Medical.Accountants
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GP Accountants in London

GP accountants for London and Guy's & St Thomas'. Fixed-fee specialist accountants, ICAEW-regulated. Free quote.

Do you work with GPs and GP practices in London?

Yes. We work with GPs and GP practices in London as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.

Fixed fees, specialist healthcare accountants, and every HMRC and NHS Pensions deadline handled.

  • Fixed monthly fee — no surprises
  • Specialist in NHS pension and healthcare tax
  • Onboarding within 48 hours
Get my fixed-fee quoteBook a free 15-min tax review
  • ICAEW & ACCA regulated
  • 5,000+ clients served by ACCOTAX
  • Specialist healthcare accountants

Reviewed by Waqas Sagar ACA FCCA FMAAT, Founder of ACCOTAX, 18+ years' experience · Last reviewed: 8 October 2026 · Updated for the 2026/27 tax year

Medical.Accountants by ACCOTAX, ICAEW/ACCA-regulated chartered accountants, London, serving clients across the UK. Over 5,000 clients served.

Key takeaways

  • We act for GPs and GP practices in London working at Guy's & St Thomas', King's College Hospital, St George's, UCLH, Royal London, Royal Free, Imperial (St Mary's, Charing Cross, Hammersmith).
  • Clients often live in Richmond, Wimbledon, Hampstead, Islington, Clapham, Dulwich, Chiswick and travel in for shifts.
  • Allowable costs include HMRC-approved professional registrations and subscriptions, indemnity where you pay it, business mileage between workplaces and equipment used for work.

Free guide: The Doctor's Tax & NHS Pension Handbook 2026/27

Get the free guide

Which accountancy support fits your income?

Start with how you are paid. Different income sources can need different accounts, returns and expense checks.

How you workWhat we checkSupport to explore
Employed or umbrella (PAYE)Tax codes, eligible employment expenses and whether a tax return is needed.Healthcare tax refund support
Genuinely self-employedBusiness income and expenses, Self Assessment and MTD eligibility.Healthcare Self Assessment service
Your own limited companyCompany accounts, Corporation Tax, director income and off-payroll status where relevant.Healthcare limited company accounts
PartnershipPractice accounts, allocated profit and each partner’s personal tax position.Healthcare partnership accounts

Sound familiar?

Problems we fix for GP partners and practices

  • "Our partnership accounts and profit shares are a headache every year."
  • "The Type 1 certificate and pension year-end deadline always sneak up on us."
  • "I've received an annual allowance charge letter."
  • "Partners draw too much and there's nothing left for tax."
  • "A partner is leaving and a new one is joining."
  • "Reconciling PCN and ARRS funding takes forever."

What it's costing you

Leaving it unfixed is rarely free

Overpaid tax
Unclaimed expenses and wrong tax codes mean paying more than you owe, year after year.
HMRC penalties and interest
Late returns attract automatic penalties, plus interest on tax paid late.
Lost evenings
Hours spent on forms, invoices and spreadsheets after a long shift.

General examples — your position depends on your own figures.

How we solve it

What we actually do for you

Partnership accounts

Clear profit-share schedules and accounts every partner understands.

Pension certificate service

Type 1 and Type 2 certificates prepared ahead of the deadline.

Drawings planning

Monthly drawings set against a realistic tax reserve.

PCN reporting and payroll

ARRS reconciliation and practice payroll run for you.

How we help

01

Accounts and tax returns

Year-end accounts and Self Assessment or company returns for GPs and GP practices in London, filed on time.

02

Fixed-fee advice through the year

Questions answered by your named accountant, without the clock running.

03

Making Tax Digital

Compatible software set up and quarterly updates filed where MTD applies.

04

Planning before deadlines

Payments on account, structure and pension checks reviewed ahead of 31 January.

What to know before you decide

Hospitals: Guy's & St Thomas', King's College Hospital, St George's, UCLH, Royal London, Royal Free, Imperial (St Mary's, Charing Cross, Hammersmith)

We act for GPs and GP practices in London working at Guy's & St Thomas', King's College Hospital, St George's, UCLH, Royal London, Royal Free, Imperial (St Mary's, Charing Cross, Hammersmith). Many clinicians work across more than one of these sites or combine NHS posts with private lists, so we reconcile every payslip, bank or agency payment and private invoice into one return. Travel between work sites is usually allowable business mileage; travel from home to a regular workplace is not.

Commuter areas: Richmond, Wimbledon, Hampstead, Islington, Clapham, Dulwich, Chiswick

Clients often live in Richmond, Wimbledon, Hampstead, Islington, Clapham, Dulwich, Chiswick and travel in for shifts. Where you live does not change how you are taxed, but it can affect which journeys are allowable, whether a home office is a genuine workplace, and which local practices and clinics you take sessions at.

GP partners, salaried and locum GPs, PCN context, locum A/B forms and practice accounts

This is one of the questions we work through with GPs and GP practices in London at the start of every engagement. We look at your real income, contracts and records, set out the options in plain English and confirm the work and fee in writing.

Partnership Accounts for Doctors & Healthcare Professionals

Travel/mileage between sites

Allowable costs include HMRC-approved professional registrations and subscriptions, indemnity where you pay it, business mileage between workplaces and equipment used for work. Ordinary commuting and personal costs are not allowable. Employees claim through HMRC; the self-employed deduct costs in their accounts.

Local FAQs

This is one of the questions we work through with GPs and GP practices in London at the start of every engagement. We look at your real income, contracts and records, set out the options in plain English and confirm the work and fee in writing.

Your questions answered

Do you work with GPs at Guy's & St Thomas'?

Yes. We work with gp accountants · london as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.

Want us to check this for you? Get a free review →

Can I claim mileage travelling between Guy's & St Thomas' and King's College Hospital?

You can claim tax relief on costs incurred wholly and exclusively for your work: HMRC-approved professional fees such as GMC, NMC, GDC or HCPC registration and approved royal college and union subscriptions, uniform laundering, and business mileage between workplaces. Ordinary commuting and most exam or training costs for new qualifications are not allowable. Employees can claim back up to four tax years.

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Do I need to meet an accountant in person in London?

Yes. We work with healthcare professionals across the UK by video, phone and secure online document sharing, so location does not limit the service. Medical.Accountants is part of ACCOTAX, a London-based firm; outside London we serve clients remotely rather than from a local office.

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How do London clinicians switch to a specialist medical accountant?

Switching takes minutes on your side. You sign our engagement letter, we contact your previous accountant for professional clearance and records, and we take over HMRC and Companies House authorisations. You can switch mid-year; we pick up from the last filed return.

Want us to check this for you? Get a free review →

How are GP partners taxed on their profit share?

Gp accountants · london pay income tax on taxable profit at 20%, 40% and 45%, plus Class 4 National Insurance on self-employed profit. Payments on account mean your first bill can include half of next year's tax too. Where income also comes from overseas, residence status and split year treatment decide what the UK taxes.

Help with this question: Partnership Accounts for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

What is a Type 1 pension certificate and when is it due?

GP partners report NHS pensionable profit to the scheme each year on a certificate based on the practice accounts; locum GPs use the locum A and B forms to pay contributions on each piece of pensionable work. Late or wrong forms cause missing service and incorrect pension records. We prepare the figures and check them against the accounts before submission.

Check the official guidance · www.gov.uk

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Help with this question: Payroll & Pensions for Doctors & Healthcare Professionals

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How much should GP partners set aside for tax from drawings?

GP partners should generally set aside a significant portion of their monthly drawings to cover future tax liabilities. Payments on account are due on 31 January and 31 July each year. Your specific percentage depends on your total earnings and other income sources. We calculate these liabilities in advance to help you manage cash flow.

Help with this question: Partnership Accounts for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

Do GP practices need to register for VAT?

Most health care by registered professionals is VAT exempt where the main purpose is protecting or restoring health, so many clinicians never register. VAT becomes relevant when you sell goods, provide cosmetic or medicolegal services, or exceed the registration threshold with taxable income. HMRC Notice 701/57 gives the official guidance.

Check the official guidance · www.gov.uk

Help with this question: VAT Registration & Returns for Doctors & Healthcare Professionals

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What records should a locum keep for HMRC?

Locums must keep all invoices issued and evidence of all professional expenses incurred. You should maintain records of mileage, professional subscriptions, and any equipment purchases. Banks statements and NHS pension contribution records are also essential. HMRC requires these records to be kept for at least five years after the tax return deadline.

Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →

How much tax does a locum doctor pay in the UK?

Gp accountants · london pay income tax on taxable profit at 20%, 40% and 45%, plus Class 4 National Insurance on self-employed profit. Payments on account mean your first bill can include half of next year's tax too. Where income also comes from overseas, residence status and split year treatment decide what the UK taxes.

Want us to check this for you? Get a free review →

Should a locum doctor be a sole trader or a limited company?

A limited company can suit gp accountants · london with substantial private or outside-IR35 income that is not all needed to live on, because profit is taxed at corporation tax rates and can be paid out over time. It brings extra accounts, payroll and filing costs, and NHS employment income cannot move into it. We model sole trader against limited company on your real figures first.

Help with this question: Limited Company Accounts & Corporation Tax for Doctors & Healthcare Professionals

Help with this question: Self Assessment Tax Returns for Doctors & Healthcare Professionals

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Quick quote

See what you could save — get a fixed fee in one working day

Three fields. No obligation. A specialist replies, not a sales team.

Packages for your working life

Accountancy packages for GPs

Self-employed income, a limited company, PAYE or a mixture: start with the support that matches how you actually work. We check your status and agree the scope and fee before starting.

Self-employed accountants for GPs packages

For genuine sole-trader income. We prepare your business accounts and Self Assessment, review allowable expenses and explain payments on account.

  • Sole-trader accounts and personal tax return
  • Allowable business expenses reviewed
  • Tax reserve and payment deadline guidance
  • MTD support scoped separately where required

Fixed fee quoted after a review

Discuss this package

Limited company accountants for GPs packages

For clinicians working through their own company. Choose Essential/Compliance, Core/Complete or Growth according to your accounts, bookkeeping and payroll needs.

  • Statutory accounts and Corporation Tax return
  • One director return for salary and dividends from the same company
  • Confirmation statement support; filing fee extra
  • Bookkeeping, VAT and payroll according to your chosen plan

Company packages from £45.83 + VAT / month

Compare company packages

Personal tax return packages for GPs

For employed clinicians, partners and people with mixed income who need a return. We check whether Self Assessment is required and reconcile the relevant income, expenses and pension tax information.

  • Self Assessment requirement checked
  • PAYE and other income reconciled
  • Eligible employment expenses reviewed
  • Pension tax work agreed separately where needed

Fixed fee quoted after a review

Discuss this package

Employment status is determined by the facts, not the package you choose. PAYE, umbrella and partnership arrangements may also apply. A limited company does not override IR35 or off-payroll rules, and not every employed clinician needs a tax return.

Overpaid tax?

Tax refund support for GPs

We review tax codes, eligible professional expenses and overpaid tax, then prepare a claim where you qualify. A refund is not guaranteed; HMRC decides the claim.

£249 + VAT

For refunds up to £5,000, our fee is £249 plus VAT. For refunds above £5,000, add 5% of only the amount above £5,000 to the £249 fee. VAT applies to the total professional fee.

Example: a £6,000 refund means £249 + £50 = £299 plus VAT.

Professional fee, excluding VAT

£249

Ask about a tax refund

This illustrates the fee only, not whether you qualify or how much HMRC will refund. We agree the claim scope and payment terms before work starts.

What's included

Limited company packages — compare what's included

Essential/Compliance

For locums, salaried GPs and dentists with a limited company

from £45.83 + VAT /month

  • FRS 105 or FRS 102 1A statutory accounts
  • Corporation tax return (CT600) and tax computation
  • Confirmation statement preparation and filing support
  • One director Self Assessment return
  • Deadline reminders ahead of every filing date

Core/Complete

For private practice, consultants and associate dentists

from £62.50 + VAT /month

  • Everything in Essential/Compliance
  • Monthly bookkeeping and bank reconciliation
  • Quarterly Making Tax Digital VAT returns
  • Director payroll with RTI filing and pension submissions
  • Quarterly review call on numbers and tax position

Growth

For clinics, dental practices and growing medical teams

from £75.00 + VAT /month

  • Everything in Core/Complete
  • Payroll for up to five employees

Prices exclude VAT. Making Tax Digital quarterly updates available as an add-on. Compare fees

Why clinicians trust us

Chartered accountants who know the NHS

  • ACCOTAX has served over 5,000 clients.
  • Regulated chartered accountants (ICAEW and ACCA).
  • Founded by Waqas Sagar ACA FCCA FMAAT, with 18+ years' experience.

Reviewed by Waqas Sagar ACA FCCA FMAAT

Chartered accountant and founder of ACCOTAX. Last reviewed October 2026.

Get my fixed-fee quote

How it works

  1. 01

    Free call

    A 15-minute chat about your income, structure and deadlines.

  2. 02

    Onboarding in 48 hours

    We set up your records, software and HMRC agent access.

  3. 03

    We handle the rest

    HMRC, NHS Pensions and every deadline, with reminders before each one.

Free resource

Get the GP year-end deadline calendar free

Tell us where to send it and we'll email it to you.

Your questions, answered

Do you work with GPs and GP practices in London?
Yes. We work with GPs and GP practices in London as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.
Can I use your service if I work at Guy's & St Thomas'?
Yes. Our service is delivered remotely by video, phone and secure document upload, so it works wherever your hospital or practice is. We handle the tax points that come with hospital work: trust bank and agency shifts, IR35 determinations, business mileage between sites, and NHS pension records across employers.
How much does an accountant for GPs and GP practices in London cost?
Our packages for GPs and GP practices in London start at £45.83 + VAT a month, with Core at £62.50 and Growth at £75 + VAT. The right package depends on your income sources, whether you trade through a company and any payroll, VAT or pension work. We confirm the exact fee in writing before any work begins, so there are no surprise invoices.
Do GPs and GP practices in London need to comply with Making Tax Digital?
Making Tax Digital for Income Tax applies from 6 April 2026 to sole traders and landlords whose qualifying income (gross self-employment plus property income) is over £50,000, falling to £30,000 from April 2027 and £20,000 from April 2028. PAYE salary does not count. GPs and GP practices in London trading through a limited company or a partnership are not brought in yet. We set up compatible software and file the quarterly updates for you.
How do I switch to Medical.Accountants?
Switching takes minutes on your side. You sign our engagement letter, we contact your previous accountant for professional clearance and records, and we take over HMRC and Companies House authorisations. You can switch mid-year; we pick up from the last filed return.

Contact us

Medical accountants serving London

We support healthcare professionals in London remotely, by phone, video call and secure online document sharing. Our office is in Morden, London, and visits are by appointment only.

Office (by appointment)12 London Road, Morden, London SM4 5BQ
Phone020 3441 1258
Opening hoursMonday to Friday, 9:00am to 5:30pm

Speak to a specialist today

Leave your details and we'll call you back, or book a free review straight away.

Book a free 15-min tax review

Related healthcare expertise

NHS Pension Tax & Annual Allowance for Doctors & Healthcare ProfessionalsVAT Registration & Returns for Doctors & Healthcare ProfessionalsPartnership Accounts for Doctors & Healthcare ProfessionalsMedical accountants for London healthcare professionalsLocum GP AccountantsLocum Doctor Accountants in London
Accountants for healthcare professionalsHealthcare tax questions answered

General information for the 2026/27 tax year, prepared from the official guidance linked below. It is not personalised tax or regulated financial advice. Rules and circumstances can change; confirm your position before acting.

Official sources referred to on this page: NHSBSA: GP pension certificates (Type 1/Type 2); HMRC partnership guidance (SA800); BMA GP finance guidance; NHS England PCN/ARRS guidance; HMRC: Self Assessment & self-employment (GOV.UK); HMRC off-payroll working (IR35) guidance; NHSBSA: Pensions for locums; HMRC Making Tax Digital for Income Tax.

Official guidance

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