We're specialist medical accountants serving GPs, consultants, and medical practice owners across London. Whether you're based in Harley Street, the City, Canary Wharf, or anywhere across Greater London, we provide expert GP accounting and tax services tailored to medical professionals.
Areas we serve in London
We work with doctors across Central London, North London, South London, East London, and West London — including Westminster, Camden, Islington, Hackney, Tower Hamlets, Southwark, Lambeth, Wandsworth, Hammersmith & Fulham, Kensington & Chelsea, and surrounding boroughs.
Medical accounting services in London
London has the highest concentration of medical professionals in the UK, from GP surgeries in every borough to major teaching hospitals and private consulting rooms. We understand the London medical landscape, including higher practice costs, competitive private markets, and the complex mix of NHS and private income streams.
GP partnership accounting
London GP practices often have complex partnership structures with multiple partners and salaried GPs. We handle partnership accounts, profit allocation, tax returns, and NHS pension reconciliation.
Consultant tax planning
For London consultants balancing NHS hospital work with private practice, we manage your mixed income streams, optimize tax efficiency, and handle NHS pension annual allowance complexities.
Locum doctor tax returns
London locums working across multiple practices need specialist tax support. We handle self assessment, expense claims, payment on account, and advise on VAT registration thresholds.
The Additional Roles Reimbursement Scheme is widely misread as free money for extra staff, when it is a reimbursement of defined employment costs up to a capped maximum, with real tax and VAT consequences for whoever does the employing. This guide takes the practical employer view: which roles are reimbursable, how the cap works, who can legally employ the staff and how each model changes the payroll, the NHS pension, the Employment Allowance and, most importantly, the VAT supply-of-staff question. It closes with how the reimbursement should sit in the accounts.
When a salaried or sessional GP is offered a partnership, the practical question is what you actually pay to come in, and what that money buys. This page isolates the capital buy-in itself: a contribution into the partnership capital accounts for your share of net assets, working capital and any premises share. It explains parity (working up from a reduced share to a full, equal profit share over an agreed period), and how the figure is set and valued, namely on net assets per the accounts and a surveyor or District Valuer basis for premises, never an NHS goodwill multiple. It is the money-and-mechanics page for joining, not a broad pros-and-cons of partnership.
NHS GP practice goodwill cannot be sold and has not been saleable since 1 April 2004. This guide explains the prohibition, why it exists, what actually changes hands on a partnership buy-in or buy-out, the one private exception, and why the dental goodwill playbook does not apply to GPs.
Book a consultation with a London medical accountant
Tell us about your role and financial priorities. We'll arrange a short introductory call to discuss how we can support your medical practice.