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.
Medical careers are rarely linear, and the tax system does not automatically adapt when your working pattern changes. These are the areas where doctors most often need support.
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 are employed on a straightforward salaried contract and all of your tax is collected through PAYE, your affairs may be simple enough to handle yourself. An accountant tends to become valuable when your position is more complex — for example, if you receive private medical fees, locum income or consultancy payments, hold a share in a practice, run a limited company, or need to claim professional expenses such as indemnity cover and subscriptions. In those situations, an accountant can help make sure everything is reported correctly and that legitimate costs are not overlooked.
It depends on your circumstances rather than your job title. Salaried doctors whose tax is fully handled through PAYE may not need to file. However, a return is usually required where you have untaxed income such as private practice fees, locum earnings paid gross, consultancy income, rental income, or significant investment income, and there are also situations where HMRC expects a return even if no additional tax is due. If you are unsure, it is worth reviewing your income sources before assuming you can skip it.
NHS employment income is generally taxed through PAYE, with tax deducted at source. Private medical income is usually different — you may need to report it through Self Assessment and pay tax on it separately, often with payments on account towards the following year. Where you have both, the two are not calculated in isolation; they combine to determine your overall tax position, which can affect the rate applied to your private earnings and any other income you receive.
Allowable expenses are those incurred wholly and exclusively for the purposes of your work. For doctors, common examples include medical indemnity insurance, professional body subscriptions and registration fees, required training and continuing professional development, specialist equipment and reference materials, and business travel or mileage between work locations. What you can claim depends on whether the cost relates to employment, self-employment, or both, so it is worth checking before assuming an expense qualifies.
Locum work is often treated as self-employment, which means you are responsible for reporting your income and paying tax and National Insurance yourself rather than having it deducted through PAYE. That usually involves registering with HMRC, keeping records of earnings, agency statements and expenses, and filing a Self Assessment return. Locum doctors may also need to consider whether their arrangements look like employment in practice, as this can affect how income is treated. If you combine locum shifts with a salaried post, both need to be reflected accurately in your return.
There is no single answer that suits every doctor. Sole trader status is common for locum and small-scale private work and is relatively simple to administer. A partnership is typical where doctors share in a practice's profits. A limited company can suit larger private practices or consultancy income, but it brings additional obligations such as annual accounts, confirmation statements and Corporation Tax. The right choice depends on your income levels, how you want to take money out, your pension position and your future plans, so it is worth reviewing rather than assuming one structure is automatically better.
Doctors frequently work across multiple sites and long hours, so many prefer to handle their accounting remotely. Documents can be shared securely, records kept digitally, and meetings held by phone or video at times that fit around clinical commitments. If you would rather meet in person, that can usually be arranged. Either way, the aim is to make the process convenient rather than adding another appointment to your week.
Changing accountants is usually straightforward. Once you decide to move, we can contact your existing accountant to request the handover of your records, and we will let you know what we need — typically details of your income sources, recent tax returns and accounts, bookkeeping records, and confirmation of any HMRC references. If you are coming up to a filing deadline, telling us early gives more time to review your position properly before anything is submitted.
