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 standard personal tax return does not accommodate. The challenges below come up frequently, though how much they affect you will depend on your employment status, your income sources and the structure you work through.
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 how straightforward your affairs are. If everything you earn comes through PAYE and you have no untaxed income, you may not need to file a return at all. Once private fees, locum income, consultancy payments, rental income or partnership profits are involved, the picture becomes more complex and reporting errors become more likely. An accountant can help ensure all income is captured, that relevant expenses are claimed appropriately, and that your returns are submitted on time.
NHS salary is normally taxed through PAYE, with tax deducted at source, while private medical fees, locum payments and consultancy income are often taxed through Self Assessment, sometimes with payments on account. Where you have both, the two are brought together on your tax return and your overall liability is calculated there, which can affect the tax due and the payments you make during the year.
There is no single answer that suits every locum. Working through a limited company can be beneficial in some circumstances but brings additional obligations, including annual accounts, Corporation Tax returns and potentially payroll and VAT responsibilities. Whether it is worth doing depends on your level of income, your other work, your longer-term plans and how you want to take money out. It is worth reviewing your structure as your work changes rather than assuming the original choice still fits.
Commonly considered items include medical indemnity cover, GMC and specialist register fees, professional body subscriptions, required training and continuing professional development, professional equipment and uniforms, and travel and mileage for business journeys. Whether a particular cost is allowable depends on why it was incurred and whether it relates directly to your work. Home office costs and mixed-use items need more careful treatment, so it is worth checking your specific circumstances before claiming.
Yes. Bookkeeping and tax compliance work together, and keeping records up to date throughout the year usually makes the return quicker and more accurate. We can maintain your records, reconcile income and expenses, prepare management information where useful, and then use those figures to complete your accounts and Self Assessment or Corporation Tax filings.
This is common among doctors and it is exactly where an accountant adds value. Each source needs to be reported correctly, with the right treatment applied to employed versus self-employed income, and the totals brought together so your allowances and reliefs are used properly. We look at how the different streams interact rather than treating them in isolation.
VAT registration generally depends on your level of taxable turnover and the nature of your services. Many medical services are exempt from VAT, but not everything a doctor does falls into that category, and other activities such as certain cosmetic or medico-legal work can be treated differently. If your income is close to the registration threshold or you are unsure how your services are classified, it is worth reviewing your position before you have to act.
Not usually. In most cases we can contact your existing accountant for the information needed and handle the handover on your behalf, so the process is largely administrative from your side. It helps to have your most recent accounts, tax returns and records available, but we can talk you through what is required and when would be a sensible point to make the change.
