Accountants for Consultant Doctors
We work with consultant doctors who need specialist tax support around NHS salary, private practice income, pension annual allowance, Scheme Pays, McCloud remedy, medico-legal income, professional expenses, capital gains, foreign income, company structures and Self Assessment.
Consultants often need tax advice that connects NHS income, private work and pension tax.
Consultant doctors may have NHS employment income, clinical excellence awards, private practice income, medico-legal fees, company dividends, rental income, foreign income and NHS pension tax charges in the same year. The tax return should bring these areas together accurately, with clear records and a defensible explanation.
NHS salary can interact with pension tax, tax codes and Self Assessment.
Consultant salary, back pay, awards, additional programmed activities and tax code changes can affect the annual tax calculation and pension position.
Private practice income needs the right structure and reporting route.
Private hospital fees, clinic income, medico-legal reports and consultancy income may be reported personally, through a company or through another structure.
Consultants are often exposed to annual allowance and tapering issues.
Pension savings statements, tapered annual allowance, Scheme Pays and RPSS corrections need to be checked before filing the tax return.
We review the full consultant tax position before preparing the return, accounts or planning advice.
Consultant tax work should not be reduced to one payslip and one private income figure. We look at NHS income, private income, professional costs, company use, pension statements, Scheme Pays, property, foreign income and HMRC risk together.
Income map
NHS salary, private practice, medico-legal income, company dividends, property income and investments.
Structure review
Personal trading, employment, company, partnership, private hospital arrangement or consultancy contract.
Expenses and reliefs
Professional fees, indemnity, secretary, room hire, travel, software, equipment and employment expenses.
Pension review
Annual allowance, tapering, carry-forward, Scheme Pays, RPSS and McCloud remedy.
Filing and planning
Self Assessment, accounts, company filings, tax code corrections, HMRC notes and next-year planning.
We work with consultants across NHS, private and mixed income roles.
The right tax support depends on how the consultant earns income, whether private income is received personally or through a company, and whether NHS pension tax is in point.
NHS consultants
PAYE income, professional fee claims, tax code review, annual allowance, Scheme Pays and Self Assessment pension entries.
Pension tax →Private practice consultants
Private hospital income, clinic fees, expenses, company planning, VAT review, payments on account and tax returns.
Private tax →Medico-legal consultants
Expert witness work, report writing, legal fee income, VAT risk, company structure and expense treatment.
Review income →Consultants using companies
Company accounts, Corporation Tax, salary, dividends, director loan account, pension contributions and extraction planning.
Company accounts →Services commonly needed by consultant doctors.
These are the main service areas that connect with consultant doctors. The right combination depends on NHS income, private income, pension position, company structure and HMRC risk.
Self Assessment for Doctors
Tax returns for consultants with NHS income, private income, pension tax, property income, foreign income or capital gains.
View service →Private Practice Tax for Doctors
Tax advice for consultants with private hospital fees, clinic income, medico-legal fees and consultancy income.
View service →NHS Pension Annual Allowance
Annual allowance, tapered annual allowance, pension savings statements, carry-forward and pension tax calculations.
View service →Scheme Pays Advice
Advice on whether to use Scheme Pays, how much to elect and how to report it through Self Assessment.
View service →Limited Company Accounts for Doctors
Company accounts, Corporation Tax, salary and dividend planning, director loan account and Companies House filing.
View service →Tax Planning for Doctors
Planning for private income, pension tax, company extraction, property, capital gains, family tax and HMRC risk.
View service →Consultants often need the private income and NHS pension position reviewed together.
Additional private income may affect adjusted income and tapered annual allowance calculations. A consultant with NHS salary, private practice income, dividends or rental profits may need annual allowance, Scheme Pays and Self Assessment reviewed together.
We connect the consultant’s NHS income, private income, company records, pension savings statements and tax return entries so the filing position is consistent and supported.
Pension input figures can create a tax charge even when PAYE looks correct.
Annual allowance charges are not collected automatically through normal PAYE unless properly reported or corrected.
Private income can create payments on account.
Consultants with new or growing private income may face a balancing payment and advance payments for the following tax year.
A limited company needs records, not just a bank account.
Salary, dividends, Corporation Tax, director loan account and expenses need to be recorded properly before accounts are prepared.
Historic private income errors should be dealt with carefully.
If income was missed from earlier returns, the amendment or disclosure route should be checked before contacting HMRC.
What consultant doctors usually need to provide.
The exact records depend on whether you have NHS-only income, private practice income, company income, pension tax issues or HMRC correspondence.
P60s, payslips, P45s, PAYE coding notices, employment benefits and NHS role details.
Private hospital statements, clinic income, invoices, medico-legal fee notes, remittance advice and bank receipts.
Indemnity, GMC, BMA, Royal College, secretary costs, room hire, billing fees, travel, software and equipment.
NHS pension statements, pension savings statements, RPSS, Scheme Pays records and pension input amounts.
Previous tax returns, HMRC statements, payments on account, tax code notices and any HMRC letters.
A practical process for consultant doctors.
We identify the consultant’s income routes first, then prepare the tax return, accounts or planning advice around the actual records.
Understand your consultant income
We confirm NHS income, private practice, medico-legal fees, company income, property income and other tax areas.
Review records and pension position
We organise payslips, private income, expenses, pension statements, Scheme Pays records and company records where relevant.
Prepare the filing position
We prepare the Self Assessment return, accounts, company filings, pension tax entries, professional fee claims or disclosure notes.
Plan the next year
We confirm payments on account, records, pension tax exposure, tax code issues, company extraction and planning points.
Common questions from consultant doctors.
These answers are general only. The correct position depends on your NHS income, private income, company structure, pension position and records.
Do consultant doctors need a Self Assessment tax return?
Many consultants need a return where they have private income, pension annual allowance charges, rental income, foreign income, capital gains, dividends or other untaxed income.
Can private practice income affect NHS pension annual allowance?
Yes. Private income can affect adjusted income and tapered annual allowance calculations, which may increase or create an annual allowance charge.
Can a consultant use a limited company for private work?
Sometimes, but it should be reviewed carefully. The answer depends on contracts, IR35 risk, VAT, profit level, extraction plans, pension tax and compliance cost.
Can consultants claim professional fees and indemnity?
Often yes, but the claim route depends on whether the cost relates to employment, private practice, company work or partnership income. Evidence should be retained.
Can you help consultants with HMRC letters?
Yes. We can review letters about tax returns, PAYE codes, pension tax, private income, penalties, disclosures and compliance checks.
Need an accountant for consultant income, private practice, pension tax or HMRC support?
Send a short summary of your NHS consultant role, private income, pension issue, company position or HMRC matter. We will confirm the records needed and the next step.