Fixed-fee accounting and tax support for doctors with locum shifts, private practice or freelance medical work alongside NHS employment, covering self assessment and Making Tax Digital, UK-wide.
Many doctors earn income outside of their main NHS salary, whether that is locum shifts, private clinics, medico-legal reports or teaching and examining work, and that income has to be reported separately through self assessment. We work with doctors at every stage of their career, from newly qualified locums to consultants in private practice, bringing every income stream together into one accurate self assessment return.
Click a service to find out more.
We prepare and submit your self assessment tax return, bringing together locum shifts, private practice income and any other freelance medical work alongside your NHS salary into one accurate return.
We keep your records up to date, reconciling locum agency payments, private patient fees and expenses so your tax return is always built on accurate, current figures.
If your private practice income is significant, we advise on whether trading through a limited company suits your circumstances, and handle company accounts and corporation tax if you do.
Medical services provided by a registered doctor for the primary purpose of protecting, maintaining or restoring a patient’s health are generally exempt from VAT, though certain non-therapeutic work is not. We review your specific income streams and advise accordingly.
If you employ a secretary or other support staff for your private work, we run your payroll so PAYE and National Insurance are calculated and reported correctly and on time.
We offer fixed-fee packages whether you work as a sole trader or through your own limited company. Each package covers the core compliance work below, with optional extras you can add as needed.
Self Employed
Optional
Limited Company
Optional
Limited Company
Optional
Limited Company
Optional
All packages are guide prices, excluding VAT. Your exact fee depends on your turnover, transaction volume and the level of support you need — request a quote for a price tailored to you.
Straightforward answers to the questions we’re asked most.
Yes. Locum income, whether paid through an agency or directly, needs to be reported through self assessment alongside your PAYE employment income. We register you if needed and file your return each year.
Common allowable expenses include GMC and medical indemnity fees, royal college subscriptions, CPD and exam costs, professional journals, and travel between sites for locum work. We help you keep accurate records and claim what you are entitled to.
This depends on how much private income you earn and how it is likely to grow. A limited company can be more tax-efficient at higher income levels, but brings extra administration. We talk through the numbers with you before you decide.
Medical care provided by a registered practitioner for a therapeutic purpose is generally VAT-exempt, but reports and services with a non-therapeutic purpose, such as some medico-legal or insurance work, can be standard-rated. We review your specific work and advise on your VAT position.
Yes. We combine income and tax already deducted from every source into a single self assessment return, making sure nothing is taxed twice and every allowable expense is properly accounted for.
Tell us about your circumstances and we’ll come back to you with clear next steps, typically the same working day. Our support is available in person, by phone, email or a virtual video meeting, whichever suits you best.