Specialist Accountants for GPs, Consultants & Locum Doctors
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 tax return does not accommodate well. The challenges below are the ones that come up most frequently, and each can affect how much tax you pay, when you pay it and how much admin lands on your desk.
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 your only income is salaried NHS or hospital pay taxed through PAYE and your affairs are straightforward, you may not need ongoing support. However, an accountant is often worth considering once you have income that is not taxed at source, such as private fees, locum payments, consultancy income, medico-legal work, rental income or investment income. The same applies if you are a GP partner, run a practice or company, employ staff, or need to claim professional expenses accurately. It is less about whether you are a doctor and more about how many moving parts your finances contain.
It depends on your circumstances. Many doctors with only PAYE income do not need to file. However, a return is usually required where you have untaxed income such as private practice fees, locum earnings paid without tax deducted, consultancy or medico-legal income, partnership profits, significant dividend or rental income, or where HMRC has issued a notice to file. Higher earners with certain tax charges can also fall within Self Assessment. If you are unsure whether you meet the criteria, it is worth checking before the filing deadline rather than after it.
Locum income is usually treated as self-employment income, which means it is reported through Self Assessment and taxed after allowable expenses are deducted. That said, the position can differ depending on whether you work through an agency, are paid directly by a trust or practice, or provide your services through your own limited company. Where a company is involved, off-payroll working rules may affect how the engagement is treated. Keeping accurate records of shifts, travel and expenses throughout the year makes the reporting process significantly easier.
Commonly claimed items include medical indemnity and defence union subscriptions, GMC and specialist register fees, royal college and professional body memberships, relevant training and continuing professional development, specialist equipment and textbooks, and travel between work locations where it is not ordinary commuting. Whether a particular cost is allowable depends on your employment status and how the expense relates to your work, and the rules differ between employment and self-employment. Because of that, it is worth reviewing your expenses individually rather than assuming a standard list applies to everyone.
There is no single answer that suits every doctor. A limited company can be appropriate for some private practitioners, locums and consultants, but incorporation brings additional administrative obligations such as annual accounts, Corporation Tax returns, payroll and potentially VAT, and it does not suit every working pattern. Off-payroll rules, contract terms and the level and consistency of your income all need to be considered. The right approach is to look at your circumstances as a whole and weigh the practical benefits against the extra compliance involved.
Many medical services are exempt from VAT, which is why a significant number of doctors never need to register. However, not everything a doctor does falls within that exemption. Some non-medical services, certain cosmetic or aesthetic treatments, medico-legal reporting, the sale of goods or the provision of administrative services can be treated differently, and a mixture of exempt and standard-rated income can create registration and reporting questions. If your work includes any of these elements, it is worth reviewing your position carefully.
Yes. Bookkeeping, payroll, VAT returns and annual accounts can all sit alongside your Self Assessment, which is often more efficient than handling each task separately. Keeping records up to date through the year means your year-end figures are ready when needed and your tax position is clearer in advance. For doctors employing practice staff, locums or administrative support, payroll can also cover PAYE, payslips and the associated reporting obligations.
It usually starts with a conversation about how you work and what you need. From there we review your existing arrangements, including previous returns and current bookkeeping, and set out how we can help. If you are moving from another accountant, the process is normally straightforward — we can contact your existing firm, request the relevant information and handle the handover, so you are not left chasing paperwork. Doctors with a mix of NHS, private, locum or consultancy income are welcome to get in touch to discuss their circumstances.
