Clear, specialist tax advice for doctors, GP practices and locums

Support for GP practices and partners

We understand the particular accounting, tax and compliance issues affecting GP partners and general practices. Our aim is to reduce the administrative burden around accounts and tax so that principals can focus more of their time on the practice itself.

We can help with:

• Annual accounts for GP practices and related entities
• Partnership tax returns and partners’ personal tax returns
• Projected profits, tax liabilities and drawings planning
• NHS pension and superannuation related tax matters
• Dispensary accounting and related support where relevant
• Bookkeeping, payroll and routine financial administration
• VAT and wider tax issues affecting practice operations

Why use a specialist adviser?

• Better understanding of how GP practices operate and are funded
• Practical experience of partner issues, drawings and profit allocations
• Awareness of NHS-related tax and pension complications
• More joined-up advice on structure, profit extraction and long-term planning

Our approach
We aim to do more than prepare the annual accounts. We provide continuity of contact, timely delivery, prompt responses to day-to-day queries, and proactive advice where tax-saving or restructuring opportunities arise.

We are happy to act for practices across the UK.

Advice for doctors working independently or alongside employment income

Locums, registrars and consultants often have a different mix of income, expenses, pension issues and structuring options from practice partners. We advise doctors who want straightforward compliance support as well as those looking for more strategic planning.

Our service can include:

• Advice on employed versus self-employed status and NIC implications
• Accounts preparation and Self Assessment tax returns
• Guidance on allowable expenses and record keeping
• Tax planning around multiple income sources
• Advice on superannuation and related forms where relevant
• Planning around property income, pensions and family tax matters

Why clients come to us

• Proactive advice rather than box-ticking compliance only
• Clear explanations of liabilities and payment dates
• Support with cash flow planning and tax reserves
• Experience across healthcare and wider private client tax
• Practical help to reduce the risk of HMRC errors or enquiries

We act for medical professionals throughout the UK and can assist whether you are newly independent or already established.

Planning before key decisions are made

Tax planning usually works best before a major event or change. We help doctors and medical businesses look ahead and structure decisions properly, rather than trying to repair avoidable tax costs afterwards.

Areas we regularly advise on include:

• Practice and business structuring
• Incorporation of non-NHS or private income streams where appropriate
• Profit extraction planning
• Property tax issues affecting surgeries, investors and landlords
• Inheritance tax and succession planning
• Capital gains tax and business disposal issues
• Stamp Duty Land Tax and property transaction planning
• VAT issues affecting healthcare and related businesses
• Pharmacy-linked and wider healthcare group structures

Where there is a significant decision to be made, we prefer to review the commercial facts first and then advise on the most sensible, defensible and tax-efficient route.