Specialist medical accountants and GP accountants for UK doctors

A GP accountant is an accountant whose work is concentrated on general practice: partnership accounts prepared to the shape NHS commissioners expect, reconciliation of PCSE statements and global sum, Carr-Hill and QOF income, superannuation certificates, and the individual self-assessment returns of the partners and salaried GPs behind the practice. The distinguishing skill is not the accounting standard, it is knowing how NHS practice income arrives and how it should be split between the partnership and the individual.

A competent generalist accountant can file your accounts and your return. The question is whether they can advise you. The gap shows most clearly in four places: NHS Pension annual allowance and the tapered allowance, where the input amount grows without you contributing anything extra; locum IR35 status, which is determined by the engagement and not the contract; mixed NHS and private income, where the same fee can be reported twice or not at all; and GP partnership structures, where notional rent, reimbursed expenses and mid-year profit share changes all have to be handled consistently across several people's returns.

For a GP partner: partnership accounts, the profit allocation, the superannuation certificate, and the personal return. For a salaried GP: self-assessment where private, locum or sessional income sits alongside the NHS post. For a hospital consultant: the split between NHS employment, private practice and medico-legal work, plus the incorporation question if the private income is material. For a locum: IR35 status, the limited company versus umbrella versus sole trader decision, expense claims, and NHS Pension Forms A and B so that locum work counts towards pensionable service.

GP partners and salaried GPs, hospital consultants with NHS and private income, locum and sessional doctors, junior doctors, and GP practices as entities. We work with nobody outside the medical professions, which is the point: the same questions recur, so the answers are already worked out. We publish the research, we build the calculators, and our medical accountants take the enquiries that come from them.

Yes. Enquiries come from across the UK and the work is handled remotely, which is normal for medical accounting because the records that matter (PCSE statements, NHSBSA pension savings statements, agency remittances, practice ledgers) are all digital. Note that NHS contracting and pension administration differ between England, Wales, Scotland and Northern Ireland, so the nation you practise in changes the answer more than the city does.

Fees depend on what the work actually involves: a single self-assessment return for a salaried GP is not comparable to a six-partner practice with partnership accounts, superannuation certificates and six individual returns. We do not quote a headline price, because the price would change the moment we saw the work. Tell us your role, your income mix and whether a practice is involved, and one of our medical accountants can scope it against that rather than against a figure that changes later.

Yes. Professional clearance is requested from your existing accountant, who passes over the records and the tax history. You are picked up from your current position rather than starting again, and there is no need to wait for a year end or a filing deadline to pass.