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.
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.
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.
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.
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.
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.
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.