01Accounts and tax returns
Year-end accounts and Self Assessment or company returns for salaried GPs, filed on time.
02Fixed-fee advice through the year
Questions answered by your named accountant, without the clock running.
03Making Tax Digital
Compatible software set up and quarterly updates filed where MTD applies.
04NHS pension tax
Annual allowance and taper calculations, with Scheme Pays guidance where a charge arises.
Your questions, answered
- What does an accountant for salaried GPs do?
- An accountant for salaried GPs prepares your accounts and tax returns, keeps you compliant with HMRC deadlines and advises on the decisions specific to your work: how income is structured, which expenses are allowable, VAT where it applies and, for NHS scheme members, pension tax. At Medical.Accountants the work is quoted as a fixed monthly fee, agreed in writing before we start.
- Do salaried GPs need to file a tax return?
- Many salaried GPs must file a Self Assessment return: you need one if you have untaxed income such as private, locum or self-employed work. A high PAYE salary alone does not require Self Assessment for 2026/27; check HMRC's current criteria and any notice to file. The online filing and payment deadline is 31 January after the tax year ends. Under the non-MTD rules, late filing normally triggers an initial £100 penalty, with further penalties for longer delays. A different regime applies from the tax year you join MTD for Income Tax.
- Can salaried GPs claim expenses?
- 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.
- How much does an accountant for salaried GPs cost?
- Our packages for salaried GPs 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 salaried GPs 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. Salaried GPs 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.
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: HMRC: claim tax relief for job expenses (P87); HMRC approved professional bodies list (List 3); NHSBSA Pension Savings Statements; HMRC tax codes guidance.
Official guidance
