Accountants for Doctors & Medical Professionals UK
Doctors have more complex accounting and tax requirements than many other professionals. Specialist medical accountants understand NHS income, private practice, locum earnings, GP partnerships, pension taxation and medical-specific expenses, helping you manage each income stream correctly and plan for your tax liabilities.
Whether you are an NHS junior doctor, GP partner, consultant, locum or private practitioner, At Accfirm, our accountants for doctors provide accounting and tax support built around your medical career.
What Our Clients Say About AccFirm
Many of our Customers have started their early careers with AccFirm
We’ve been working with this accounting team for over two years, and the difference has been incredible. From bookkeeping and VAT returns to corporation tax planning, everything is handled efficiently and on time. They keep us fully compliant with HMRC while helping us improve cash flow and profitability. I highly recommend their services to any business owner.
Sarah Thompson
Thompson Retail Ltd
As a contractor under the Construction Industry Scheme (CIS), I needed accountants who truly understand HMRC requirements. They managed my CIS registration, monthly returns, and self-assessment without any stress. Their guidance saved me both time and money. Professional, reliable, and always available when needed
James Patel
Self-Employed Contractor (CIS)
AccFirm took over our accounts when our previous firm kept missing deadlines. Within three months they had identified over £4,200 in tax savings we had been leaving on the table including expenses we had never been told we could claim. They handle everything from our quarterly VAT returns to our year-end accounts and payroll, and our dedicated accountant is always reachable. For any London small business owner, I cannot recommend them enough.
Daniel Okonkwo
Okonkwo Facilities Management Ltd
Why London Doctors Need a Specialist Accountant?
The NHS pension annual allowance is one of the most financially significant and most frequently mishandled areas of medical finance in the UK. Most general accountants do not fully understand how NHS pension growth is measured, how the tapered annual allowance is calculated for doctors with multiple income streams, or how the scheme pays election interacts with a doctor’s Self-Assessment return. AccFirm specialist accountants for doctors do.
For a London NHS consultant earning a total income above the GBP200,000 threshold income figure, the tapered annual allowance reduces the amount of pension growth that can occur tax-free potentially to as little as GBP10,000 per year. AccFirm accountants for doctors in London calculate every client’s annual allowance position proactively before the pension year ends so that informed decisions can be made in time.
For doctors who have been receiving annual allowance charges for multiple years without understanding why, AccFirm initial review frequently identifies both carry forward allowance that was never claimed and scheme pays elections that were not made in some cases resulting in significant cash refunds from HMRC when amended returns are filed.
“Need Professional Business Support?”
Let our experienced accountants handle the compliance and financial complexities while you focus on growing your business.
Bookkeeping Services for Doctors
Accurate bookkeeping becomes particularly important when income comes from NHS work, private patients, hospitals, agencies and other sources.
Our bookkeeping services for doctors can include:
- Bank reconciliation
- NHS income tracking
- Locum income reconciliation
- Private practice income
- Expense categorisation
- Professional fee tracking
- Payroll
- VAT records where applicable
- Monthly management reports
- Year-end account preparation
Cloud accounting platforms such as Xero and QuickBooks can make it easier to maintain current financial records and identify tax liabilities before the year-end deadline.
Medical Accounting Services for Doctor
A doctor may receive income from several sources, including NHS employment, locum work, private consultations, partnership profits, dividends and other professional activities. Each source can have different tax, pension and reporting implications. Our tax accountants for doctors help bring these areas together so your accounts, Self Assessment, pension reporting and tax planning remain consistent.
NHS Doctors and Junior Doctors
Our accountants for doctors manage Self Assessment, PAYE reviews, GMC fees, professional subscriptions, medical defence costs and eligible training expenses, while considering NHS pension and additional income.
Locum Doctors and Self-Employed Medical Professionals
We support locum doctors with bookkeeping, Self Assessment, limited company accounts, Corporation Tax, dividend planning and IR35 considerations, based on their actual working arrangements.
GP Partners and Medical Partnerships
Our services cover GP partnership accounts, profit allocation, NHS income, Type 1 and Type 2 pension certificates, partnership tax returns and individual Self Assessment.
Consultants With Private Practice Income
We help consultants manage NHS salary, private practice income, Self Assessment, pension tax, professional expenses and sole trader or limited company structures.
Private Doctors and Medical Clinics
We provide bookkeeping, accounts, payroll, Corporation Tax, VAT reviews, expense tracking and cash-flow support for private doctors and medical clinics.
Medical Practice Owners and Directors
We help practice owners manage company accounts, Corporation Tax, dividends, remuneration, business expenses and personal tax while keeping business and personal finances separate.
“Need Professional Business Support?”
Let our experienced accountants handle the compliance and financial complexities while you focus on growing your business.
Why Choose Specialist Medical Accountants?
Doctors often have multiple income sources, NHS pension considerations and profession-specific expenses. Specialist medical accountants understand these requirements and provide focused accounting and tax support instead of using a standard approach designed for general businesses.
Understand NHS Pay Structures
NHS income can include basic salary, additional sessions, overtime, clinical responsibilities and other payments. A specialist review considers how these interact with your wider tax position.
Understand Medical Pension Issues
Doctors can face pension tax charges because of changes in pension benefits rather than straightforward employee contributions. Annual Allowance analysis is therefore an important part of tax planning for higher earners.
Maximise Legitimate Tax Relief
We review professional fees, subscriptions and other expenses against HMRC rules rather than assuming every medical cost is deductible
Manage NHS and Private Income Together
If you receive NHS salary and private or locum income, treating each source independently can make your final tax position harder to predict. A specialist medical accountant brings the income streams together for a clearer tax calculation.
Plan Your Medical Tax Efficiently
We review eligible professional expenses, pension considerations and income sources to help you claim available tax relief and avoid unnecessary tax costs, while keeping your accounts compliant with HMRC requirements.
Manage NHS and Private Income Together
We can coordinate NHS salary, locum earnings and private practice income to give you a clearer view of your total tax position. This helps identify potential liabilities early and supports better tax planning.
Pension Tax Charges for High-Earning Doctors
High NHS pension growth can interact with Income Tax and Self Assessment obligations.
For 2026/27, the standard Annual Allowance is £60,000 and the minimum tapered allowance is £10,000. The current standard Lifetime Allowance itself was abolished from 6 April 2024, although replacement lump-sum limits now apply to pension benefits.
A specialist review can therefore consider the current pension rules rather than relying on older Lifetime Allowance calculations.
“Need Professional Business Support?”
Let our experienced accountants handle the compliance and financial complexities while you focus on growing your business.
Accounting Support for Every Stage of a Medical Career
Our specialist medical accounting services support doctors throughout their careers, from junior doctors and locums to GP partners, NHS consultants, private practitioners and medical clinic owners. We tailor accounting, tax planning, bookkeeping and pension support to your role, income structure and professional needs.
Junior Doctors
Tax returns, PAYE reviews, professional expenses and early pension planning.
Locum Doctors
Locum bookkeeping, Self Assessment, company structure reviews and employment-status considerations.
Private Practitioners
Business accounts, bookkeeping, tax returns, company structure and practice growth planning.
Medical Clinics
Company accounts, payroll, management reporting, Corporation Tax, VAT reviews and financial planning.
Speak to a Specialist Medical Accountants
Whether you are an NHS doctor, GP partner, consultant, locum or private practitioner, your accounting should reflect how your medical income is actually earned.
Book a free, no-obligation tax review with a specialist medical accountant to discuss your NHS income, private practice, locum work, pension position and current tax obligations.
Still Have Questions?
If you’d like to learn more about our accounting services or discuss your business requirements, our friendly team is ready to answer your questions.
info@accfirm.co.uk
FAQs About Accountants for Doctors
What does an accountant for doctors do?
An accountant for doctors provides accounting and tax services designed around medical income and expenses. This can include Self Assessment, NHS pension tax planning, locum accounting, GP partnership accounts, private practice accounting and company tax.
Why do doctors need specialist medical accountants?
Doctors can have multiple income streams and complex NHS pension arrangements. A specialist medical accountant understands these areas and can coordinate tax, accounting and pension information more effectively than a general bookkeeping service.
Can a tax accountant for doctors help with NHS pension tax?
Yes. A specialist can review pension information, Annual Allowance, tapered Annual Allowance and potential pension tax charges. The standard Annual Allowance is £60,000 for 2026/27, subject to the applicable rules and possible tapering.
Can you help with Type 1 and Type 2 pension certificates?
Yes. The underlying income and pensionable earnings can be reviewed to support the preparation of the appropriate NHS pension certificate for eligible GP arrangements.
Can doctors claim tax relief on GMC fees?
Certain GMC registration and related statutory fees can qualify for a deduction where the relevant HMRC conditions are satisfied. HMRC specifically includes fees relating to the general and specialist registers of medical practitioners in its guidance.
Should a locum doctor operate as a sole trader or limited company?
There is no single answer for every locum. The decision should consider income, expenses, working arrangements, IR35 or off-payroll rules, administration and how profits will be extracted.
Can you help doctors with private practice accounts?
Yes. Private practice accounting can include bookkeeping, accounts, Self Assessment, Corporation Tax, expense management, VAT reviews and tax planning.
Can you help consultants with NHS and private income?
Yes. A combined review can bring NHS employment income, private practice profits, pension information and other taxable income into one tax-planning process.
How can a doctor reduce an unexpected tax bill?
Start with regular tax forecasting. Review PAYE, private income, pension growth, professional expenses and Self Assessment throughout the tax year. This can identify potential liabilities earlier and allow legitimate planning options to be considered.
How much do accountants for doctors cost in London?
AccFirm specialist medical accounting services are available at fixed monthly fees that reflect the complexity of the engagement a junior doctor requiring a straightforward Self-Assessment return pays significantly less than a senior consultant with private practice income, NHS pension annual allowance issues, and a limited company. AccFirm does not charge hourly rates for queries, HMRC correspondence, or NHS pension calculations all included within the fixed monthly fee. Most AccFirm doctor clients report that the tax savings identified in their first year exceed the total annual accounting fee by a significant margin.