Accounts for clinicians and practices
Healthcare professionals rarely have simple tax affairs. A GP may be a partner in a practice while also doing out-of-hours or private work. A dentist may be an associate at one practice, own another and receive both NHS and private fees. Locums may work through their own company or as self-employed. Each arrangement affects how income is reported, which expenses can be claimed and how NHS pension contributions show up on your tax return.
Who we work with
- GP partners and practices, including partnership accounts and each partner's share of profits.
- Salaried GPs with additional private or sessional income.
- Locum doctors, whether self-employed or working through a limited company.
- Dental practice owners and associate dentists, with NHS and private income.
- Other clinicians such as hygienists, therapists and private consultants.
What we help with
- Practice accounts and partnership tax returns, with income and expenses allocated between partners.
- Personal self assessment tax returns bringing together employment, self-employed, partnership and investment income.
- Claiming allowable expenses such as professional subscriptions, indemnity cover, equipment and training, where the rules allow.
- Accounts and tax for locums and clinicians operating through their own limited company.
- Payroll for practice staff, including pension auto-enrolment duties.
- Planning for tax payments on account, which can rise sharply when private or locum income grows.
- Reconciling NHS statements so income in the accounts matches what was paid.
NHS pension considerations
NHS pension contributions are linked to your pensionable earnings and need to be reflected correctly in your accounts and tax return. For self-employed GPs and locums, pension figures often need to be reported or certified separately, and contributions affect your tax relief. Pension growth can also create a tax charge in some years if it exceeds the annual allowance.
We work out the tax figures and make sure the right information goes on your return. We do not provide regulated pension or investment advice, such as whether to stay in the scheme or how to take benefits. For those decisions, we can work alongside an independent financial adviser who specialises in NHS pensions.
How we get started
- A conversation about all your roles and income sources.
- A review of last year's accounts and tax return.
- A checklist of the documents we need for each income stream.
- Draft accounts and returns for you to review, with an explanation of the tax due and payment dates.
What we'll need from you
P60s and payslips, NHS statements and pension records, practice or associate agreements, private income records, expense receipts and your last tax return. For practices, we also need bank statements and partnership agreements.
Healthcare professionals in Kent
We work with practices and clinicians across Kent, from town-centre surgeries and dental practices to locums covering several areas. Appointments can be online to fit around clinics. Get in touch and tell us how you work.
Frequently asked questions
Can locum doctors claim expenses?
Self-employed locums can usually claim expenses incurred wholly and exclusively for their work, such as professional subscriptions, indemnity, some travel and equipment. The rules are stricter for employment income. We review your working pattern and records so you claim what is allowable and keep the evidence HMRC may ask for.
How is a GP partnership taxed?
The partnership prepares accounts and files a partnership return showing each partner's share of profit. Each partner then reports their share on their own self assessment tax return and pays tax on it, along with any other income. Superannuation and personal expenses also need to be reflected correctly for each partner.
Do you advise on NHS pension options?
We handle the tax side, such as reporting contributions, checking figures and calculating any annual allowance charge. We do not give regulated pension or investment advice, for example on opting out or retirement choices. For those decisions we recommend an independent financial adviser with NHS pension experience, and we are happy to work with them.
Should an associate dentist use a limited company?
Associates are usually self-employed, and whether a company is suitable depends on income, NHS pension position, contract terms and the practice's agreement. A company is not always beneficial for clinicians in the NHS scheme. We can model the figures, but the decision should take account of pension advice too.
Medical and Dental Practice Accounts across Kent
We help clients throughout the county, including: