Accountants for Doctors in London: Guide to Leading Providers (2026)
AC
Acumon Chartered Accountants·12 min read
Doctors can have a mix of PAYE earnings, private practice income, locum work, partnership profits and NHS pension considerations, so sector experience can be important when choosing an accountant. This guide covers accountants for doctors in London, including specialist medical practices and larger firms with dedicated teams for GPs, consultants and other healthcare professionals. The order is intended as a practical overview rather than a ranking.
Acumon
Acumon is a UK firm of chartered accountants providing specialist accounting services for doctors, GPs, consultants, locums and medical practices.
The firm works with medical professionals and practices across the UK, including in London, supporting organisations and individuals navigating the distinctive financial structures of the medical sector. Engagements focus on the sector’s specific complexities: NHS income streams, partnership accounting, mixed NHS and private earnings, and the taxation of NHS Pension Scheme benefits.
Medical finances differ markedly from ordinary commercial accounting. GP partners operate as self-employed individuals within quasi-employment NHS frameworks, with drawings, superannuation and profit shares flowing through the practice. Consultants commonly combine NHS employment with private practice, often through limited companies. Locums manage multiple engagement types with differing tax and pension consequences. Overlying all of this is the NHS Pension Scheme, whose annual allowance rules can generate substantial tax charges for higher earners.
Acumon prepares practice accounts that partners can reconcile to their drawings and superannuation, handles personal tax across NHS and private income streams, and computes pension tax positions in advance so charges do not arise unexpectedly. The firm coordinates with clients’ independent financial advisers on regulated pension and investment matters while retaining responsibility for the tax computations.
Accountants for Doctors Capabilities:
Acumon provides specialist medical accounting services across a range of professional structures and career stages.
These include:
GP practices and partnership accounts (GMS/PMS income, QOF and enhanced services, reimbursements, notional rent, per-partner superannuation reconciliation, current and capital accounts, partnership returns)
Hospital consultants and private practice (structure advice on self-employment versus limited company, indemnity and expense deductibility, interaction with pension annual allowance)
Locums, registrars and portfolio careers (correct treatment of agency, direct and out-of-hours income, medical-specific expenses, pension contributions across engagement types)
NHS Pension Scheme annual allowance calculations, scheme pays elections and coordination with McCloud remedy recalculations
Practice changes including joiners, retirements and mergers
Personal tax returns integrating NHS employment, private profits and other income
These services are delivered by a UK-based team with fixed, transparent fees agreed in advance, and draw on the firm’s broader healthcare audit and advisory experience together with tax specialists who include professionals with prior HMRC experience.
Regulatory Licences and Registrations:
Acumon holds several audit registrations that enable it to support organisations operating across multiple jurisdictions.
These include:
UK statutory audit registration
Public Interest Entity (PIE) audit licence
Jersey audit licence
Isle of Man audit licence
Cayman Islands audit licence
British Virgin Islands audit licence
These registrations allow the firm to provide audit services to groups that include entities in both the UK and key international financial centres.
Core Services:
In addition to statutory external audit, Acumon provides a range of services that support financial reporting and governance.
These include:
Statutory external audit
Group and subsidiary audits
Public Interest Entity (PIE) audits
Charity and not-for-profit audit
Audit of international group structures
Internal audit and governance reviews
Risk management and compliance support
Audit work is often delivered alongside discussions with management and boards regarding financial reporting processes and governance frameworks.
Many organisations initially encounter statutory audit requirements as they grow and exceed the audit exemption thresholds set out in the Companies Act.
Acumon works with businesses that are:
Approaching their first statutory audit
Preparing for external investment
Expanding into international markets
Operating within corporate group structures
Early engagement with an audit firm can help ensure that financial reporting systems and documentation are aligned with statutory audit requirements.
Address: 1-2 Craven Road, Ealing, London, W5 2UA, UK
RBP
RBP concentrates heavily on medical accountancy and works with GP practices, individual GPs and medical consultants across the UK. Its London team covers accounting and taxation, GP partnerships, superannuation and pensions, medical federations, limited companies and locum or salaried GP work. Practices dealing with structural changes can also use the firm for partnership mergers or splits, federation advice and related financial matters. Its medical focus makes it particularly suited to doctors who want an accountant familiar with primary care finances rather than a general business accountant.
Key Facts:
Ideal for: GP practices, partners, consultants and salaried or locum GPs
Core services: Accounting, tax, pensions, bookkeeping and partnership support
Specialization: Medical and primary care accounting
Address: Ramsay House, 18 Vera Avenue, Grange Park, London, N21 1RA
Nichols Medical Accountants
Nichols Medical Accountants is based in Greater London and works specifically with medical professionals. Its services are organised around different career and practice types, including GP medical practices, salaried GPs, locums and consultants. For consultants, the firm can deal with NHS and private income, accounting and tax, business expenses and NHS pension matters. GP practices can use Nichols for practice accounting, taxation, benchmarking and pension-related work, giving the firm a broad role across both individual doctor finances and practice-level accounting.
Key Facts:
Ideal for: GP practices, salaried GPs, consultants and locum doctors
Core services: Accounting, tax, NHS pension support and practice financial advice
Specialization: Medical professionals and GP practice finances
Path Accountants has a dedicated service for doctors and medical professionals from its London office. It works with GPs, consultants, hospital doctors and locums, covering areas such as NHS pension planning, Self Assessment, practice income and limited company accounting. Locum support includes managing income from different assignments and considering IR35 issues, while doctors with private or NHS earnings can bring multiple income sources together for tax reporting and planning. The firm’s doctor-specific offering makes it suitable for both employed clinicians with additional earnings and doctors operating independently.
Key Facts:
Ideal for: Consultants, GPs, hospital doctors and locums
Core services: Tax returns, medical accounting, pension planning and limited company accounts
Specialization: Doctors with multiple medical income streams
Address: 13 Nathans Road, Wembley, London, United Kingdom, HA0 3RY
Sandison Easson
Sandison Easson is a specialist medical accountancy firm with a London address at Cavendish Square. The practice focuses solely on the medical profession and works with consultants, hospital doctors, GP practices, GPs, GP federations, registrars and locums. Its GP services include annual accounts and tax declarations alongside cash flow forecasts, pensionable profit calculations, partnership changes, succession planning and benchmarking. Locums can receive help with accounts, tax, business structures, record keeping and NHS pension forms such as Locum A and B and Type 2 forms.
Key Facts:
Ideal for: Doctors seeking a medical-only accountancy practice
Core services: GP accounts, doctor tax, pensions, partnership advice and locum accounting
CuraBooks Medical Accountants London focuses exclusively on healthcare clients rather than maintaining a broad general-business portfolio. Its London-based team works with GPs, hospital doctors, consultants, locums and practice owners, covering accounting, tax and NHS pension management. It also supports GP practices, which makes its service relevant where doctors need both personal financial support and practice-level accounting. The firm’s healthcare-only model may appeal to medical professionals who want their accountant’s day-to-day work concentrated on NHS and private healthcare finances.
Key Facts:
Ideal for: Hospital doctors, GPs, consultants, locums and practice owners
Core services: Medical accounting, tax and NHS pension management
SIAL Accountants operates from Wanstead and has a dedicated medical accounting practice covering doctors, GPs and consultants. Its work includes tax planning, bookkeeping and financial advice, together with specialist support for NHS pension issues. Locum doctors can also use the firm for help with irregular income, allowable expenses, tax liabilities and retirement planning. Because the wider healthcare service also covers practices and other clinical professions, SIAL can support individual doctors as well as healthcare businesses with more involved accounting requirements.
Key Facts:
Ideal for: GPs, consultants, locum doctors and medical practice owners
Core services: Accounting, bookkeeping, tax planning and NHS pension support
Address: 8 Station Parade, High Street, Wanstead, London, E11 1QF
Lanop Business & Tax Advisors
Lanop has a specific accounting service for doctors covering NHS consultants, GPs, locums, surgeons and private practitioners. The London firm can prepare annual accounts, Corporation Tax and Self Assessment returns while also dealing with NHS pension Annual Allowance questions and IR35 considerations. Doctors operating through businesses can receive advice on company structures, payroll and VAT, while those combining NHS, locum and private income can use the firm to bring those different earnings into one tax and accounting process.
Key Facts:
Ideal for: NHS consultants, GP partners, locums and private specialists
Core services: Accounts, Self Assessment, Corporation Tax, NHS pension advice and IR35 support
Specialization: Doctors with mixed employment and private income
Kudos Accounting works primarily with healthcare businesses and professionals and has dedicated services for doctors and GP practices. Its doctor offering includes accounting and tax work for NHS professionals, locums and other medical practitioners, while the GP service covers partnership and practice finance. The firm also supports payroll, VAT and Making Tax Digital requirements where these apply. Doctors moving into private practice or operating a medical business can therefore combine their personal tax requirements with broader bookkeeping and practice accounting support.
Key Facts:
Ideal for: Doctors, NHS professionals, locums and GP practices
Core services: Medical accounting, tax planning, payroll, VAT and business advisory
Specialization: Healthcare businesses and professionals
Walden Way & Co has a London service specifically for doctors and healthcare professionals. It works with GPs, locum doctors, consultants, medical specialists and private practice owners, covering both NHS and private income. Its support extends beyond annual accounting and tax to business structures, NHS pension considerations, cash flow forecasting and new clinic setup. The firm also advises on practice expansion and valuation, so it may suit doctors whose requirements involve running or developing a private clinic as well as managing their individual tax affairs.
Key Facts:
Ideal for: GPs, locums, consultants and private practice owners
Core services: Accounting, tax, cash flow planning and medical business support
Specialization: Doctors running or developing medical practices
Address: Unit A3, Gateway Tower, 32 Western Gateway, London, E16 1YL
AccFirm
AccFirm has developed a doctor-specific accounting service from its London office. It covers GPs, locum doctors, NHS consultants, hospital doctors and private practice physicians, with services spanning Self Assessment, medical business accounting and NHS pension considerations. The firm also deals with situations where doctors combine PAYE earnings, locum income, private practice fees and other professional income. This makes the service particularly applicable to clinicians whose tax position has become more complicated as they add private or self-employed work alongside their NHS role.
Key Facts:
Ideal for: NHS doctors, consultants, GPs and locums
Core services: Self Assessment, bookkeeping, tax planning and medical accounting
Specialization: Doctors with several income sources
Xeinadin’s London West End office has a team that works with healthcare professionals including GPs and private consultants. Its services can cover bookkeeping and tax returns as well as wider financial planning. Across the firm, GP-specific work also includes practice accounts, Self Assessment, payroll compliance, partnership accounts and drawings modelling, pension tax and Annual Allowance planning, and support with Primary Care Network financial structures. The combination of a London office and broader specialist healthcare resources makes Xeinadin an option for doctors whose needs involve both personal and practice finances.
Key Facts:
Ideal for: GPs, private consultants and healthcare practice owners
Core services: Accounts, tax, payroll, partnership accounting and financial planning
Specialization: Healthcare professionals and GP practices
Address: Maple House, Level 5A, 149 Tottenham Court Road, London, W1T 7NF
Forvis Mazars
Forvis Mazars has a dedicated medical accounting service working with GP partners, locums, NHS consultants and other healthcare professionals. Its team supports GP practice accounting, reporting, bookkeeping, payroll, tax and NHS pension matters, while individual medical professionals can access personal tax and financial planning services. The firm also advises on partnership agreements, mergers, federations and Primary Care Networks. For London doctors, this medical expertise can be accessed within a much larger accountancy and advisory organisation that has a central London office at Old Bailey.
Key Facts:
Ideal for: GP practices, partners, consultants and locums
Core services: Medical accounting, bookkeeping, payroll, tax and NHS pension support
Specialization: GP practices and medical professionals
BDO has a specialist Medical Practitioners team that works with GPs, GP practices, locums, salaried GPs, consultants, federations and private healthcare providers. Its GP service combines practice accounting with financial management, tax, superannuation, budgeting and partnership support. Locums and salaried GPs can receive help with tax returns, expenses and pension matters, while consultants can use BDO for accounting and tax where multiple income sources are involved. BDO also has a major London office on Baker Street, giving doctors access to its medical sector team alongside wider tax and advisory services.
Key Facts:
Ideal for: GPs, consultants, locums and larger medical organisations
Core services: Accounting, tax, pensions, bookkeeping and practice financial management
Specialization: Medical practitioners and primary care
Address: 55 Baker Street, London, W1U 7EU, United Kingdom
Phone: 020 7486 5888
Conclusion
Accountants for doctors in London vary considerably in scale and focus. Some practices work almost entirely with medical professionals and GP surgeries, while larger firms combine specialist medical teams with broader tax, financial planning, payroll and advisory services. The services available can also differ depending on whether the client is a salaried doctor, locum, consultant, GP partner or practice owner.
There is no single firm that will suit every doctor. The right choice depends on the complexity of the doctor’s income, whether NHS pension support is required, the structure of any private work or practice, and whether the engagement needs to cover personal finances, a medical business, or both.
AC
Written by the Acumon team
Acumon is an ICAEW-registered firm of chartered accountants and registered auditors
based in London, with offices in Pitstone, Aylesbury and Bournemouth. Need advice on
anything covered here? Talk to us.
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