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Tax guides

Specialist accountants for Best GP practice accountants · Fixed fees · Free first call

Best GP practice accountants: what to look for

A GP practice accountant should understand how NHS practice income is paid, how partnership profits are shared and how partners' superannuation is certified. Use these criteria to compare any firm, including us.

Quick answer

Medical.Accountants, the dedicated healthcare team of ACCOTAX London Limited (ICAEW and ACCA regulated chartered accountants) helps GPs across the UK with accounts, tax returns, NHS Pension annual allowance checks and IR35 questions. Fees start from £45.83 + VAT a month for limited company packages, agreed in writing before work starts, and your first general call is free. Detailed technical tax advice is a paid, booked consultation. Book paid tax advice.

What should a GP practice accountant handle?

Practice accounts that separate GMS or PMS contract income, enhanced services and QOF, the partnership tax return and partner returns, Type 1 and Type 2 superannuation certificates, PCN and ARRS arrangements, and clear profit-sharing schedules agreed with the partners.

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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
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  • 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: 29 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

  • Ask how they prepare partners' superannuation certificates and reconcile pension contributions.
  • Check they can explain practice income streams in plain English to every partner.
  • Get a written fee covering the practice accounts, partnership return and each partner's return.

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?

What problems do 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

What does it cost to leave your tax unchecked?

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 does a specialist medical accountant do?

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

GP practice accounts

Year-end partnership accounts with income analysed by contract, enhanced services and other NHS payments.

02

Partnership and partner tax returns

SA800 partnership return and each partner's Self Assessment prepared together.

03

Superannuation certificates

Type 1 and Type 2 certificates prepared from the accounts and reconciled with contributions paid.

04

Partner changes and PCNs

Incoming and outgoing partners, capital accounts and PCN arrangements reflected correctly.

What to know before you decide

Do GPs need a specialist accountant?

GP partners usually benefit, because practice accounts feed directly into NHS Pension records through the superannuation certificates, and errors can change pension benefits and annual allowance charges. A salaried GP with PAYE income only may need much less help.

What should a specialist know about GP practices?

GMS and PMS contract payments, QOF and enhanced services, premises income such as notional or cost rent, partnership profit sharing, Type 1 and Type 2 certificates, the NHS Pension annual allowance for partners, and how PCN and ARRS roles are funded and accounted for.

How much does a GP practice accountant cost?

Published online price lists for UK healthcare accountants that we reviewed in October 2026 typically ran from about £50 to £90 a month plus VAT for sole-trader or locum work, and from about £90 to £125 a month plus VAT for a one-director limited company. Practice and partnership accounts were usually quoted individually. Treat these as indicative only: always compare a written quote that lists exactly what is included. GP partnership fees depend on the number of partners and the size of the practice.

What questions should GP partners ask?

Who prepares the superannuation certificates and when; whether partner returns are included; how drawings and tax reserves are managed; how many GP practices they act for; and how a partner joining or leaving is handled.

Partnership Accounts for Doctors & Healthcare Professionals

Where does Medical.Accountants fit?

Medical.Accountants is the dedicated healthcare team of ACCOTAX London Limited, ICAEW and ACCA regulated. Limited company packages start from £45.83 + VAT a month (Essential/Compliance), with Core/Complete at £62.50 and Growth at £75 + VAT a month; dental packages start from £45 + VAT a month. The first general call is free; detailed technical tax advice is a paid, booked consultation. GP practice and partnership work is quoted individually after a free general first call.

Your questions answered

How is a GP partner's NHS Pension calculated from the accounts?

A GP partner's pensionable profit is taken from the practice accounts and reported on the Type 1 certificate. Errors in that figure can change both pension benefits and any annual allowance charge, so the accounts and certificate should be prepared together.

Check the official guidance · www.gov.uk

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

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

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What do partnership accounts include?

Partnership accounts include a profit and loss account, a balance sheet, and individual capital accounts for each partner. They show the total income generated and how profits are shared according to the partnership agreement. These accounts form the basis for the partnership tax return. They do not currently fall under the MTD for Income Tax rules starting 2026.

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

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

How much should partners reserve for tax?

Partners should typically reserve enough to cover their semi-annual payments on account due on 31 January and 31 July. Each payment is normally half the previous year's total tax liability. It is prudent to set aside a percentage of monthly drawings based on expected tax rates. We provide guidance to help partners estimate these future liabilities.

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

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

What happens when a partner leaves?

When a partner leaves, the practice must calculate their final share of profits and capital account balance up to the cessation date. The partnership agreement usually dictates how the buyout is funded and over what period. The leaving partner must report their final profit share on their personal tax return. We assist practices with these complex transitions.

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

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

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

Medical accountants for GPs: limited company 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

How much does a medical accountant cost?

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

Why choose 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.

What do clients usually ask?

Can one accountant do the practice and all partners' returns?
Yes, and it usually reduces errors because the partner returns use the same profit-sharing figures as the accounts.
Do you prepare Type 2 certificates for salaried and locum GPs?
Yes, Type 2 and locum pension forms are part of our GP and locum work.
How is GP practice work priced?
Partnership work is quoted individually after a free general first call, depending on partners and practice size.

How do I speak to a specialist?

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

Book a free 15-minute first call

Related healthcare expertise

GP accountants: specialist GP practice accountants for partners and PCNsUnderstanding GP practice accounts: a plain-English guideGP Partner AccountantsSpecialist vs general accountant: cost compared for doctorsAccountant for doctors: specialist doctors accountants across the UKMedics Money accountant directory: how our £45.83/month package compares
Accountants for healthcare professionalsHealthcare tax questions answered

About the author

Waqas Sagar ACA FCCA FMAAT

Founder of ACCOTAX and chartered accountant, with 18+ years' experience advising UK clients, including doctors, dentists and healthcare businesses.

Reviewed by Waqas Sagar ACA FCCA FMAAT on

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: NHS Business Services Authority; GOV.UK tapered annual allowance; ICAEW directory.

Official guidance

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Google reviews

What ACCOTAX clients say

4.9 out of 5 from 321 Google reviews

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