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 carry a level of financial complexity that a straightforward PAYE tax code simply cannot capture. These are some of the areas where specialist 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.
It depends on your circumstances. If you are a salaried doctor with no other income and straightforward tax affairs, your PAYE position may look after itself. However, once you have locum income, private practice or consultancy fees, a partnership share, a limited company, or several of these together, the reporting requirements become more involved. An accountant can help ensure income from all sources is reported correctly, that allowable expenses are claimed where appropriate, and that deadlines are met without last-minute panic.
Your NHS salary is normally taxed through PAYE, and your private practice, locum or consultancy income is generally reported through Self Assessment. The tax return brings the picture together, so your total income and any tax already paid through PAYE are taken into account. The exact position depends on whether the private work is treated as self-employment, partnership income or company income, and on your overall income level, so it is worth reviewing rather than assuming.
Commonly considered expenses include medical indemnity insurance where it relates to your professional work, professional body subscriptions, required training and professional development, specialist equipment, and business travel or mileage. Whether a particular cost is allowable depends on the rules and on how it relates to your work, so it is important to keep evidence and to distinguish between genuinely business costs and personal ones.
Locum work is often treated as self-employment, which means reporting income and expenses through Self Assessment and potentially registering for VAT if your turnover crosses the threshold. Locums frequently work through several agencies or practices, so keeping clear records of each engagement, along with associated travel and costs, makes the year-end much simpler. Depending on your circumstances, operating through a limited company may also be worth considering.
There is no single answer, because it depends on your level of private or consultancy income, how you want to take money out of the business, your pension position and your longer-term plans. A limited company brings different compliance requirements, including statutory accounts and Corporation Tax, alongside potential tax planning opportunities. It is worth reviewing the numbers before deciding, rather than assuming one structure is always better.
Yes. Alongside Self Assessment and annual accounts, we can support bookkeeping and management accounts, payroll for practice staff or company directors, and VAT registration and returns where they are relevant to your work. Many doctors find it helpful to have these functions handled together, so the figures feeding into the tax return are consistent and well supported.
NHS pension contributions and any private pension arrangements can interact with your taxable income, and there are rules around the level of contributions that attract tax relief. These are areas where individual circumstances vary considerably, so planning is best done with reference to your actual income, contributions and career plans rather than general guidance.
Many doctors prefer to handle their accounting remotely, and this can work well with secure document sharing and scheduled calls around your clinical commitments. If you are moving from another accountant, we can talk you through what is needed to transfer your records and make the change as smooth as possible. The first step is a conversation about your income sources and current arrangements.
