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 a more complicated financial picture than they expected when they first qualified, and that complexity tends to grow quietly in the background. The challenges below are common considerations rather than universal ones — how they apply depends on your employment status, 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. If you are a salaried hospital doctor with no other income and straightforward tax affairs, you may manage without one. But once you take on private work, locum shifts, consultancy income or a partnership role, your tax position becomes considerably more involved — untaxed income needs reporting through Self Assessment, expenses need to be correctly identified and evidenced, and decisions about structure and pension contributions start to carry real financial weight. An accountant's value tends to come from getting those areas right and keeping the reporting accurate over time.
Your NHS salary is usually taxed through PAYE, while private fees, locum payments and consultancy income generally are not. Self Assessment is where those separate streams are brought together so your total income is reported and any additional tax is calculated. The practical challenge is record keeping: you need a clear trail of private invoices, expenses and payments received, because the accuracy of your return depends on it. We prepare the return from your records and explain how the different income sources have been treated.
Common claims include medical indemnity and professional indemnity insurance, professional body subscriptions, training and professional development that maintains or updates your existing skills, equipment used for your work, and business travel or mileage where you move between sites, practices or hospitals. The test is normally whether the expense is wholly and necessarily incurred for your work. Because some costs sit in grey areas, it is worth reviewing your spending with an accountant rather than assuming it is or is not allowable.
Locum work often means income from several sources across the year, with no PAYE on some or all of it, so Self Assessment is usually required. Travel between assignments can add up, which makes mileage records particularly valuable. You may also need to consider whether your current structure still suits how you work if locum shifts become your main activity. Keeping invoices and expenses organised as you go makes the year-end process far smoother than reconstructing it later.
There is no single answer, and the right structure depends on your income sources, how you contract with clients, and your wider financial position. A limited company can suit some private practitioners and consultants, but it brings additional obligations such as statutory accounts, Corporation Tax filings and payroll responsibilities, and it is not automatically tax-efficient. We look at your specific circumstances and set out the practical implications before you decide, rather than applying a rule of thumb.
Yes. GP partners and doctors in private medical partnerships typically need partnership accounts, allocation of profit shares, tracking of drawings and capital accounts, and personal tax returns that reflect their partnership income. Shared practice expenses also need to be dealt with consistently. We can prepare the partnership reporting alongside your individual returns so the two positions align.
NHS pension arrangements and private income interact in ways that are not always obvious, and contributions to a personal pension may attract tax relief subject to limits that depend on your total earnings and circumstances. This is an area where the detail matters, and where the treatment can differ from one doctor to the next. We can discuss how your contributions fit alongside your other income and flag the points worth reviewing with your pension or financial adviser.
Yes — much of what we do can be handled remotely, with documents shared securely and meetings held by phone or video where that suits you better than travelling in. If you are moving from another accountant, we can contact them for your records and any outstanding filings as part of the onboarding process. If you have been managing your own affairs, we simply start from your existing records. Either way, the first step is a conversation about how you work and what you need.
