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 frequently deal with a level of financial complexity that a straightforward PAYE taxpayer never encounters. A few recurring themes come up again and again.
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.
Not every doctor does, but many benefit from one. If you are purely employed and taxed through PAYE with no other income, your tax affairs may stay simple. The picture changes once you take on locum shifts, private practice work, consultancy, medico-legal reports, teaching, or a role in a practice partnership. At that point you are likely to need a Self Assessment return, and the question becomes how to report multiple income sources accurately and claim the expenses you are entitled to. An accountant can help you avoid errors, missed deadlines, and overpaid tax, and can advise on structure and planning.
Yes. This is one of the most common situations we deal with. NHS salary is normally taxed through PAYE, while private practice, locum, and consultancy income is usually reported through Self Assessment. The two interact, because your total income affects your overall tax position and may reduce or eliminate any personal allowance. We bring the figures together, make sure the correct amounts are reported, and explain how any balancing payment or repayment arises so there are no surprises.
It depends on your employment status and how the expense relates to your work. Expenses that are commonly relevant include medical indemnity and defence union subscriptions, GMC and specialist register fees, professional body memberships, and training that maintains or updates existing professional skills. Travel and mileage may also be claimable in certain circumstances, and equipment can qualify in some cases. The rules differ between employed and self-employed doctors, and some costs that are reimbursed by an employer cannot be claimed again, so it is worth checking your specific position before filing.
Locum work is generally treated as self-employment, which means registering with HMRC, keeping records of income and expenses, invoicing agencies or practices, and filing a Self Assessment return. Because locum income can fluctuate, budgeting for tax payments in advance matters. You may also need to consider whether operating through a limited company suits your circumstances, as this depends on your level of earnings, how clients engage you, and your broader plans.
There is no single answer, because it depends on your income levels, how you are engaged, your pension position, and your longer-term plans. A limited company can offer flexibility in how you take income and may suit certain consultancy or private practice arrangements, but it also brings additional filing, payroll, and compliance obligations. For some doctors, sole trader or partnership status remains the better fit. We look at your specific circumstances before recommending a structure.
Yes. Alongside Self Assessment and annual accounts, we can support bookkeeping and record keeping, run payroll for practice staff, associates, or company directors, and advise on VAT registration and returns where your activities require it. Whether you need all of these depends on how your work is structured, so we assess what is genuinely relevant rather than applying a standard package.
Yes. Much of the work involved in preparing accounts and tax returns is done through secure document sharing and email, with calls or video meetings where a conversation is more useful than written explanation. Many doctors find this fits better around clinical commitments. If you prefer to meet in person, that can be arranged as well.
Switching is usually more straightforward than people expect. We ask for your authorisation to contact your current accountant, request the handover of relevant records and filing history, and review your position before your next deadline. If you do not currently have an accountant, we simply start by gathering details of your income sources, employment arrangements, and any existing records. Getting in touch well before a filing deadline gives the process more room to run smoothly.
