Accountants for Doctors
We do the accounts, tax returns and NHS pension figures for GPs, hospital consultants and locum doctors. Fixed fees agreed before the work starts, and a straight answer on whether you need us at all.
- Type 1 and type 2 superannuation certificates, filed on time
- Annual allowance and Scheme Pays worked from your own figures
- Locum and private practice books reconciled to the bank
- Quarterly updates where Making Tax Digital now applies
- A fixed fee in writing before any work starts
- £60,000
- Standard annual allowance
- 28 Feb
- Superannuation certificate deadline
- £50,000
- Making Tax Digital threshold
Ask About Your Position
- Fixed fee up front
- No obligation
- Reply within 1 working day
Dates and Figures Doctors Get Caught By
| What it is | Where it applies | Figure or date |
|---|---|---|
| Standard annual allowance | Growth in NHS pension benefits in a year | £60,000 |
| Minimum tapered allowance | Threshold income over £200,000 and adjusted income over £260,000 | £10,000 |
| Mandatory Scheme Pays | Charge must exceed this, and input must exceed the standard allowance | £2,000 |
| Scheme Pays election | Deadline in the year after the tax year ends | 31 July |
| Type 1 and type 2 certificates | The 2024/25 pension year, filed a year in arrears | 28 February 2026 |
| Making Tax Digital | Qualifying income from self-employment or property in 2024/25 | £50,000 |
| Self Assessment | Online filing, balancing payment and first payment on account | 31 January |
| Dividend basic rate | Raised by two percentage points on 6 April 2026 | 10.75% |
Sources: GOV.UK, HMRC manuals, NHS Business Services Authority and Primary Care Support England. Checked 24 July 2026. Nothing on this site is published without a primary source behind it.
Doctors do not have one income. A GP partner has a profit share taxed on them whether or not it was drawn, a salaried GP has PAYE plus a pension certificate nobody told them was theirs to file, a consultant has an NHS contract next to a private list that is a separate trade, and a locum has three agencies paying on three cycles. Medical accountants exist because those combinations break the assumptions a general practice accountant works from.
We do the whole position rather than the pieces: the accounts, the return, the superannuation certificates and the annual allowance calculation, worked out together so the figure you plan around is the figure that gets filed.
Accountants for GPs
For partners: the practice accounts, the profit allocation, your own return and the annual certificate of pensionable profits. For salaried and sessional GPs: the return, and the type 2 end of year certificate that is your responsibility rather than the practice manager's.
The certificates are where GP work most often goes wrong, and it goes wrong silently. A missed one does not produce a penalty letter. It produces an annual benefit statement that stops updating, and a pension tax position that cannot be settled because the scheme has no certified earnings to calculate growth from.
Accountants for Hospital Consultants
A private list is a business sitting next to a job, and it has to be kept separate cleanly enough to stand up. That means its own records, its own expenses, an apportionment for anything genuinely shared, and a view on VAT.
The VAT point catches more consultants than any other. Clinical care is exempt, but the exemption needs the primary purpose to be protecting or restoring the patient's health. Medico-legal reports, pre-employment medicals and purely cosmetic work fail that test and count towards the £90,000 registration threshold.
Accountants for Locum Doctors
Bookkeeping that reconciles across trusts, agencies and practices, the Self Assessment return, and quarterly updates where you are inside Making Tax Digital. That last one started on 6 April 2026 for qualifying income over £50,000 in 2024/25, and a lot of locums who are inside it do not yet know.
Where you invoice through your own company, we also check the status determinations you have been given. An NHS trust is a public authority, so the trust decides your status and not you, and a determination nobody queries is money you do not get back.
How We Quote
A fixed figure in writing before anything starts, based on how many sources of income you have and what is outstanding, not on what you earn. There is no hourly rate, no percentage of anything, and no charge for a question asked in October rather than April.
If your position is simple enough to file yourself, we will tell you that instead of quoting for it. A salaried GP with one PAYE post and no other income usually does not need an accountant, and saying so costs us one small fee and saves you a recurring one.
What We Do Not Do
We do not advise on pensions, investments or insurance. Tidy Money Ltd is regulated by the ACCA and holds no Financial Conduct Authority permission, so on the NHS pension the line is firm: we will calculate your pension input amount, apply carry forward, work out a charge and complete a Scheme Pays election with you, and we will not tell you whether to stay in the scheme, when to take benefits, or what to hold instead.
We are also not a directory. Your enquiry does not go to a panel of firms, and nobody pays us to be recommended to you. There are no testimonials on this site, because we will not publish any we cannot evidence.
Guides for Doctors
NHS Pension Annual Allowance
This guide explains why a doctor can owe an annual allowance charge in a year they paid nothing extra in, and what to do about it.
GP Superannuation Certificates
This guide sets out which certificate a GP has to submit, when it is due, and what happens to a pension record when one is missed.
Locum Doctor Expenses
This guide goes through what a self-employed locum can deduct, with the HMRC rule behind each answer rather than a list copied from another site.
Making Tax Digital
This guide explains which doctors are already inside Making Tax Digital, which are not, and what a quarterly update actually involves.
The McCloud Remedy
This guide sets out where the NHS McCloud remedy has actually got to, what a remediable pension savings statement is, and which deadlines are still live.
Sole Trader or Company
This guide works through whether a company is worth it for a doctor, on current rates rather than the ones that applied before April 2026.
Questions Doctors Ask Us
Does a medical accountant have to be local to me?
No. Records arrive by email or through software, the pension bodies are national, and none of the filing is done in person. What matters is whether the firm has done superannuation certificates and annual allowance calculations before, not how far away it is.
Why not use a general accountant?
For a straightforward return, a general accountant is fine. The difference shows up on the NHS pension: the certificates, the interaction between certified profits and pension growth, and the Scheme Pays conditions are specific enough that a firm meeting them once a year tends to get them wrong.
What does it cost?
It depends on how many income sources you have, whether there is a partnership or a company, and how much is outstanding. We quote a fixed figure before starting rather than an hourly estimate, so you know the number before you commit to anything.
I have several years outstanding. Is that a problem?
It is common and it is fixable. Start with the oldest year, because that is where penalties are largest and still accruing. Tell us how far back it goes when you enquire, because it changes both the fee and the timescale.
Can you deal with the pension scheme on my behalf?
We prepare and submit the certificates, complete the forms and work the figures. What we cannot do is give you advice on the scheme itself, which is regulated and needs a different permission from the one we hold.
Send Us the Figures and We Will Quote
Tell us what you earn from and what is outstanding. We come back with a fee for the work and the date it has to be finished by. If your position is straightforward enough to file yourself, we will say so rather than quote for it.
Send us your position