Fixed-fee accounting and tax support for NHS consultants with private practice, insurance company work or clinic sessions alongside their NHS role, covering self assessment and Making Tax Digital, UK-wide.
Consultants typically combine an NHS salary with private practice income from insurers, self-pay patients and private hospital sessions, and it is often the private practice side that causes the most confusion at tax time. We work with consultants across specialties, reconciling private billing statements against what has actually been paid, so your accounts reflect your real earnings.
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We prepare and submit your self assessment tax return, bringing together NHS employment income, private practice billings and any other consultancy fees into one accurate return.
We reconcile your private billing company statements, insurer payments and self-pay patient income against what has actually reached your bank account, so your accounts reflect your real earnings.
Many consultants trade their private practice through a limited company once income reaches a certain level. We advise on whether this suits you, and handle company accounts and corporation tax if you do.
Medical care provided for a therapeutic purpose is generally VAT-exempt, but some consultancy, expert witness or non-therapeutic work can be standard-rated. We review your specific income streams and advise accordingly.
If you employ a secretary or practice manager to run 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. Private practice earnings, whether from insurers, self-pay patients or a private hospital, need to be reported through self assessment alongside your NHS salary. We register you if needed and file your return each year.
This depends on the scale of your private income and your wider financial plans. A limited company can be more tax-efficient once private earnings are substantial, but adds administration and reporting requirements. We model the numbers with you before you decide.
Common allowable expenses include medical indemnity insurance, GMC and royal college fees, private billing company commission, secretarial support, professional subscriptions and travel between sites. We help you keep accurate records and claim what you are entitled to.
Medical care provided by a registered practitioner for a therapeutic purpose is generally exempt from VAT, but certain non-therapeutic services, such as some medico-legal reports, can be standard-rated. We review your specific work and advise on your VAT position.
Yes. We reconcile your billing company statements, including commission and fees deducted before payment, against your bank records, so your accounts reflect what you actually received rather than what was invoiced.
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.