Our accounting services cover individual doctors, GP practices, and medical practices of every size, and we also support smaller medical practices that just need one point of contact. Whether you need the right accountant for a straightforward Self Assessment or full support for a GP partnership, our specialist accounting services are structured to match how healthcare professionals actually earn.

Busy medical professionals rarely have time to research tax law between clinics and on-call shifts. That's why our services take the research and admin off your plate: bookkeeping, tax returns, annual accounts, and ongoing advice on financial management, all handled by an experienced team who already understand NHS contracts.

Medical professionals and healthcare professionals across the NHS and private sector both bring genuinely different accounting needs from most small businesses. A general practitioner running a partnership has more in common, financially, with a small business owner than with an employee, and our medical accounting service reflects that. As specialist accountants for the medical profession, we see the same patterns every year, and we build our services around them rather than treating each case as a one-off.

Doctors move between roles more than most professions. NHS employment, locum work, private practice, teaching, research and medico-legal work can all sit under one person's name in the same tax year. Here's how our specialist medical accountants support each stage, with tax advice and tax planning built in from day one.

How We Support GP Partners and Their Practice Accounts

A GP partner isn't just an employee. Practice partners are business owners, with profits, drawings, capital accounts, borrowing, premises, and partnership liabilities to manage alongside patients, and that needs its own kind of financial management.

We prepare partnership accounts, work out profit and drawings, and support you through joining or leaving a practice, buying into a practice, and valuing goodwill. We also review partnership agreements, handle partnership loans, premises costs, and succession planning when a partner retires or a new one joins, and we complete superannuation certificates each year so nothing is missed.

How We Handle Self Assessment and Expenses for Locum Doctors

Locum income often comes with PAYE income from another role at the same time, and that mix confuses a lot of tax returns. We handle locum Self Assessment from start to finish, including agency income, allowable expenses, mileage, GMC fees, professional subscriptions, and medical indemnity.

If you're moving from locum work into a permanent post, we restructure your tax position and give clear next steps so nothing gets missed in the transition. Many doctors ask about VAT returns once they start invoicing agencies directly through a limited company, and we cover that too.

How We Plan Tax for Hospital Consultants and Private Practice

NHS consultants often build private income from private patient work, medico-legal reports, teaching, examining and research on top of an NHS salary. Each stream has its own rules, and mixing that private income without a plan usually means paying more tax than you should. Declaring private practice income correctly keeps your Self Assessment accurate and avoids HMRC queries later.

We help consultants set up and run their private, practice-based income properly, whether that's as a sole trader or through a limited company. Choosing the right business structure is one of the first decisions we help with, and from there we handle profit extraction, VAT returns and Corporation Tax where they apply. Our goal is always to reduce tax liabilities legally, not just file paperwork on time.

How We Support Junior Doctors With Their First Tax Return

More than 47,000 applicants competed for 2026 medical training posts, and a lot of that generation will file a Self Assessment tax return before they've had time to learn what it involves.

We take care of that first return, along with GMC registration costs, exam fees, training expenses, professional subscriptions, and indemnity. We also factor in student loan repayments and locum income if you're picking up extra shifts, and we give the needed advice early so small mistakes don't turn into HMRC letters later.

How We Plan Ahead for Higher Earning Doctors and Doctors With Property

Once your income passes £100,000, then £150,000, then £200,000 and beyond, the interaction between income tax, NHS pension growth, the Annual Allowance and Carry Forward gets complicated fast. Around 34% of qualified GPs in England weren't working in NHS general practice in 2024, and many had moved into private work, portfolio careers or property.

We plan salary and dividend levels for doctors running a limited company, manage Capital Gains Tax on property disposals, and advise on holding property personally or through a company. We also support career moves such as salaried GP to partner, or registrar to consultant, with tax matters sorted before you make the jump, protecting your financial stability along the way.

We're specialist medical accountants for doctors, not a general practice that happens to take on medical clients. That difference shows up in every tax return and every piece of tax advice we give. As a specialist accountancy firm, we understand the specific financial needs of doctors and healthcare professionals.

Our experienced team stays on top of NHS pension rules, Annual Allowance changes, and Making Tax Digital requirements, so you get advice that's actually current. We take a proactive approach rather than waiting for a problem to land on your desk, and we build tailored solutions around how you actually earn, not a generic package.

Getting expert medical accountants involved early, before a small tax issue grows into a large one, tends to save doctors far more than it costs, and it means someone else is watching your financial affairs while you focus on patients. Not all specialist accountants take the time to understand NHS pension rules the way our medical accountants do.

A few reasons our clients stick with us:

• Honest advice, even when it means telling you something you didn't want to hear.
• A dedicated team who already understands NHS contracts, GP practices and private practice.
• Compliance checks built into everything we do, ensuring accurate tax returns and ensuring compliance with HMRC and pension rules, so you stay compliant without extra effort on your part.

What Working With Our Specialist Medical Accountants Actually Looks Like

We start with a free initial consultation to understand your income streams and what's not working with your current setup. From there, we agree a fixed fee, move your records onto cloud accounting, and take over your tax returns, annual accounts and NHS pension planning.

You get a dedicated contact who answers questions through the year, not just at deadline time. That's how we keep doctors and other healthcare professionals a step ahead of HMRC, instead of catching up after the fact. Our accountant-led approach works whether you're one of our individual clients or one of the GP practices and medical practices we support, because the expertise, the services and the tax returns we handle are all built around medicine, not general business.

Choosing the right accountant early, before a tax problem appears, is usually what protects your financial stability the most. Medical professionals often assume their situation is too complicated to explain quickly, and it usually isn't once someone who knows the medical sector is asking the right questions. Every client gets a named contact, not a call centre, and that applies whether you're an individual doctor or one of the medical practices we support.