenses are claimed appropriately and deadlines are met. Many doctors also value the reassurance of having their position reviewed rather than relying on their own reading of the rules.
Your NHS salary is usually taxed through PAYE, but it still needs to be included in your Self Assessment return alongside any private fees, locum earnings or consultancy income. The private income is generally reported on a self-employed basis, with allowable expenses deducted, and any tax already paid through PAYE is credited against your overall liability. Because the interaction between PAYE and self-employment affects payments on account and the final amount due, it is worth planning ahead rather than leaving everything until the filing deadline.
Typically claimable costs include medical indemnity insurance, professional body subscriptions, and training or professional development that maintains or updates your existing skills. Equipment, professional use of a home office, and travel or mileage for business journeys may also qualify. The rules are specific: the expense generally needs to be incurred wholly and exclusively for your professional work, and some costs — particularly training that qualifies you for a new area of practice — may not be allowable. We review claims against your actual circumstances rather than applying a blanket list.
It depends on how you are engaged. Locums paid through an agency or NHS payroll are often taxed under PAYE, while locums who arrange their own bookings may be treated as self-employed and report income through Self Assessment. Some locums work through their own limited company, in which case off-payroll working rules can affect whether the engager or the company handles the tax. Getting the status right matters, because it determines how income is reported and what records you need to keep.
There is no universal answer. A limited company can suit doctors with substantial private or consultancy income, offering a formal structure and different options for drawing money from the business, but it brings additional obligations such as company accounts, Corporation Tax, payroll and potentially VAT. A sole trader or partnership arrangement is simpler to run but taxed differently. The right choice depends on your income levels, your NHS position, your pension arrangements and how you expect your work to develop, so it is worth reviewing rather than assuming.
Some medical services are exempt from VAT, while others are not, and the position can vary depending on the nature of the service and who provides it. VAT registration also depends on your taxable turnover against the registration threshold and covers all your taxable business activity, not only one stream of income. Because the rules are nuanced, it is worth checking your specific services before assuming either that you must register or that you need not.
Yes. Most of the information we need can be shared securely online, and meetings can be arranged around clinic lists and on-call commitments, whether by phone, video or in person. If you already have an accountant, switching is usually straightforward: we ask for professional clearance and request the relevant records from your previous firm, which typically includes accounts, tax returns and supporting schedules. Once those are received, we review your position and take over the ongoing work.
It helps to have your most recent tax return, accounts or partnership statements, details of your income sources, and access to your bookkeeping records if you keep them. If you are employed, your latest P60 and any P11D information are useful, along with details of professional expenses such as indemnity cover and subscriptions. We will also ask about your pension arrangements and any private or company income. If some of this is not to hand, we can still begin and help you pull it together.
They can. Membership of the NHS pension scheme, additional contributions, and any private pension arrangements all form part of the wider picture, and for higher earners the annual allowance rules may be worth reviewing. We can factor pension information into your tax planning and flag where specialist pension or financial advice would be sensible, but detailed pension projections and retirement advice sit with appropriately qualified advisers.
