Accountants for NHS Doctors

If you are an NHS doctor or consultant, your financial life is not simple. You spend your days (and nights!) saving lives and helping people. The last thing you need is to come home and deal with the absolute nightmare of NHS specific accounting.

All these things are too complicated. Right? The NHS pension scheme alone is enough to make your head spin.

That’s exactly where we step in. At Accotax, we’ve specialist accountants for NHS doctors who have worked closely with NHS doctors and consultants across the UK.

Why NHS Doctors Need Specialist Accountants?

NHS pay isn’t simple. One month you’re on your usual salary, next month you’ve done extra shifts, then some locum sessions, maybe a bit of private work… and suddenly there are four different income streams with four different tax rules.

It’s very easy to miss something or end up paying more tax than you need to.
And then there’s the NHS pension, annual allowance, tax charges, contribution tiers, it all feels like solving a puzzle with missing pieces.

That’s why working with someone who understands the NHS system properly makes a real difference.

Our Accounting Services for NHS Doctors

At Accotax, we don’t believe in one-size-fits-all accounting. Every doctor’s financial situation is different, so we tailor our services around your exact needs.

Here’s what we offer:

Personal Tax Returns: We handle your self-assessment and make sure all allowable deductions and professional expenses are claimed correctly.
Locum Income Management: If you do locum work, we’ll help you record, track, and report it properly while maximising what you can legally claim back.
NHS Pension Accounting: We’ll help you understand your NHS pension. We will review your annual statements and ensure contributions and tax reliefs are recorded accurately.
Private Practice Accounting: For doctors running private clinics, we offer full bookkeeping, VAT, and corporation tax support.
Company Setup and Structure Advice: If you are thinking of setting up your own company for private work we’ll guide you through the process.

You Care For Patients; We Care For Your Finances

As a busy doctor, you put your patients first. We put your financial health first.

With the right accountant, you can avoid overpaying tax and make smart decisions about your money. We’ve worked with hundreds of doctors, consultants, and locums. We understand the NHS pay structure and the complexity of the NHS pension scheme.

In short, we will handle the numbers game for you, so you can focus on being a great doctor!

What We Offer Based on Your Business Structure

Compliance

Bookkeeping
Annual /Year End Accounts
VAT Returns
Confirmation Statement
Payroll & PAYE
Workplace Pensions
Management Accounts
Budgeting & Forecasting

Tax Advisory & Automation

Company Tax Returns
Personal Tax Returns
R&D Tax Credits
EIS/SEIS
Capital Allowances
Part Time FD
Accounting System Automation
Apps Integrations

Setup & Others

Company Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Company Secretarial Services
Business Advisory Services
Tax Investigation Insurance
Business Growth IDeas
Accounts Receivables
Accounts Payable

Compliance

Bookkeeping
Annual /Year End Accounts
VAT Returns
Confirmation Statement
Payroll & PAYE
Workplace Pensions
Management Accounts

Tax Advisory & Automation

Setup & Others

Compliance

Bookkeeping
Annual /Year End Accounts
VAT Returns
Confirmation Statement
Payroll & PAYE
Workplace Pensions
Management Accounts
Budgeting & Forecasting

Tax Advisory & Automation

Setup & Others

SPV Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Company Secretarial Services
Business Advisory Services
Tax Investigation Insurance
Business Growth IDeas

Compliance

Bookkeeping
LLP Accounts
VAT Returns
Confirmation Statement
Payroll & PAYE
Workplace Pensions
Management Accounts
Budgeting & Forecasting
Partnership Tax Return (SA800)

Tax Advisory & Automation

Setup & Others

LLP Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Company Secretarial Services
Business Advisory Services
Tax Investigation Insurance
Business Growth IDeas

Compliance

Bookkeeping
Self Employed Accounts
VAT Returns
Payroll & PAYE
Workplace Pensions
Budgeting & Forecasting
CIS Returns (if in construction industry)

Advisory & Automation

Setup & Others

Self Employed Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Business Advisory Services
Tax Investigation Insurance
Business Growth Ideas
Switching to Ltd company
MTD - ISTA

Compliance

Tax Advisory & Automation

Setup & Others

Compliance

Tax Advisory & Automation

Setup & Others

Compliance

Tax Advisory & Automation

Setup & Others

Compliance

Tax Advisory & Automation

Setup & Others

Compliance

Bookkeeping
Partnership Accounts
VAT Returns
Payroll & PAYE
Workplace Pensions
Management Accounts
Budgeting & Forecasting

Tax Advisory & Automation

Setup & Others

Partnership Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Business Advisory Services
Tax Investigation Insurance
Business Growth Ideas
Switiching to Ltd company

See Our Packages

FAQs - Accountants for NHS Doctors

Why do NHS doctors need specialist accountants?

NHS doctors often have complex income streams — salaried NHS pay, locum work, private practice plus tax-relievable expenses. Specialist accountants make sure your records are accurate, expenses claimed correctly, and HMRC obligations met so you can focus on patient care.

What accounting services do you provide specifically for NHS doctors?

We offer bookkeeping, tax-return preparation (self-assessment), payroll / PAYE advice, VAT planning, cash-flow forecasting, and business advisory for NHS-employed and self-employed medical professionals.

Can I claim for mileage when working in different NHS hospitals?

Yes, if you travel between NHS sites or temporary workplaces, you may be able to claim business mileage. Approved HMRC rates apply, but you must keep accurate mileage records.

Do you help NHS doctors with tax planning for mixed income (NHS + private/locum)?

Absolutely. We help structure your income, maximise tax efficiency, advise on pension contributions (including NHS pension), and plan for taxation across different income streams.

How do you manage tax relief on professional subscriptions and indemnity insurance?

We track and claim tax relief for professional fees (e.g. GMC, BMA) and indemnity insurance, ensuring that these are correctly recorded as allowable expenses under HMRC rules.

Is capital allowance relief available for medical equipment used by NHS doctors?

Yes, if you use medical apparatus (stethoscopes, diagnostic tools) personally for professional work and not reimbursed, some capital allowances may apply under HMRC’s rules.

How can an NHS doctor get started with your accounting service?

Simply request a callback or instant quote through our website. We’ll discuss your employment structure, financial goals, and tailor a package to help you save tax, stay compliant, and manage your accounting stress-free.