01
Tax & self-assessment
Personal and partnership returns covering NHS, private and locum income, with every relief claimed and the figures explained in plain English.
Accountants for the medical profession only
Your practice, your pension, accounted for properly.
We act only for doctors, dentists and the practices they build. One named accountant, a fixed monthly fee, and advice through the year — not a single message at tax time.
DoctorsDentistsLocumsPractice owners
A taper, worked
£40,000
The allowance that disappears for a consultant on £340,000 adjusted income. We run the calculation in spring, while there is still time to act.
Your full picture
01
One named accountant
02
Fixed monthly fee
03
UK-wide, fully remote
Who we help
Medicine gets paid in a dozen different ways. Choose yours.
The levers are different for a salaried GP, a locum and a partner with three associates. Pick the closest description and see what we actually watch for you.
GP partner
Partner accounts, drawings and certificates, without the year-end scramble
Partnership accounts, drawings projections and the superannuation certificates that decide your pension position. We model next year's drawings before you commit to them, and flag the year a buy-in or buy-out changes everyone's tax.
Partnership accounts and each partner's allocation
Drawings projected against your pension allowance
Type 1 and Type 2 certificates issued on time
Buy-in, buy-out and the retirement of a partner
How it's usually engaged: Monthly retainer for the partnership, plus each partner's own return
What's included
One retainer, every medical-accounting corner covered.
Specialist advice, connected across your practice, pension and personal tax.
02
NHS pension & superannuation
Type 1 and Type 2 certificates, allowance and taper modelling, Scheme Pays and flexi-access, and a retirement plan built on your scheme rather than around it.
03
Locum work & IR35
Status reviewed for each engagement, umbrella versus your own company compared on real numbers, and contracts read before you sign them.
04
Practice accounts
Partnership, limited company and PCN accounts prepared on a calendar you set, with reporting that a clinical lead can actually use.
05
Payroll & cloud bookkeeping
PAYE for practice staff, pension auto-enrolment, and a Xero ledger that stays reconciled month to month instead of at year-end.
06
Structuring, sale & retirement
Incorporation and private practice set-up, buy-in and buy-out, practice sale, and an exit that works with the pension you've spent a career building.
NHS pension spotlight
The taper is where higher earners quietly lose their allowance.
Once threshold income passes £200,000 and adjusted income passes £260,000, your allowance falls by £1 for every £2 of adjusted income above that line, until it reaches a £10,000 floor. The number that eats it is the capitalised growth on your NHSBSA statement — not the contributions taken from your payslip.
We model that figure from your statement in spring, weigh Scheme Pays against flexi-access and carry forward from the previous three tax years, and tell you before the statement lands rather than after.
£60,000
Standard annual allowance for the 2026/27 tax year
£200,000
Threshold income above which the taper can begin
£260,000
Adjusted income above which your allowance starts falling
£10,000
The floor, reached once adjusted income hits £360,000
Figures are the annual allowance and taper thresholds for the 2026/27 tax year and are shown for general information. They are not personal tax advice, and they move with the tax year.
Why a specialist
A good generalist keeps you compliant. A specialist keeps you money.
A generalist practice
You hear from them once a year, around the deadline
The NHS pension is treated like any other pension pot
IR35 is a question nobody has put to them before
Fees arrive as an hourly invoice you can't predict
Medical.Accountants
A named accountant, reachable all year, who replies within one working day
Allowance and taper modelled from your statement before the year closes
Status reviewed engagement by engagement, and written down
One fixed monthly fee, agreed before we start
Switching
Changing accountant takes about a morning of your time. The rest is ours.
- 01
A 20-minute call
You talk, we ask. No slides and no obligation to move — you leave with at least one thing to fix wherever you are.
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We chase your old accountant
The moment you say yes, we write for the ledger, the files and the pension correspondence. Chasing is our job, not yours.
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A written fee before you commit
One monthly figure, what sits inside it, and what would cost extra. If your situation changes, the fee changes by agreement.
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Your first review, booked
We rebuild your position — income, pension, structure — and put next year's numbers in front of you before the tax year is done.
Packages for your working life
Accountancy packages for healthcare professionals
Self-employed income, a limited company, PAYE or a mixture: start with the support that matches how you actually work. We check your status and agree the scope and fee before starting.
Self-employed accountants for healthcare professionals packages
For genuine sole-trader income. We prepare your business accounts and Self Assessment, review allowable expenses and explain payments on account.
- Sole-trader accounts and personal tax return
- Allowable business expenses reviewed
- Tax reserve and payment deadline guidance
- MTD support scoped separately where required
Fixed fee quoted after a review
Discuss this packageLimited company accountants for healthcare professionals packages
For clinicians working through their own company. Choose Essential/Compliance, Core/Complete or Growth according to your accounts, bookkeeping and payroll needs.
- Statutory accounts and Corporation Tax return
- One director return for salary and dividends from the same company
- Confirmation statement support; filing fee extra
- Bookkeeping, VAT and payroll according to your chosen plan
Company packages from £45.83 + VAT / month
Compare company packagesPersonal tax return packages for healthcare professionals
For employed clinicians, partners and people with mixed income who need a return. We check whether Self Assessment is required and reconcile the relevant income, expenses and pension tax information.
- Self Assessment requirement checked
- PAYE and other income reconciled
- Eligible employment expenses reviewed
- Pension tax work agreed separately where needed
Fixed fee quoted after a review
Discuss this packageEmployment status is determined by the facts, not the package you choose. PAYE, umbrella and partnership arrangements may also apply. A limited company does not override IR35 or off-payroll rules, and not every employed clinician needs a tax return.
Overpaid tax?
Tax refund support for healthcare professionals
We review tax codes, eligible professional expenses and overpaid tax, then prepare a claim where you qualify. A refund is not guaranteed; HMRC decides the claim.
£249 + VAT
For refunds up to £5,000, our fee is £249 plus VAT. For refunds above £5,000, add 5% of only the amount above £5,000 to the £249 fee. VAT applies to the total professional fee.
Example: a £6,000 refund means £249 + £50 = £299 plus VAT.
Professional fee, excluding VAT
£249
This illustrates the fee only, not whether you qualify or how much HMRC will refund. We agree the claim scope and payment terms before work starts.
Clear fees
Fixed monthly, quoted in writing before you commit.
Sole practitioner
One income, one return: salaried GP, locum, sole-trader allied health.
- Self-assessment return
- Pension allowance check
- Expense claims reviewed
- Advice by email through the year
Fee quoted after your call, then fixed for the year.
Mixed income & private work
Most commonNHS plus private, locum shifts, or a small company beside your clinical work.
- Everything in sole practitioner
- Taper and Scheme Pays modelling
- Company or private practice accounts
- A mid-year planning conversation
Fee quoted after your call, then fixed for the year.
Practice, partnership or PCN
GP partnerships, dental practices, PCNs and healthcare companies with staff.
- Partnership or company accounts
- Payroll and auto-enrolment
- Board or partner reporting
- Structuring, buy-in and exit planning
Fee quoted after your call, then fixed for the year.
The fee promise
- A written quote before you commit to anything
- No hourly billing and no September surprise
- Mid-year reviews included, not chargeable extras
- A new figure agreed if your circumstances change
What people arrive saying
Nobody ever writes to say their accounts are fine.
These are the sentences medical professionals actually open with. They aren't client quotes, and none of them are unusual.
Pension
“My pension savings statement arrived and the input amount looks enormous.”
The taper
“I went over £200,000 last year and nobody has explained what the taper actually does to me.”
Locum status
“I work through an agency and directly for two practices, and I couldn't tell you which is inside IR35.”
Structure
“Everyone says I should incorporate. Nobody has shown me the numbers.”
One named accountant
The person who takes your call in June is the person who signs your return.
No account manager relay, no rotating pool of juniors, and no starting the story again every time you need something. One person holds the whole picture — your pension, your practice and your personal return — and it's the same person the year after next.
- Reply time
- Within one working day
- Reviews
- Scheduled mid-year, not on request
- Coverage
- UK-wide, fully remote
- Handover
- We chase your old files for you
Questions
The things people ask before they ask us anything useful.
Do you only act for medical professionals?
Yes. Every client is a doctor, dentist, pharmacist, optician or allied health professional, or a practice, partnership or PCN. That focus is why we know the pension certificates and the IR35 questions a general practice rarely sees.
Can you take me on mid-year?
Yes. Plenty of people arrive long after the autumn deadline. We pick up where your previous accountant left off and the fee is pro-rated to the work that's actually left to do.
Will you deal with my current accountant?
We write to them for the ledger, the files and the correspondence the moment you confirm. It's a handover we handle constantly — you shouldn't have to have the awkward conversation.
Do you handle the NHS pension certificates?
We check Type 1 and Type 2 certificates against what you've actually earned, model the allowance and the taper, and tell you before the statement lands whether you're heading for a charge.
How do fees work?
One fixed monthly figure, agreed in writing before you commit. If your circumstances change materially, we agree a new figure rather than quietly adding to the old one.
How quickly will you reply?
Within one working day, from the person who will actually handle your work. If it's urgent, say so and we'll tell you honestly when we can get to it.
Book a free consultation
Twenty minutes, no obligation, and a plan you can act on.
Tell us a little about your situation and we'll put you in front of the accountant who would actually handle your work. If we're not the right firm for you, we'll say so on the call.
- No fee estimate means nothing without seeing your figures
- Bring your latest pension statement if you have one
- We'll tell you honestly what we can and can't fix before the deadline