Tax & accounting for doctors, GPs and consultants.
Cranleys understands the unique financial shape of a medical career — NHS and private income, pension limits, practice structures and succession. We keep your tax efficient and your paperwork simple.
- 28+ yrs
- Medical tax experience
- NHS
- Pension & PAYE expertise
- UK-wide
- Doctors & clinics
Every kind of medical professional
Locums, consultants, private practice owners and partnerships — tax advice that fits the way medicine is actually practised.
GP Locums
Sessional, portfolio and out-of-hours GPs who need simple, tax-efficient structures and pension clarity.
NHS Consultants
Consultants with private practice income, mixed NHS/private earnings and complex pension positions.
Private Practice Owners
Private GPs, surgeons and specialists running their own premises, teams and referral networks.
Medical Partnerships
GP practices and consultant groups sharing profits and planning partner changes or exits.
Everything a medical career needs under one roof
Locum tax, private practice, partnerships, clinic structures, pensions and succession — from advisors who speak medicine.
Locum & Sessional GP Tax
Tax-efficient structures for locum, sessional and portfolio GPs — self-assessment, expenses, pension contributions and IR35 risk reviewed together.
- Self-assessment for locum income
- NHS pension & locum contributions
- IR35 & engagement reviews
- Mileage, equipment and expense claims
Private Practice & Consultant Tax
We combine your NHS and private income into one clear tax picture, manage VAT where needed, and keep your bookkeeping clinic-ready.
- NHS + private income reporting
- VAT on private practice fees
- Clinic bookkeeping & management accounts
- Fee protection & enquiry support
Medical Partnerships
Profit-sharing agreements, partner retirements, incoming partner buy-ins and the tax issues that come with practice changes.
- Partnership profit allocation
- Retirement & exit planning
- Incoming partner tax structuring
- Goodwill & practice valuation
Clinic & Private Practice Structures
Set up, run and grow a private clinic or specialist centre — from company formation to staff, premises and VAT.
- Limited company vs LLP review
- Premises ownership structures
- Staff payroll & pension duties
- VAT partial exemption & option to tax
Pension Tax & Annual Allowance
Navigate NHS pension growth, annual allowance charges, taper and lifetime allowance issues before they become nasty surprises.
- Annual allowance charge modelling
- Tapered annual allowance planning
- Scheme pays elections
- Lifetime allowance & protection reviews
Expenses, Allowances & R&D
Claim what's yours — medical equipment, IT, home office, vehicles and R&D tax relief for innovative clinical technology.
- Medical equipment capital allowances
- Home office & motor expenses
- R&D tax relief for health tech
- Mileage and professional subscriptions
Succession & Retirement
Plan the wind-down, sale or handover of your practice with tax-efficient extraction and clean succession for the next generation.
- Practice sale tax planning
- Capital gains on goodwill
- Inheritance tax for medical families
- Pension drawdown & extraction strategy
A clear path — from first call to ongoing care
Medical clients don't just get a tax return. They get a structure, a plan and a partner who understands the NHS.
- 01
Discovery Call
A confidential call to understand your role, income mix, practice structure and biggest tax concerns.
- 02
Income & Pension Map
We pull together NHS, private, pension and entity data so you can see your real tax position.
- 03
Tax Plan
A written recommendation covering structure, expenses, pension and next steps — in plain English.
- 04
Implementation
We handle filings, set up entities, register for VAT and coordinate with your practice manager.
- 05
Ongoing Care
Quarterly reviews, year-end planning and proactive alerts as NHS rules, pension limits and tax law change.
Accountants who understand medicine, not just tax.
Cranleys works with doctors, GPs, consultants, locums and private practice owners across the UK. We understand NHS pensions, mixed income, practice sales and the pressure of clinical life — so you get advice that's practical, timely and tailored.
- Deep specialism in medical tax and practice structures
- Proactive planning around pension limits and rule changes
- Experience with locum, consultant and clinic models
- Direct access to a senior advisor
- Plain-English advice that fits a busy clinical schedule
"Cranleys finally made sense of my NHS pension, private practice income and locum work. I actually understand my tax now."
The questions doctors actually ask
Should I work as a locum through my own limited company?+
Sometimes — but IR35, NHS pension access and agency rules matter. For many locum GPs a limited company can still work if the engagement is genuinely outside IR35 and you want flexibility on income extraction. We review your contracts, income level and pension goals before recommending a structure.
How do I handle both NHS and private income for tax?+
NHS income is usually taxed at source through PAYE, while private income is reported via self-assessment. We reconcile both, claim relevant expenses, manage VAT if you're over the threshold, and make sure your pension position is considered across both income streams.
Do doctors need to register for VAT?+
Most NHS medical services are VAT exempt, but private practice, aesthetic work, medico-legal reports, expert witness income and other non-clinical work can create a VAT registration requirement. We review your fee mix and register you for VAT only when it makes sense.
What expenses can I claim as a doctor or locum?+
Common claims include GMC and Royal College subscriptions, indemnity, medical equipment, IT, home office use, mileage, training and exam fees. The rules depend on your employment status and whether the cost is wholly and exclusively for work.
How does the NHS pension annual allowance affect me?+
NHS pension growth can trigger annual allowance charges even when your cash income is modest. We model your pension input, check for taper and help you decide whether to use scheme pays or pay the charge directly.
Can I run my private practice through a limited company?+
Often yes — a company can be tax-efficient for private income and helpful for succession, but you have to think about NHS pension interaction, IR35 for consultancy work and how you'll actually draw the money. We model both routes before you decide.
Ready to get your medical tax sorted?
Book a confidential discovery call. We'll map your income, pension and practice structure — and show you where tax can be saved.
Book a call