From GPs and consultants to dentists, locums and practices — we handle the numbers, the tax and the planning, so you can focus on your patients.
Medical Tax Accountants specialises in tailored tax and accountancy services for healthcare professionals. We understand the financial realities that come with a career in medicine — variable income, private work alongside NHS earnings, pension complexity and the limited time you have to think about any of it.
Our approach is proactive and personal. From our base in Rotherham, South Yorkshire, we work with clients across Sheffield, Leeds, Manchester, Nottingham and the wider North of England & Midlands — in person where it helps, and via video for those we never need to see in the office.
Talk to a specialistWe take the accounting, tax and compliance off your desk and give you clear, plain-English advice you can act on with confidence.
Four pillars of support, all under one roof and all designed around the way medical careers and practices actually work.
Keep more of what you earn, and never miss a deadline.
Whether you're a salaried GP with a small private clinic on the side, a consultant juggling NHS PAYE with private earnings, or a locum running through a limited company, your tax position has moving parts most high-street accountants rarely see. We optimise it year on year — modelling annual-allowance and tapering scenarios on the NHS pension, advising on the most tax-efficient structure for your private work, claiming everything you're entitled to, and dealing with HMRC on your behalf so deadlines never become a worry.
Accurate accounts that give you a true picture of your position.
Beyond the year-end statutory work, we produce clear management information that actually helps you make decisions — quarterly snapshots of how the practice or company is performing, what your real take-home looks like, and where time and money are going. All filings with Companies House and HMRC are handled to deadline, and we keep your records to a standard that would withstand any scrutiny.
Day-to-day finances handled, with cloud software that saves you hours.
We set up modern cloud bookkeeping in Xero or QuickBooks, so your finances are visible, accurate and up to date — not a year-end scramble through receipts. For practices and clinics with VAT obligations or staff payroll we handle those alongside. The result: less admin on your plate and a real-time view of your numbers whenever you want it.
Strategic guidance to help you build long-term financial wellbeing.
This is where specialist knowledge earns its keep. We help you decide when (and whether) to incorporate, how to extract profit most efficiently from a limited company, how to plan around the annual and lifetime allowances, and how to structure a practice, partnership or new venture for long-term resilience. It's the bigger-picture work that often saves clients more than the day-to-day numbers ever will.
Whatever your role in healthcare, your finances have quirks the high-street accountant won't know. We do this all day.
Salaried, partner or portfolio — including superannuation.
Salaried, fixed-share or full equity partner, or a portfolio of locum and educational work — we understand the nuances of NHS earnings, superannuation, Type 1 and Type 2 pension certificates, and the impact of private and out-of-hours income. We make sure your tax position is optimised across every income stream and the pension forms are filed correctly each year.
NHS plus private practice income, simplified.
For consultants combining NHS PAYE with private practice income — whether as a sole trader, partnership or limited company — we structure things tax-efficiently, keep the private practice books in order, and watch out for the annual-allowance traps that quietly hit high earners. You get a clear picture of your overall position, not just two halves stitched together.
Associates and principals, NHS and private.
Whether you're an associate paid on UDAs, a principal owning a practice, or running mixed NHS and private work, we know how the dental world works financially. We handle associate accounts and tax, principal practice accounts, goodwill and incorporations, and the NHS Pension Scheme nuances that come with the territory.
Sole traders and limited company contractors.
Locum work brings flexibility — and complexity. We advise on whether sole trader or limited company is right for you, set up the structure if you need one, run the bookkeeping, handle the tax, and make sure you're claiming everything you're entitled to. As your work pattern shifts, your accountant should adapt with it — we do.
High earners with complex allowance positions.
High-earning surgeons often run into annual allowance and tapering issues most accountants don't routinely see. We model your pension position annually, optimise your private practice structure, and plan ahead so the tax tail doesn't wag the career dog.
Physios, pharmacists, optometrists & more.
Physiotherapists, pharmacists, optometrists, psychologists and other allied professionals often have varied income — clinical work, locum sessions, private practice, teaching. We treat each income stream properly and pull it all together into one tax-efficient picture, with the same specialist eye we bring to doctors and dentists.
Partnership accounts, payroll & profit shares.
GP partnerships, dental practices and other healthcare practices have specific accounting needs — partner profit shares, drawings, superannuation, partnership tax returns and capital accounts. We handle full practice accounts and tax, support partner changes (joining, leaving, succession), and provide management information your practice meetings can actually use.
Growing healthcare businesses & startups.
From a newly-launched private clinic to an established healthcare business looking to grow, we help you set up the right structure, get bookkeeping and reporting on a professional footing, plan tax-efficiently, and advise on funding, expansion or succession when the time comes.
You wouldn't send a patient to a generalist for specialist care. The same logic applies to your finances.
NHS pensions, superannuation, private income and the annual allowance trap — we work with these every day, not once a year.
We look ahead and flag opportunities and risks throughout the year, rather than simply reporting what already happened.
You get a named point of contact who understands your situation — not a call centre and a different voice each time.
No jargon. We translate the tax and the numbers into clear decisions you can actually act on.
We take the admin, deadlines and compliance off your plate so your energy goes where it matters — your patients.
From your first locum shift to retirement and succession, we grow with your career and your goals.
A no-obligation chat to understand your role, income and what you need.
We propose the right services and a clear, fixed-fee quote — no surprises.
Onboarding is painless. We take over the books, tax and filing.
Year-round, proactive advice whenever your circumstances change.
Based in Rotherham, South Yorkshire, we work with doctors, dentists, locums and medical practices across Sheffield, Leeds, Manchester and Nottingham, as well as Bradford, Leicester, Birmingham, Doncaster and the wider North of England and East Midlands — in person where it helps, or via secure video and cloud accounting for clients further afield.
Book a free, no-obligation consultation and find out how much simpler — and more efficient — your finances could be.
Tell us a little about your situation and we'll be in touch. Your first consultation is free.