Medical professionals rarely fit into standard accounting models. Income can come from multiple practices, sessional work, out-of-hours services, or private engagements — each with its own tax and reporting implications.
We take the time to understand how you work, how you’re paid, and where your financial risks and opportunities lie. Whether you’re newly qualified, an experienced locum, or a GP partner, our advice is shaped around your specific circumstances.
✓ Yes. We support doctors with NHS income, private work, out-of-hours sessions, and mixed income streams, ensuring everything is structured correctly for tax and reporting.
Absolutely. We work with GP partners, salaried GPs, and locum doctors, tailoring advice to each working arrangement.
Yes. We provide tax-efficient pension planning and retirement advice, helping you understand contributions, withdrawals, and long-term implications.
Through proactive planning, correct expense treatment, income structuring, and timing strategies — all within HMRC rules.
Yes. Whether you move into partnership, increase locum work, or plan to retire, our support evolves alongside your career.
Book a free, no-obligation chat with our experts where we find out a bit more about your business, explain our services, and how we could work with you.
We analyse your income streams in detail, including NHS payments, private earnings, and additional sessions. By breaking down complex figures into clear insight, we help you understand profitability, cash flow, and tax exposure — enabling better financial planning.
GPs and locum doctors operate under different arrangements, from sole traders to partnerships and limited companies. We structure your accounting and tax position to reflect how you work in practice, not a generic template.
Accuracy and timing are essential in healthcare finance. We ensure your accounts, self-assessment returns, and supporting records are prepared correctly and submitted on time, giving you confidence in both compliance and reporting.
Medical professionals often face higher tax exposure without forward planning. We provide proactive advice on income structuring, allowable expenses, pension contributions, and timing decisions to manage liabilities efficiently while remaining fully compliant.
From HMRC requirements to record-keeping and deadlines, we provide ongoing oversight to reduce compliance risk. Potential issues are identified early, helping you avoid penalties, stress, and unnecessary HMRC intervention.
As your career develops — moving into partnership, increasing locum work, expanding private practice, or planning retirement — your financial needs change. Our scalable support adapts with you, ensuring continuity and long-term clarity.
Medical professionals trust us because we combine technical expertise with an understanding of the pressures of working in healthcare.
➲ Specialist experience with NHS and locum income structures
➲ Practical, plain-English advice — no jargon
➲ Proactive planning, not just year-end compliance
➲ Clear, transparent fees
➲ Long-term advisor relationships, not transactional service
We don’t just file returns — we help you make informed decisions about your finances.
Your focus should be on patient care — not navigating complex tax rules and financial administration. At Rothstone Accountants, we provide the clarity, structure, and expert support GPs and locum doctors need to manage their finances confidently.
Get in touch today to discuss how specialist medical accountancy can support your career now and in the future.
| Service Area | Consultants | Surgeons | Pharmacists |
|---|---|---|---|
| Personal Tax Planning | ✔ Structuring NHS & private income | ✔ Managing mixed NHS/private earnings | ✔ Optimising income from pharmacy operations |
| Self-Assessment Tax Returns | ✔ Accurate, timely filings | ✔ Complex return management | ✔ Personal & business returns |
| Practice & Business Accounts | ✔ Limited company & sole trader accounts | ✔ Private practice accounting | ✔ Pharmacy business accounts |
| Income Structuring Advice | ✔ Session-based & contract income | ✔ Theatre fees, private lists, retainers | ✔ Salary, dividends & drawings |
| Expense & Allowance Optimisation | ✔ Professional expenses & subscriptions | ✔ Equipment, indemnity & travel | ✔ Staff costs, stock & overheads |
| Pension & Retirement Planning | ✔ NHS pension & private planning | ✔ Long-term retirement strategy | ✔ Pension planning for owners & managers |
| VAT Advice & Compliance | ✔ Where applicable | ✔ Private practice VAT advice | ✔ VAT registration & returns |
| Cash Flow & Profit Planning | ✔ Forecasting irregular income | ✔ Managing high-value receipts | ✔ Margin and cash flow control |
| Practice Acquisition & Exit Support | ✔ Buying/selling private practices | ✔ Entry into or exit from private work | ✔ Pharmacy purchase, sale or succession |
| HMRC Enquiries & Support | ✔ Full representation | ✔ Dispute resolution | ✔ Compliance and enquiry handling |
| Long-Term Wealth Planning | ✔ Asset and investment planning | ✔ Family wealth strategies | ✔ Succession and estate planning |
