★★★★★
SBX Accountants where Brilliant! Ryan made my self-assessment quick and easy. As a locum pharmacy Technician I valued his clear professional approach. Highly Recommended!
J
Jack
Locum pharmacy technician · Google review
Medical accountants for doctors, dentists and healthcare professionals
Medical accountants for doctors, dentists, GPs, pharmacists and locums juggling NHS employment, locum shifts and private work. We bring every income stream into one clear, correct picture, on a fixed monthly fee agreed up front.
Google Reviews5.0 ★★★★★
Trustpilot4.7
The tax side of a medical career.
You spend your days looking after other people. The tax that comes with a medical career is complicated, and it rarely fits neatly into one PAYE code. These are the four things doctors, dentists and locums raise with us most.
Locum and private work on top of NHS employment
Your NHS salary is taxed at source, but locum shifts and private clinics are not. Suddenly you owe a locum tax return, payments on account and records you never needed before.
NHS pension annual allowance surprises
Growth in the NHS pension can quietly use up your annual allowance and trigger a tax charge you only hear about when the statement arrives. It pays to see it coming.
Incorporating your private practice or dental practice
At a certain level of private income, a limited company can save serious tax for a doctor or dentist. But the switch has to be timed and structured properly to be worth it.
Several income streams, one tax return
NHS salary, locum invoices, private fees, maybe a rental property. Each one is fine on its own; together they need a medical accountant keeping the whole picture straight.
We act for doctors, dentists, consultants, GPs, pharmacists and other healthcare professionals across the UK. Plain-English advice, deadlines handled and everything filed early. We reply within one working day.
What we handle for doctors, dentists and locums.
One medical accountant across your NHS employment, locum shifts and private income. No hidden fees.
Self Assessment
NHS employment, locum and private income brought together in one correct tax return.
ExploreLimited Company Accounts
Statutory accounts and corporation tax for the limited company behind your private practice.
ExploreTax Planning
NHS pension allowances, incorporation and income planning reviewed all year round.
ExploreAn accountant for doctors who works around shift patterns
You cannot call an accountant between patients, so we work over WhatsApp and email as easily as the phone, and you deal with the same named medical accountant every time. As your appointed agent, we deal with HMRC for you.
Already have a medical accountant? Switching takes one email. We do the rest.
See what your NHS salary leaves you.
A quick estimate of take-home pay after Income Tax and National Insurance. For locum shifts and private fees on top, we will model the full picture with you.
Take-home earnings
Estimate your net pay after Income Tax and National Insurance.
Show pay as
Take-home pay£0/month
Income Tax (year)£0
National Insurance (year)£0
Net pay (year)£0
England, Wales & NI · 2026/27 · standard tax code · excludes pension, student loan and benefits
Asked by doctors and dentists after the night shift.
Get in touchAlmost certainly, yes. Locum income is not taxed at source, so HMRC needs a Self Assessment return once it passes the £1,000 trading allowance. We register you, keep the records simple and file your locum tax return early so the bill never surprises you.
Once private income is consistent and substantial, a limited company often saves tax and gives you more control over when you draw income. Below that, the extra admin can outweigh the benefit. We run your numbers both ways and tell you plainly.
Yes. We help you understand your position, gather the right NHS pension statements and report any annual allowance charge correctly on your return, including the scheme-pays route where it applies. For regulated pension advice we work alongside your financial adviser.
Professional fees and subscriptions such as GMC, GDC and royal colleges, indemnity insurance, courses that update existing skills, and travel between work sites in many cases. The rules differ between employment and self-employment, so we check each claim properly; our full guide to allowable expenses covers the detail.
If your affairs are a Self Assessment with locum or private income, packages start from £60 per month. A private practice run through a limited company starts from £135 per month. Both are fixed and agreed up front; use our instant estimate tool for a ballpark. No hidden fees.
Yes. Plenty of our clients are NHS-employed doctors and dentists whose only extra income is locum shifts or a small private list. If everything you earn is PAYE you may not need us yet, and we will say so; the moment a second income stream appears, that is when it pays to get the records right.
150+ businesses trust SBX, rated 5.0 on Google and 4.7 on Trustpilot.
Talk to chartered accountants in London & Slough.
SBX helps you stay compliant & keep more of what you earn with expert tax, accounts, and bookkeeping services.
★★★★★ 5.0 on Google, 4.7 on Trustpilot · ICAEW Chartered