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 rarely deal with one simple income stream. NHS pay, private fees, locum contracts, consultancy and practice profits can all arrive in different ways, on different timescales, and with different tax treatments. That combination creates a set of accounting challenges that a generalist accountant may not recognise.
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 your circumstances. A doctor whose entire income is NHS salary taxed through PAYE, with no private work, locum income, consultancy fees, investments or rental income, may not need to file a Self Assessment return at all. As soon as additional income sources enter the picture — private practice fees, locum shifts, medico-legal work, practice profits, or untaxed investment income — the reporting requirements and the risk of an inaccurate return rise considerably. An accountant is less about filing a form and more about making sure income and expenses are treated correctly, professional expenses are not missed, and you know what is likely to be payable and when.
Your NHS salary is taxed through PAYE, and that tax is credited against your overall liability. Private fees, locum income and consultancy earnings are usually reported through Self Assessment, where they are added to your total income for the year. Because the combined figure can push you into a higher band, the tax due on the private element is often higher than the basic rate, and payments on account may apply for the following year. We prepare the return, calculate the position and explain how the figures arise so there are no surprises.
Yes. Locum doctors often work as self-employed sole traders, sometimes with several agencies or direct clients during a year, and sometimes alongside employed NHS work. That means tracking income from multiple sources, keeping records of contracts and invoices, and identifying genuinely allowable costs such as travel between work locations, professional indemnity, registration and subscription costs, and equipment used for the work. The correct treatment depends on whether you are engaged as self-employed or employed for each contract, and we review that carefully.
Common examples include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional training and continuing professional development that maintains or updates existing skills, equipment used for your work, and business travel or mileage that is not ordinary commuting. Personal costs, everyday clothing, and the cost of travelling from home to a regular workplace are generally not allowable. Because the rules depend on the nature of the expense and how you are engaged, we look at each item rather than applying a blanket list.
Not automatically. Many doctors receive NHS and private income as an individual, and a limited company is often unsuitable where the work is effectively employment. Incorporation can be worth considering for some private practice, consultancy or medico-legal arrangements, where it may offer a different approach to profit extraction and administration, but it also brings additional filing, payroll and compliance obligations. The right answer depends on your income levels, your contracts, your plans and how your NHS role sits alongside your private work, so we review the position rather than assuming.
Yes. GP practices and other medical partnerships typically need partnership accounts, allocation of profits between partners in line with the partnership agreement, and individual Self Assessment returns for each partner. Where a practice employs staff, there may also be payroll obligations, and VAT may apply to certain income streams. We handle the accounts and the partner-level reporting together, so the numbers reconcile and each partner knows their own position.
Pension contributions and scheme membership can affect your tax position, particularly where your income is high or varies from year to year. Contributions into the NHS Pension Scheme are handled through payroll, while any additional private pension arrangements are claimed differently. How these interact with your total income, and with your annual allowance position, depends on your individual circumstances. We flag where a review may be worthwhile rather than assuming a standard answer applies.
Yes. Much of the work involved in preparing accounts and tax returns can be handled remotely, with documents and records shared securely, and the approach tailored to how you prefer to work. If you are moving from another accountant, we can manage the handover, including requesting the information needed from your previous firm, so the transition is orderly. The starting point is a conversation about your income sources, your current arrangements and what you need from an accountant going forward.
