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 rarely follow a single, tidy financial path. Income can arrive from several places at once, expenses can be genuinely professional but easy to miss, and record keeping often slips down the priority list when clinical work takes over. These are some of 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 PAYE contract with no additional income, your tax may be handled through your payroll and a Self Assessment return may not be required. However, doctors with locum work, private practice income, consultancy or medico-legal fees, practice profits, or a mix of NHS and private earnings usually have reporting obligations that benefit from professional support. An accountant can help confirm what applies to you, keep your records in order and make sure the right income and expenses are reported.
Your NHS salary is normally taxed through PAYE, while private, locum or consultancy income is usually reported through Self Assessment. The return brings both together, so the tax already paid through PAYE is offset against your total liability. Getting this right depends on accurate figures for each income source and on correctly identifying expenses that relate to your self-employed or private work. Where the mix of income is complex, it is worth reviewing the position before the return is prepared rather than afterwards.
Potentially allowable costs often include medical indemnity insurance, GMC and royal college subscriptions, certain training and continuing professional development costs, specialist equipment, professional journals, and business mileage or travel for work purposes. Whether a cost can be claimed depends on factors such as whether it relates to employment or self-employment, whether it was incurred wholly and exclusively for your professional work, and whether it has already been reimbursed. Because the treatment varies, expenses should be reviewed individually rather than assumed.
Locum work is generally treated as self-employment, which means recording income and expenses, keeping evidence of travel and any equipment costs, and reporting profits through Self Assessment. Many locum doctors also have PAYE income from substantive posts or other engagements, so the two need to be reconciled. Because locum earnings can be irregular, setting aside money for tax as you go and keeping records up to date through the year is usually far easier than reconstructing everything later.
A limited company can suit some doctors, particularly where private or consultancy income is significant, but it is not automatically the better option. Incorporation brings additional administrative and reporting obligations, including annual accounts, Corporation Tax returns and payroll responsibilities, and it can affect how profits are extracted and how pension contributions are treated. The right structure depends on your income levels, working pattern and longer-term plans, so this is best assessed on your own circumstances.
VAT registration depends on your taxable turnover and the type of services you provide. Some medical services are exempt, while others — including certain cosmetic, medico-legal or non-medical services — may be taxable, so a practice can end up with a mixture of exempt and standard-rated income. That mixture can affect how much input VAT you can recover. If your turnover is rising or you provide a range of services, it is worth reviewing your VAT position before registration becomes compulsory.
Yes. Much of the day-to-day work can be handled remotely, with documents shared securely and conversations held by phone or video at times that fit around clinical commitments. If you already have an accountant, switching is usually straightforward: we contact your existing firm for the relevant records, confirm your filing position and agree how the handover will work, so there is no gap in your accounting or reporting.
It starts with a conversation about how you work and what you earn. We will ask about your employment status, income sources, whether you have NHS, private, locum or consultancy income, how your records are currently kept, and what is outstanding on the filing side. From there, we will set out what support you need, what we will require from you and how the ongoing arrangement will work. If you are unsure whether you need an accountant at all, that is a perfectly reasonable place to begin.
