A medical career brings financial complexity that a general accountant is simply not equipped to handle. Multiple income streams, NHS pension annual allowance charges, private practice income, locum self-assessment obligations, and the arrival of Making Tax Digital, each of these demands specialist knowledge that goes far beyond standard accountancy.
Consultax are specialist medical accountants for doctors who understand the full picture of a medical professional's financial life. Whether you are a GP, a locum, a hospital consultant, a surgeon, or a private practice doctor, we handle the accounting so you can focus entirely on your patients.
Reliable, proactive, and results-driven, we apply the same level of dedication to your success that you bring to your business every day.
We go beyond the numbers to offer guidance that’s tailored, and built for growth.
Your goals matter, so we deliver attentive, custom support designed to guide you towards lasting success.
We prioritise clear communication, accounting support you can understand and rely on.
Consultax provides dedicated accounting and tax services to medical professionals across every discipline, employment status, and career stage. If you earn income from healthcare, whether from the NHS, private practice, locum work, or a combination of all three; your tax position demands a specialist, not a generalist.
As dedicated medical accountants and specialist accountants for healthcare professionals, we work with:
GPs & GP Partners
As specialist accountants for GPs, we handle the full complexity of GP income: NHS partnership drawings, PCN payments, QOF income, seniority payments, and private income reported correctly on Self-assessment. For GP Partners, we also manage partnership accounts, profit-sharing arrangements, and year-end accounts for the practice.
Locum Doctors
As experienced locum doctor accountants, we manage the specific tax obligations of locum work: self-employed income, IR35 status review, payments on account, and the allowable expenses that locums routinely miss. Locum doctors with gross income above £50,000 must comply with Making Tax Digital. We prepare you for this well in advance.
Hospital Consultants
As trusted accountants for consultants, we handle the financial complexity of consultants earning from NHS employment, private practice, medical reporting, expert witness work, and directorship of private medical limited companies. We ensure every income stream is reported correctly and every allowable expense is captured.
Surgeons
As specialist accountants for surgeons, we manage the mix of NHS salary, private surgical income, medical indemnity costs, equipment expenses, and professional subscriptions that define a surgeon's tax position, ensuring nothing is missed and your return is prepared to HMRC's expected standard.
Private Doctors & Private Practice Owners
As a dedicated specialist accountant for private doctors, we support those running or working within private medical practices from solo practitioners through to multi-clinician setups, managing income tax, VAT (where applicable), payroll, and year-end accounts.
Self-Employed Doctors
As a specialist accountant for self-employed doctor clients, we manage Self-assessment filings, business expense claims, NHS pension contributions, and tax planning for doctors operating outside of straightforward PAYE employment.
Medical Practice Owners
As experienced medical practice accountants, we provide full accounting services for GP practices, private clinics, and specialist medical practices, covering partnership accounts, payroll, VAT, CQC compliance considerations, and year-end accounts alongside all personal tax obligations.
Dentists, Physiotherapists & Allied Healthcare Professionals
As broader accountants for healthcare, we serve a wide range of registered healthcare professionals managing mixed income streams and self-employed tax obligations.
Doctors, GPs, locums, and medical consultants face a combination of tax pressures that are entirely unique to the medical profession. A general accountant who occasionally files a doctor's tax return will rarely have the depth of knowledge to handle these correctly and the cost of that ignorance falls entirely on you.
Here are the specific issues that cause medical professionals to overpay tax, receive HMRC penalties, or face unnecessary financial stress:
NHS Pension Annual Allowance Charges
The NHS pension is one of the most valuable benefits in the UK but its annual allowance rules are among the most complex. The standard annual allowance is £60,000, but for doctors with adjusted income above £260,000, the tapered annual allowance can reduce this to as low as £10,000. A single year of additional sessions, a pay rise, or a locum contract can push you over the threshold without warning, resulting in a significant HMRC tax charge that must be declared on Self-assessment.
A specialist medical accountant tracks your pension growth, identifies tapering exposure early, and advises on Scheme Pays elections and carry-forward strategies before the charge becomes a problem.
Complex Mixed Income: NHS, Private, and Locum
Most doctors earn from more than one source. PAYE NHS salary, self-employed locum income, private practice fees, medical report income, expert witness payments, directorship dividends, and rental income can all appear in the same tax return. Each requires different treatment. A general accountant will often miss the interactions between these sources that leading to incorrect filings and unnecessary tax.
Missed Allowable Expenses
Medical professionals are entitled to claim a wide range of allowable expenses: GMC registration fees, Royal College subscriptions, medical defence union costs, BMA membership, professional indemnity, CPD and training costs, equipment, home office use, and travel between practice locations. These are routinely missed or incorrectly categorised by non-specialist accountants.
Making Tax Digital
Self-employed doctors and locums with gross income above £50,000 must file quarterly digital submissions to HMRC under Making Tax Digital for Income Tax. The threshold drops to £30,000 in 2027 and £20,000 in 2028. Non-compliance carries automatic penalties of £100 or more per missed submission. The majority of affected doctors are not yet prepared.
IR35 and Locum Status
Locum doctors working through limited companies for NHS trusts or public sector bodies are subject to IR35 assessment by the engager. Being incorrectly classified as inside IR35, or failing to recognise when you are, results in significant unexpected tax liabilities. We review your working arrangements and advise on your status before it becomes a problem.
Limited Company Decisions Made Without Proper Advice
Many doctors set up limited companies for their private work without receiving proper advice on whether this is appropriate, how to extract income correctly, and how dividend tax changes affect the decision. From April 2026, dividend tax rates for higher-rate taxpayers increased to 35.75 per cent, a significant change that alters the tax efficiency calculation for many private medical limited company directors.
Consultax provides the specialist knowledge that prevents all of these issues, not reactively, but through year-round proactive advice that keeps your tax position under control.
Every service we provide is designed around the specific financial structures, income sources, and tax obligations that medical professionals face not adapted from a general accounting template.
Self-Assessment Tax Returns for Doctors
As specialist tax accountants for doctors and dedicated accountants for medical professionals, we prepare your annual self-assessment return with a thorough review of every income source: NHS salary, locum income, private practice fees, medical report income, dividends, rental income, and pension income, before a single figure is submitted to HMRC.
We apply every allowable expense correctly, handle the NHS pension annual allowance calculation where relevant, ensure your payment on account position is managed, and file your return accurately and on time.
Best for: GPs, locums, consultants, surgeons, hospital doctors, and any medical professional with income outside of straightforward PAYE employment.
NHS Pension Annual Allowance Advice & Planning
The NHS pension annual allowance is one of the most frequently mishandled areas of doctor taxation in the UK. We calculate your pension input amount, assess whether the tapered annual allowance applies to your income level, review carry-forward from previous years, and advise on Scheme Pays elections where a charge cannot be avoided.
Proactive annual allowance planning, not reactive damage limitation, is how we approach this. If you have received an annual allowance statement from NHSBSA and are unsure what it means, contact us immediately.
Best for: Consultants and GPs earning above £100,000, doctors considering additional sessions or locum work that may trigger tapering, and those who have already received an annual allowance charge and need to respond correctly.
Medical Tax Planning & Optimisation
Effective medical tax planning goes well beyond filing a return. As your dedicated specialist medical accountant, we review your income structure, expense profile, pension strategy, and personal circumstances to identify where legitimate tax savings are available throughout the year.
This includes income splitting strategies for married couples, pension contribution planning, the correct use of the personal allowance in years of reduced income, timing of private practice income, and the decision between sole trader and limited company for private work.
Best for: GPs, consultants, surgeons, and private practitioners looking to take a proactive approach to their annual tax position rather than simply reacting to a bill in January.
Locum Doctor Accounting & Tax
Locum medicine brings specific financial obligations that a general accountant will not fully understand. We provide a complete locum doctor accountant service covering self-assessment registration, income and expense tracking, payments on account, IR35 status review, pension advice for income outside the NHS Pension Scheme, and Making Tax Digital preparation for April 2026.
We also advise on whether a sole trader or limited company structure is most appropriate for your locum income level and working pattern and we manage the ongoing accounting either way.
Best for: Self-employed locum GPs, locum hospital doctors, bank staff with self-employed income, and doctors considering moving into or out of locum work.
Private Practice Accounting & Limited Company Support
For doctors running private clinics or earning significant private income, the right accounting structure is critical. We provide dedicated specialist accountant for private doctors services from reviewing whether a limited company is appropriate, through company formation, book-keeping, payroll, VAT registration, and annual accounts, to the personal tax treatment of salary and dividends.
Following the April 2026 increase in dividend tax rates, the case for private medical limited companies requires fresh analysis for many doctors. We model your specific position before recommending any change to your structure.
Best for: Consultants, surgeons, and private practitioners earning above £50,000 annually from private work, and those currently operating through a limited company who want a review of their tax efficiency.
GP Practice & Medical Practice Accounts
As experienced medical practice accountants and GP accountants, we provide full accounting services for GP partnerships, single-handed GP practices, and private medical practices. This includes partnership accounts, profit-sharing schedules, personal tax for each partner, practice payroll, VAT compliance, and year-end accounts prepared accurately and on time.
We understand the specific income structures of GP practices including NHS contract income, PCN funding, Enhanced Services, and private income and we ensure every element is accounted for correctly.
Best for: GP Partners, single-handed GPs, private clinic owners, and medical practice managers who need a specialist to handle the full accounting function of the practice.
Medical Book-keeping Services
Accurate, well-organised records are the foundation of a correct tax return and sound financial management. Our medical book-keeping services cover income tracking across all sources, expense categorisation, invoice management, and reconciliation for medical professionals operating across multiple platforms and payment streams.
We work across Xero, QuickBooks, Sage, and FreeAgent and we set up your book-keeping in a way that makes your Self-assessment preparation and Making Tax Digital compliance straightforward rather than a last-minute scramble.
Best for: Locum doctors, private practitioners, GP Partners, and any medical professional who wants their financial records maintained accurately throughout the year.
HMRC Enquiry Support for Medical Professionals
If HMRC has opened an enquiry into your tax return or if you are concerned about a prior-year filing, we help you respond clearly, calmly, and with evidence. We review your original returns, reconstruct records where necessary, and prepare structured responses that address HMRC's questions directly and professionally.
Best for: Doctors who have received an HMRC enquiry letter, those concerned about undeclared income from prior years, and medical professionals who have recently changed accountants and want their historical filings reviewed.
We are not a general accounting practice that occasionally files a doctor's tax return. Consultax are specialist medical accountants and healthcare accounting services experts who bring genuine financial expertise, ICAEW accreditation, and a PwC-trained lead to every client engagement with a proactive, year-round approach that keeps medical professionals in complete control of their finances.
Led by a PwC-Trained Chartered Accountant
Varun Gupta, our founder, brings over 17 years of experience across complex tax structures, private equity, and specialist advisory work. When you work with Consultax, you receive senior-level expertise from day one - not a junior accountant processing your return from a standard template.
ICAEW Chartered Accountants
We are fully accredited Chartered Accountants regulated by the ICAEW. Every piece of advice is backed by genuine professional qualification and accountability. You can trust what we tell you.
Specialist Medical Knowledge
We understand how doctors earn, how the NHS pension operates, what expenses medical professionals can claim, and what HMRC focuses on in medical practitioner returns. You will not need to explain your income structure to us: we already understand it.
Proactive, Year-Round Advice
We do not contact you once a year in January to gather records. We review your tax position throughout the year, flag pension annual allowance exposure before it becomes a charge, and prepare your return well ahead of the deadline with no last-minute pressure.
Transparent, Fixed-Fee Pricing
You will always know what you are paying before we begin. No hidden costs, no hourly rates, no surprise invoices. Clear, agreed pricing from the very first conversation.
UK & UAE Coverage
We serve medical professionals based in the UK and UAE. Whether you are a UK-based doctor managing domestic tax obligations, or a UAE-based medical professional with UK income or residency considerations, we have the cross-border knowledge to handle your position correctly.
5-Star Rated on Feefo
Our clients rate us 5 stars on Feefo. We are proud of that record and we work hard to maintain it with every engagement.
Are You Ready To Get In Touch?
Quick & affordable, avoid errors and penalties, keep your finances organised with our expert accounting services & bespoke packages.
Step 1
Book a Free Consultation
Call us on (+44) 20 3084 6408 or email sales@consultax.co.uk. We will arrange a no-obligation call to understand your medical career, income sources, current tax position, and what you need from a specialist medical accountant.
Step 2
We Review Your Position
We assess your income structure, filing history, NHS pension position, expense records, and any outstanding HMRC obligations. We identify gaps, risks, missed reliefs, and planning opportunities before we do anything else.
Step 3
We Prepare, Plan & File
Once we understand your position fully, we prepare your self-assessment, tax plan, practice accounts, or book-keeping with complete transparency. You will know exactly what is being submitted to HMRC and why: in plain English, not accounting jargon.
Step 4
Year-Round Support
For clients who want proactive, ongoing support, we remain in contact throughout the tax year, reviewing your pension position, tracking income changes, flagging MTD obligations, and ensuring your tax position is managed consistently rather than reactively.
Frequently Asked Questions
If you have income outside straightforward PAYE employment including locum work, private practice, medical reports, expert witness income, or partnership drawings, working with a specialist medical accountant or dedicated accountant for doctors is strongly advisable. General accountants frequently miss NHS pension annual allowance issues, mishandle mixed income streams, fail to claim all allowable professional expenses, and are unprepared for the specific HMRC rules that apply to medical practitioners.
Allowable expenses for medical professionals typically include GMC registration fees, Royal College subscriptions, medical defence union or indemnity costs, BMA membership, CPD and training costs, professional journals and reference materials, equipment and instruments, stationery, home office costs where applicable, and travel between practice locations. The precise list depends on your employment status and working arrangements. We review your full expense profile as part of every engagement.
The standard annual allowance is currently £60,000 per tax year. For doctors with adjusted income above £260,000, this tapers down to a minimum of £10,000. If your pension grows beyond your available annual allowance in a given year; due to extra sessions, a pay rise, or locum income, HMRC charges tax on the excess at your marginal rate. This charge must be declared on self-assessment. We calculate your pension input amount, assess your tapering position, and advise on Scheme Pays and carry-forward options before any charge arises.
This depends on your income level, how much you withdraw versus retain, your pension arrangements, and your wider financial circumstances. From April 2026, dividend tax for higher-rate taxpayers increased to 35.75 per cent, which changes the efficiency calculation for many doctors. We model your specific position and give you a clear, evidence-based recommendation before you make any structural decision.
Yes. Managing multiple income streams is one of the most common challenges facing medical professionals, and it is one of the areas where a specialist healthcare accountant adds the most value. We bring all of your income together into a single, correctly prepared self-assessment return, ensuring each source is reported accurately, every allowable expense is captured, and the interactions between income types are handled correctly.
Stop managing your finances with a general accountant who does not understand NHS pension annual allowance, locum IR35 rules, medical expense claims, or Making Tax Digital. Consultax are specialist medical accountants and dedicated accountants for doctors who take a proactive, expert approach to every element of a medical professional's financial life.
Whether you are a GP, a locum, a consultant, a surgeon, or a private practice doctor; from medical accounting services and self-assessment tax returns to NHS pension advice, limited company structuring, and medical book-keeping services. We handle everything in one place, with full transparency and fixed fees.