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 have financial affairs that are more complex than the average taxpayer's, particularly where NHS employment sits alongside private, locum or consultancy income. These are the areas we see most often as potential pressure points.
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. If all your income is taxed through PAYE and you have no other earnings, expenses or investments, you may not need one. However, many doctors have income that falls outside PAYE — locum shifts, private fees, consultancy work, medico-legal reports, teaching or rental income — and that usually means a Self Assessment return, an accurate record of expenses and an understanding of how payments on account work. An accountant can also help where you are considering a partnership, a limited company, or a change in how you work. The value is often greatest in planning and record keeping rather than simply filing a return.
Yes. This is one of the most common situations for doctors. NHS salary is taxed through PAYE, while private fees are generally reported through Self Assessment, so the two need to be tracked separately and reconciled properly. We can prepare the return, make sure the private income is reported correctly, review the expenses that relate to your private work, and help you anticipate the tax and payments on account that will follow. The details depend on whether you are employed, self-employed or both in relation to each income stream.
Locum work usually means self-employment, so you will generally need to register with HMRC, keep records of each placement and its income, and retain evidence of the related costs. Two areas tend to cause difficulty: travel, because the treatment of journeys between sites or to temporary workplaces differs from ordinary commuting, and expenses, because claims are only allowable where they are wholly and exclusively for the locum work. If you use an agency, you will also want to check how payments have been taxed already so your return does not double-count income.
There are several categories doctors commonly claim, including medical indemnity insurance, professional subscriptions and registration fees, relevant training and continuing professional development, specialist equipment, professional journals, and travel or mileage for business journeys. The test is whether the cost is incurred wholly and exclusively for the purposes of the work it relates to, and some items are treated differently depending on whether they relate to employment or self-employment. Training is a good example: updating existing clinical skills is treated differently from training that qualifies you for a new area of work. Because the answer depends on your circumstances, it is worth reviewing your specific costs rather than working from a general list.
It depends on the services you provide. Many medical services delivered by registered health professionals are exempt from VAT, which means they do not count towards the VAT registration threshold and no VAT is charged. However, some activities — certain cosmetic or non-medical services, for example, or sales of goods — may be standard-rated, and standard-rated and exempt income are treated differently for registration purposes. Payroll, property costs and expenses can also influence the position when a practice is involved. The right answer requires looking at what you actually supply and in what capacity, so we would review that before advising on registration.
Sometimes it can be beneficial, but it is not automatically the right answer. A limited company brings different tax treatment, additional filing and reporting duties, payroll obligations for directors, and questions about how profits are extracted. For some doctors with substantial private or consultancy income and retained profits, incorporation may suit their plans; for others, operating as a sole trader or through a partnership is simpler and equally appropriate. We look at your income levels, how you intend to draw funds, your long-term plans and your existing arrangements before recommending a route.
Yes. Practice partnerships typically need annual accounts, profit share calculations that reflect the partnership agreement, drawings records and timely reporting to each partner for their personal tax returns. Where a practice has additional streams such as private clinics, teaching or dispensing income, those usually need to be accounted for separately. We can handle the accounts and the partner returns, and coordinate the two so each partner's tax position is consistent with the practice figures.
In most cases the transition is straightforward. We would ask for professional clearance from your current accountant, obtain your records and prior submissions, and review your position so any outstanding obligations are identified early. Doctors with several income sources sometimes worry that switching will create gaps, but a clear handover usually prevents that. If you are mid-year or approaching a filing deadline, we will set out the sequence of steps so you know what is happening and when.
