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.
Medical careers rarely produce a single, simple income stream, and that complexity is where most tax and accounting pressure builds. The points below are common considerations for doctors rather than universal rules — the exact treatment depends on your employment status, income sources, business structure and individual circumstances.
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 all of your income is taxed through PAYE and you have no private work, no self-employment and no additional income, your tax position may be straightforward. An accountant tends to become valuable as soon as something sits outside that picture — private fees, locum shifts, consultancy or medico-legal income, a partnership profit share, rental income, or a limited company. At that point, questions about what is taxable, which expenses are allowable and how payments on account work become harder to answer confidently without specialist support.
It depends on your wider circumstances. NHS employment income is normally taxed through PAYE, but if you also receive private medical fees, locum payments, consultancy income, partnership profits or certain untaxed income, you may need to register for Self Assessment and declare everything together. There are also situations where HMRC asks a taxpayer to file a return for other reasons. The right answer depends on your individual position, so it is worth checking before a deadline approaches rather than afterwards.
NHS employment income is generally taxed through PAYE, with tax deducted at source and National Insurance contributions handled by the employer. Private medical income is often self-employment or miscellaneous income that you report yourself, with tax paid through Self Assessment, potentially alongside payments on account. Because the two are taxed through different mechanisms, the interaction between them — and the effect on your overall tax position — is one of the areas where doctors most often benefit from advice.
Commonly considered items include medical indemnity insurance, professional body subscriptions, registration and revalidation costs, job-related training and continuing professional development, specialist equipment, professional books and journals, and travel between work sites where it is genuinely business travel. Whether each item is allowable depends on your employment status and the purpose of the cost — expenses incurred wholly and exclusively for a trade or professional practice are treated differently from those reimbursed or claimable through employment. Good records and a clear explanation of each cost make the position much easier to support.
Locum work is often treated as self-employment, which means reporting income and expenses through Self Assessment, keeping records of invoices and payments, tracking allowable costs such as indemnity cover, transport between sites, and administrative support, and budgeting for tax that is not deducted at source. Where locum work sits alongside NHS employment, the combination can affect how much tax you pay overall. Some locums operate through a limited company, and whether that is beneficial depends on your contracts, income level and personal circumstances.
There is no universally better option. Sole trader or partnership status is simpler administratively and suits many doctors with modest private or locum income, while a limited company can offer different tax treatment and flexibility over how profits are extracted, but brings additional obligations such as statutory accounts, Corporation Tax returns and, in some cases, VAT registration and payroll for directors or staff. The right structure depends on your income sources, how much you earn, how you want to take money out, and your longer-term plans.
Yes. It is common for doctors to arrive with a backlog — bank statements not reconciled, receipts unsorted, or previous returns that need reviewing. Part of the initial review is working out what is missing and putting a practical record-keeping routine in place, so that future returns are built on organised information rather than a last-minute reconstruction. Being behind is a reason to get help, not a reason to delay it.
It usually begins with a conversation. It helps to have a rough picture of your income sources, your employment arrangements, any business structure you use, and the accounting work you currently do or avoid. From there, we can review your existing position, identify anything outstanding, and agree what support looks like for your circumstances. If you are switching from another accountant, we can talk through how that transition is handled in practice.
