GP and consultant accounts, private practice accounts, tax returns and NHS pension tax support

Accounts for GPs and consultants

We prepare accounts and tax returns for GPs, medical consultants, private practice doctors and sessional doctors. We help organise income, expenses, accounts, Self Assessment, Corporation Tax, VAT, payroll, NHS pension tax and HMRC compliance.

Accounts for GPs, consultants, private practice doctors and medico-legal work Self Assessment, company accounts, Corporation Tax, payroll and VAT support NHS pension annual allowance, Scheme Pays and high-earner tax planning where relevant
Why medical accounts need care

Medical accounts should connect the business figures with the doctor’s wider tax position.

GP and consultant accounts are not just bookkeeping summaries. The accounts may affect Self Assessment, Corporation Tax, dividends, director loan accounts, VAT, payroll, pension tax exposure and HMRC risk. We review the numbers in the context of the doctor’s full tax position.

Private practice

Consultant private income needs clean records and a clear tax route.

We help organise clinic income, medico-legal work, hospital payments, expenses and whether the income sits personally or through a company.

GP income

GP accounts may involve partnership, sessional or additional income streams.

We review income type, expenses, pensionable income issues, tax return entries and whether additional support is needed for HMRC reporting.

Tax planning

Accounts should support tax planning, not just year-end compliance.

We consider profits, drawings, dividends, pension tax, salary planning, tax payments and future tax exposure.

The accounts route

We move from records to accounts, tax returns and future planning.

The correct route depends on whether you trade personally, through a partnership or through a limited company, and whether the income relates to GP work, private practice, medico-legal work or other medical services.

01

Income type

NHS employment, partnership share, sessional income, private practice, company income or medico-legal fees.

02

Records

Bank records, invoices, clinic statements, expenses, payroll, VAT and bookkeeping information.

03

Accounts

Profit and loss, balance sheet, adjustments, tax-sensitive items and management of owner drawings.

04

Tax filing

Self Assessment, Corporation Tax, company accounts, VAT, PAYE and Companies House filings where relevant.

05

Planning

Tax payments, pension annual allowance, dividends, salary planning and HMRC risk management.

What we can help with

Accounts and tax support for GPs, consultants and private practice doctors.

We can provide annual accounts, tax returns, company compliance, payroll, VAT support, pension tax review and HMRC correspondence support depending on your structure and income.

01

GP accounts

Accounts and tax support for GP partners, salaried GPs with additional income, sessional GPs and doctors with practice-related income.

Start enquiry →
02

Consultant private practice accounts

Accounts for consultants with private clinic income, medico-legal work, hospital payments and professional expenses.

Private practice tax →
03

Limited company accounts for doctors

Company accounts, Corporation Tax, Companies House filings, dividends, director loan accounts and payroll support.

Company accounts →
04

Self Assessment tax returns

Self Assessment for doctors with employment, partnership, private practice, company, pension tax or investment income.

Self Assessment →
05

Payroll, VAT and bookkeeping

Support with payroll, PAYE, bookkeeping, VAT registration, VAT returns and record keeping for medical businesses.

Start enquiry →
06

NHS pension and tax planning

Review of profit, income levels, pension annual allowance, Scheme Pays, drawings, dividends and future tax exposure.

Pension tax advice →
GP and consultant income

Accounts should show more than profit. They should explain the tax position.

Doctors can have several income routes in the same year: NHS employment, partnership income, private practice, medico-legal work, locum work, company income and investment income. We help bring the accounts and tax return into one consistent position.

Where profit levels create pension tax, high-income issues, payments on account or HMRC risk, we explain the position before filings are submitted.

Records needed

What we usually need to prepare GP or consultant accounts.

The records depend on whether you operate as a sole trader, partner or company director. We confirm the final list after reviewing your enquiry.

Income

Clinic statements, invoices, hospital payments, partnership statements and medico-legal income for the accounting period.

Banking

Business bank statements, Stripe/card payment records and receipts to reconcile income and expenses.

Expenses

Professional fees, indemnity, travel, courses, equipment, software, admin costs and practice costs with supporting records.

Payroll/VAT

Payroll records, VAT returns, bookkeeping data and software access where the business is registered or has staff.

Tax

P60s, pension statements, previous tax returns, Companies House records and HMRC letters where relevant.

How we work

A clear process for accounts, tax returns and compliance filings.

We first confirm your structure and income sources, then request records, prepare accounts and complete the required tax filings.

Scope and structure review

We confirm whether you trade personally, in partnership or through a company, and what filings are required.

Records request

We request income, banking, expenses, payroll, VAT, company and tax records relevant to the accounting period.

Accounts preparation

We prepare the accounts, review tax-sensitive areas and identify points needing explanation or adjustment.

Tax filing and advice

We prepare the tax return, company tax return, VAT, payroll or Companies House filings as agreed.

Accounts FAQs

Common questions from GPs and consultants about accounts.

These answers are general guidance only. The correct position depends on income type, structure, records and tax year.

Do consultants with private practice need accounts?

Usually, yes. Private practice income needs records and often accounts or a profit calculation before the figures are included on the Self Assessment tax return or company accounts.

Can you prepare accounts for a doctor’s limited company?

Yes. We can prepare company accounts, Corporation Tax returns, Companies House filings, dividend paperwork, payroll and director loan account reviews.

Can GP income affect NHS pension tax?

It can. Income levels may affect annual allowance, tapering and overall tax planning. Pension tax should be reviewed where income is high or pension input figures are significant.

Can you help if records are messy?

Yes, but the scope and fee may be higher. We can review bank statements, invoices and expense records to reconstruct the accounts position where needed.

Need accounts prepared for GP income, private practice or a medical company?

Send a short summary of your structure, income sources, accounting period and records available. We will confirm the likely scope, records needed and next step.