Specialist UK doctor tax advice, NHS pension tax and HMRC support

UK tax accountants for doctors, consultants, GPs and locums

We help medical professionals deal with Self Assessment, NHS pension annual allowance, Scheme Pays, McCloud / RPSS reviews, locum income, private practice tax, IR35, foreign income, capital gains and HMRC matters.

NHS pension tax, annual allowance, tapering and Scheme Pays support Tax returns for NHS doctors, consultants, GPs, locums and private practice doctors UK-wide service by phone, video and secure online appointment
Why doctor tax is different

A PAYE salary does not always mean a simple tax position.

Doctors can have pension growth, private income, locum earnings, overseas income, professional expenses, company income or historic HMRC issues in the same year. We review the position before deciding whether it is a tax return, advisory matter or HMRC disclosure.

NHS pension tax

Annual allowance tax can arise even when salary is taxed under PAYE.

We review pension input amounts, tapering, carry-forward, Scheme Pays and revised pension statements before the figures are reported.

Private income

Private practice and locum income need careful classification.

We consider whether the income is employment, self-employment, partnership or company income and how records should be kept.

HMRC risk

Incorrect reporting can lead to enquiries, penalties or disclosures.

Where historic years are wrong or incomplete, we help decide whether amendment, disclosure or an HMRC response is required.

The doctor tax pathway

We look at the route from income to HMRC reporting.

A good tax return starts before the figures are entered. We check the income type, pension position, tax reliefs, reporting route and HMRC risk.

01

NHS salary

PAYE income, tax code issues, benefits, expenses and professional fees.

02

Private or locum work

Income records, expenses, status, company income, IR35 and MTD readiness.

03

NHS pension

Annual allowance, tapering, carry-forward, Scheme Pays and RPSS figures.

04

Tax return or advice

Self Assessment, written advice, calculations and supporting explanations.

05

HMRC position

Disclosure, enquiry response, penalties, compliance checks and planning.

Services

Focused services for doctors, not generic accountancy packages.

Some clients need a tax return. Others need pension tax analysis, written advice, HMRC disclosure support or a review before anything is submitted.

01

Self Assessment for Doctors

Tax returns for NHS doctors, consultants, GPs and hospital doctors with pension tax, private income, expenses, capital gains or foreign income.

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02

Locum Doctor Tax Returns

Locum income, allowable expenses, records, payments on account, student loans, IR35 risk and MTD readiness.

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03

NHS Pension Annual Allowance

Annual allowance charges, tapering, threshold income, adjusted income, carry-forward and Scheme Pays decisions.

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04

Private Practice Tax

Private clinic income, medico-legal work, consultant income, expenses, company structures and tax planning.

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05

Foreign Income and Returning Doctors

UK residence, split-year treatment, overseas income, foreign tax credits, overseas assets and tax return reporting.

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06

HMRC Compliance and Disclosures

HMRC letters, compliance checks, historic errors, voluntary disclosures, penalties and settlement support.

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NHS pension tax

The hidden tax issue for many doctors is not income. It is pension growth.

NHS pension tax can create a charge even where salary has already been taxed through PAYE. The position may involve pension input statements, annual allowance, tapering, carry-forward, Scheme Pays and revised McCloud / RPSS figures.

We review the pension tax position before deciding whether the matter belongs on a Self Assessment return, through Scheme Pays, through HMRC’s pension adjustment route or as separate advisory work.

Who we help

Different doctors. Different tax pressure points.

The same tax return can look very different depending on your role, pension records, income mix and working arrangements.

NHS Doctors

PAYE, expenses, tax codes, NHS pension annual allowance and Self Assessment support.

Locum Doctors

Income records, expenses, MTD, IR35 risk, tax payments and HMRC filing.

Consultants

Private practice income, pension tax, medico-legal work and tax planning.

GPs

Practice income, partnership issues, sessional work, pension tax and accounts.

Returning Doctors

UK residence, split-year treatment, foreign income and overseas tax issues.

Why work with us

We look beyond the return.

Filing is only one part of the work. The real value is identifying the tax issue correctly, using the right records and explaining the position clearly.

Specialist focus

Doctor-specific tax issues are built into the review.

NHS pension tax, private income, locum arrangements, foreign income and professional expenses are considered from the start.

HMRC aware

We prepare work with the HMRC position in mind.

Where figures need support, we consider records, explanations, deadlines, penalties and disclosure routes.

Online service

UK-wide support without unnecessary meetings.

Most work can be handled by video, phone and secure document exchange, with office meetings by appointment where required.

Process

A calm route from tax concern to clear action.

We scope the matter before asking for unnecessary documents or quoting for the wrong service.

Initial review

We identify whether the work is tax return, pension tax advice, HMRC response, disclosure or planning.

Records request

We request only the relevant records, such as P60s, payslips, pension input statements, RPSS, income and expense records.

Technical review

We review the figures, tax treatment and reporting route before confirming the next practical step.

Filing or advice

We prepare the tax return, written advice, Scheme Pays support, disclosure or HMRC correspondence as agreed.

Need help with a doctor tax return, pension tax charge or HMRC letter?

Send a short summary of your position and we will confirm the likely service, records needed and next step.