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 juggle clinical work with financial administration that has its own set of rules. The issues below come up regularly, though how much they affect you depends on your contracts, 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 entirely on your circumstances. If you are salaried, taxed through PAYE and have no other income, your tax affairs may be straightforward enough to manage yourself. Once you add private fees, locum work, consultancy, teaching income, rental property or a practice directorship, the picture changes, and so do the reporting requirements. An accountant can help you report all of that accurately, claim the expenses you are entitled to, and plan ahead rather than react at the deadline.
Your NHS employment income is normally taxed through PAYE, and private income such as patient fees is generally reported through Self Assessment. The return ties the two together, applying your tax bands across your total income and calculating any additional tax due. Getting this right relies on accurate records of private fees and expenses, and on making sure the figures on your PAYE coding notices match what actually happened during the year.
Medical indemnity cover and subscriptions to professional bodies are common claims, and relief is often available where the cost is incurred for the purposes of your work and is not reimbursed by your employer. The position varies depending on whether you are employed or self-employed, which body the subscription is paid to, and how it is paid. It is worth reviewing these costs each year, because they add up and the treatment is not identical in every case.
Locums often have a wider range of claims than salaried doctors, potentially including travel to temporary workplaces, a proportion of phone and internet costs, specialist equipment and clothing, professional indemnity, accountancy fees and training relevant to your work. The rules around travel are particularly important, since ordinary commuting is not allowable while travel to a temporary place of work may be. Good records of dates, locations and purposes make all the difference.
There is no single answer, because it depends on your contracts, your income levels and how you are engaged. Engagements with public sector bodies, including NHS organisations, fall within the off-payroll working rules, which means PAYE can apply even when you operate through your own company. For doctors whose income comes mainly from private practice, incorporation can sometimes be worth considering. We look at the specifics before recommending any structure.
VAT registration depends on your taxable turnover rather than your total income, and many medical services are exempt from VAT. That distinction matters, because exempt income generally does not create a requirement to register and also limits how much VAT you can reclaim on costs. If you also provide non-medical services, such as certain report writing or advisory work, those may be treated differently. The right approach depends on what you actually supply.
Contributions to your NHS pension and to private pension arrangements can affect your tax position, and there are annual limits that may reduce the relief available at higher income levels. Because NHS pension membership and any additional voluntary contributions both feed into that picture, it is worth reviewing periodically, especially if your income has changed or you have taken on extra work.
Most of what we do can be handled remotely, using secure document sharing and video or phone calls, so your location within High Pittington does not limit the support available to you. If you are moving from another accountant, we can usually manage the handover by contacting your existing adviser for the relevant records and confirming your position with HMRC. Once your details are in place, we agree a schedule that suits your working pattern.
