Accountant for Doctors
Your medical finances, properly handled.
Private income, NHS salary, annual allowance charges, locum engagements — doctors typically have the most layered personal tax position of any professional. A chartered management accountant who already knows how it all fits together makes the difference between a correct return and an expensive one. Fixed fees, FCMA-qualified, replies the same day.
- Self-assessment filed correctly, including all NHS pension elements
- Annual allowance charge calculated and reported — no surprises at year end
- Private practice incorporation assessed against your actual income mix
- Every allowable expense — GMC, indemnity, CPD — identified and claimed
No long-term contract. If it is not working after three months, you leave with clean records and nothing owed.
Get a free quote
Fixed pricing. Same-day reply.
What our clients say
★★★★★
Fees Saved More Than Covered
"His fees are very reasonable and the money he has saved me more than covers them."
★★★★★
Always Available, Above And Beyond
"Niall and his team go above and beyond the duties to provide accounting services but also general advices. They are always available if you need anything."
★★★★★
Confident, Informed, No Surprises
"We always feel well-informed and confident about our financial processes and data. Highly recommend."
★★★★★
Hands-On, Not A Faceless Firm
"Unlike my previous Accountants, Niall is far more hands-on, available for advice and able to care for me as an individual, rather than a faceless client."
Sound familiar?
Your tax return is anything but straightforward.
Most doctors are dealing with at least three income streams at once — NHS employment, private practice receipts, and sometimes locum fees on top. The annual allowance charge alone trips up people who file their own returns. Add unreimbursed expenses going unclaimed year after year, and the cost of not having the right accountant compounds quietly.
- Annual allowance charge missed or calculated incorrectly on self-assessment
- Private practice income tracked in spreadsheets, not reconciled properly
- Allowable expenses — GMC fees, indemnity, CPD — left off the return
What a correct return looks like
With a chartered accountant who handles doctors regularly, the layered tax position becomes routine rather than problematic. Your return is complete, your expenses are claimed, and you know your liability well before the deadline.
- Annual allowance charge calculated correctly, reported on time, no HMRC queries
- Private practice income reconciled monthly — no year-end scramble through bank statements
- All allowable professional expenses identified and included as a matter of course
- Fixed fee agreed upfront — no billing surprises, no hourly clock running
What hands-on advice actually means
Doctors rarely need more compliance — they need an accountant who spots what is being missed and explains it without the jargon. That is what the reviews reflect.
My other-half introduced me to Niall at OD Accountants and I have to say my finances are so much the better for it. Unlike my previous Accountants, Niall is far more hands-on, available for advice and able to care for me as an individual, rather than a faceless client. His fees are very reasonable and the money he has saved me more than covers them. If you need an Accountant who cares, Niall and OD Chartered Management Accountants are the way to go.
The service from OD has been excellent, as has their advice. It's great to have access to a financial team who can guide us with such confidence and seamlessly integrate with our internal team. We always feel well-informed and confident about our financial processes and data. Highly recommend.
Everything a doctor's tax position needs
From self-assessment and annual allowance reporting through to private practice bookkeeping and incorporation advice — one fixed-fee engagement covers the lot.
Self-Assessment and Personal Tax
Your return is prepared with all NHS, private and locum income correctly categorised. The annual allowance pension charge is calculated and reported where applicable, and all allowable expenses — GMC registration, medical indemnity, CPD, professional subscriptions — are included. You will know your liability well before HMRC sends the reminder.
Included as standardPrivate Practice Accounts and Bookkeeping
Private income handled through cloud accounting software, reconciled monthly rather than left to accumulate. Invoices raised, receipts categorised, and a clear picture of what the practice is earning — without a year-end scramble. Useful whether you are operating as a sole trader or through a limited company.
Cloud-first deliveryIncorporation and Structure Advice
Whether incorporating your private practice makes sense depends on your income level, your pension position and your plans for the earnings. OD Accountants runs the numbers for your specific situation rather than giving a generic answer. If incorporation stacks up, the setup is handled — Companies House filings, bookkeeping and Corporation Tax included.
ACSP — Companies House registeredClients who have been here for years
Verified Google reviews go back over a decade. Several clients have been with the firm for seven years or more, which is a more reliable signal than any marketing claim.
Years Of Service, Always Available
“I've been there for years and Niall and his team go above and beyond the duties to provide accounting services but also general advices. They are always available if you need anything while charging very competitive prices. I could not recommend them enough.”
Supportive, Clear, Always On The Phone
“Niall and his team are supportive, clear and directional accountants who have supported our small business staff up. They're always on the end of the phone to advise and assist and provide a top service for our accounting needs. Plus they're just nice people which helps too!!”
Welcoming, Supportive And Always Available
“As a new start up and having never dealt with an accountant, Niall at OD Accountants has been very welcoming and supportive. All our prior queries and issues have been resolved, and he is always available to meet the needs of our team.”
What makes the difference for doctors
Most accountants can file a self-assessment. Fewer understand the specific shape of a doctor's tax position — pension annual allowance, private practice structure, locum contracts — well enough to get it right first time.
No explaining the NHS pension
The annual allowance charge, the tapered allowance, the interaction between NHS pension growth and self-assessment — these are not edge cases to navigate around. They are standard parts of the return for a consultant or GP with private income. You will not need to brief the accountant from scratch.
Chartered management accounting depth
Founder Niall O'Driscoll is a Fellow of the Chartered Institute of Management Accountants (FCMA, CGMA) with over a decade of freelance restructure and commercial finance experience, including listed companies. For doctors considering incorporating their private practice, that depth of commercial analysis matters — the answer is based on your numbers, not a default recommendation.
Cloud-first, accessible any time
Your books run on modern cloud accounting software, which means your financial position is visible when you want to look at it — not locked in a spreadsheet somewhere. For doctors whose available time is limited and irregular, that accessibility is practical rather than cosmetic.
Up and running in four straightforward steps
The process is designed to take as little of your time as possible. Most doctors are up and running within a week of first contact.
Book a discovery call
A short call — typically twenty minutes — to understand your current setup: NHS employment, private income, whether you have a limited company, and what is currently not working. No preparation required on your part.
Receive a fixed-fee proposal
A clear proposal covering exactly what is included and what it costs. No hourly rates, no ambiguity about what triggers an additional charge. If it does not work for you, there is no obligation.
We handle the transition
If you have a previous accountant, the handover is managed directly. If your records are in some state of disarray, a catch-up is scoped and costed as part of the onboarding. You do not need to do the admin.
Your finances are handled
Returns filed on time, expenses claimed, annual allowance position monitored. Your tax liability is visible months ahead of the deadline, not the week before. Which is, frankly, the way it should be.
“Been with OD Accountants for over a year now. Niall and the team are brilliant. They helped me set up a company and get everything I needed in place to run my business. I'm a tricky client due to my 'digital nomad' status, but their advice…”
Things doctors usually want to know
Do you understand the NHS pension annual allowance charge and how it interacts with self-assessment?
Yes. The annual allowance charge — including the tapered allowance for higher earners — is a standard part of the return for consultants and GPs with significant NHS pension growth. The pension input figure from your NHS pension statement is used to calculate the charge correctly, and where the scheme pays election is appropriate, that is covered too. You will not need to explain how the NHS pension works before getting a useful answer.
What does it cost, and what is included?
Fees are fixed and agreed upfront before any work begins. The exact figure depends on your income mix — NHS only, private practice as a sole trader, or a limited company structure — and what catch-up, if any, is needed. Clients consistently describe the pricing as competitive, and the tax savings identified typically cover the engagement cost. A clear proposal is provided after the discovery call, with no obligation to proceed.
My records are in a mess and I have not filed properly for a couple of years. Is that a problem?
It is not unusual. The catch-up position is assessed as part of onboarding, scoped clearly, and priced separately from the ongoing engagement. Late filing penalties and interest can often be mitigated depending on circumstances, and HMRC voluntary disclosure is handled where relevant. The starting point is understanding what exists, not judging what does not.
Is there a long-term contract?
No. There is no minimum term. If after a few months the arrangement is not working, you leave with your records in good order and nothing further owed. Most clients stay for several years — the Google reviews include clients with seven, ten and eleven years of tenure — but that is a choice, not a contractual obligation.
I do locum work through an agency as well as my NHS post. Does that affect my tax position?
It does, in a few ways. Locum income paid via an agency is typically PAYE, but some locum arrangements run through a personal service company, which raises IR35 considerations. Where you are operating outside IR35 through a limited company, the extraction strategy — salary, dividends, pension contributions — needs to be coordinated with your NHS income and pension position. This is something the firm handles as part of the engagement rather than as an add-on.
Should I incorporate my private practice, and when does it actually make sense?
Incorporation makes financial sense in some situations and not others — it depends on your private income level, your marginal tax rate, your NHS pension contribution position, and what you intend to do with the retained profits. The firm runs the numbers for your specific setup rather than defaulting to a standard answer. For some doctors the tax saving is material; for others the additional compliance cost is not justified. The honest answer is that it depends, and the discovery call is the right place to start that conversation.
Less to think about, more to keep.
A chartered management accountant who already understands the NHS pension, private practice income and locum tax positions. Fixed fee, no contract, same-day replies.