We're specialist medical accountants serving GPs, consultants, and medical practice owners across Bristol. Whether you're in Clifton, the City Centre, or anywhere across the South West, we provide expert GP accounting and tax services for medical professionals.
We work with doctors across Bristol City Centre, Clifton, Redland, Westbury-on-Trym, and the wider South West region including Bath, Gloucester, Cheltenham, and Exeter.
Bristol's medical sector combines established GP practices with innovative private healthcare providers. We understand the South West healthcare market and the financial needs of Bristol-based doctors, from practice management to private work expansion.
Bristol GP practices need specialist support for partnership accounts, profit allocation, and NHS pension planning. We provide strategic tax advice and year-round financial guidance.
For Bristol consultants managing NHS and private income, we handle tax returns, pension optimization, and income structuring across multiple roles.
Bristol locums working across the South West need expert tax management. We handle self assessment, expense claims, and tax efficiency planning.
Incorporation & Company Structures
A numbers-led decision guide for doctors and consultants weighing whether to incorporate their private practice: sole trader versus limited company on 2026/27 figures, the NHS pension interaction, IR35 and spouse shareholding, extraction strategy, when not to incorporate, and worked examples at £40k, £80k and £150k of private income.
Incorporation & Company Structures
Consultants who draw cash from their private-practice company without declaring a formal dividend create an overdrawn director's loan account, which triggers a section 455 charge at the dividend upper rate: 33.75% on loans made in 2025/26 and 35.75% on loans made on or after 6 April 2026. The charge is temporary and repaid under s.458 once the loan is cleared, but the relief is deferred by up to a year, not instant. This guide covers the rate change, the beneficial-loan benefit in kind on balances above £10,000, the anti-avoidance rules that block repay-and-redraw, and the NHS pension angle that applies whenever money moves through a medical company.
Incorporation & Company Structures
A family investment company (FIC) is a bespoke private limited company holding investments rather than running a medical practice. For a high-earning consultant or GP with income already in the additional-rate band and surplus wealth beyond the NHS pension, it can shelter retained income at corporation-tax rates of 19-25% instead of 45% personal tax and keep future growth outside the estate. This guide explains the tax, share classes, IHT planning, and the settlements, minor-children and BADR traps that mean a FIC suits only doctors with genuine scale and a long-run family-wealth goal.
Tell us about your role and financial priorities. We'll arrange a short introductory call to discuss how we can support your medical practice.