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 tend to accumulate financial complexity gradually. A salaried post becomes a salaried post plus locum shifts, then private consultations, then perhaps a partnership or a company — and the record-keeping rarely keeps pace. These are the areas where specialist accounting support tends to make the biggest difference.
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. If you have a single salaried NHS post, no untaxed income and straightforward affairs, your tax is largely handled through PAYE and an accountant may add limited value. The picture changes once there is anything additional: private consultation fees, locum income, medico-legal reports, consulting work, partnership profits, property income or a limited company. At that point, Self Assessment becomes more involved, expenses need to be identified correctly, and there are usually planning decisions worth making — which is where a specialist accountant earns their keep.
No. Whether you need to file depends on your income sources and circumstances. HMRC generally expects a return where there is untaxed income, such as private fees, locum earnings paid without tax deducted, consultancy income or partnership profits. Some doctors are also required to file because of high income, child benefit considerations or investment and property income. If you are unsure whether your situation requires a return, it is worth checking rather than assuming, because penalties for late filing apply even where no tax is ultimately due.
They are reported together on one Self Assessment tax return but taxed differently. NHS salary is taxed through PAYE during the year, while private fees, locum income and consultancy earnings are usually reported and taxed through Self Assessment. We reconcile the figures, make sure the PAYE already paid is credited correctly, account for NHS Pension Scheme contributions where relevant, and calculate what remains due. Where income is rising, we also look at payments on account so the following year's bill does not arrive as a surprise.
Commonly claimed items include medical indemnity and defence organisation subscriptions, GMC registration fees, professional body and royal college memberships, professional books and journals, equipment used for work, and travel to temporary or multiple work locations. Continuing professional development can also qualify where it maintains or updates skills you already use in your current role. Training that equips you for a new role or specialty generally does not. Home office costs and mileage have their own rules, and the detail matters — so the right answer depends on your individual circumstances.
Locum work often means income from several sources across the year, with travel between sites and periods where you may operate through a limited company or an umbrella arrangement. That brings expense records, contract status and sometimes VAT into play. If you contract through your own company, off-payroll working rules may apply depending on who the end client is, and that affects how you should be paid and taxed. These are areas worth reviewing early rather than discovering at the end of the tax year.
It depends. A limited company can suit some doctors with substantial private or consultancy income, particularly where profits are retained or extracted in a planned way. For others, sole trader or partnership treatment is simpler and no less tax efficient. Contract status rules, pension implications, the administrative cost of running a company and your wider income all need to be weighed up. There is no universal answer, and it is not a decision to make on the basis of a general rule of thumb.
Yes. Practice and partnership work involves profit shares, drawings, capital accounts, partnership tax returns and often payroll for staff. Private practices may also need to consider VAT, since some medical services are exempt while others are not, depending on what is being provided and by whom. We can handle the annual accounts, the returns, the bookkeeping behind them and the ongoing questions about what the practice can afford to distribute.
Remote working is perfectly workable for doctors — documents can be shared securely, meetings held by video or phone, and much of the process handled digitally. If you already have an accountant, we can contact them for your records and handle the handover, so you are not caught in the middle. It usually helps to have your most recent tax return, accounts, and details of your income sources to hand, but we can guide you through what is needed.
