Direct Assist Accountants – Chartered Accountants in Slough
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Accounting Services for Doctors in Slough & Berkshire

Whether you work as an NHS consultant, GP, private practitioner, or locum doctor, balancing multiple income streams alongside clinical work leaves little time for tax planning and financial admin. Direct Assist Accountants specialises in accounting for medical professionals across Slough and Berkshire, helping you stay HMRC compliant, maximise tax savings, and protect your long-term financial future.

  • Self-assessment tax returns for NHS, private, and locum income
  • NHS pension scheme guidance and contribution planning
  • Full expense support (GMC/BMA/MDU fees, CPD, travel, equipment)
  • Cloud accounting setup with Xero, QuickBooks, or FreeAgent
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Doctor reviewing NHS pension and tax documents with accountant in Slough

What is a Locum or Self-Employed Doctor?

A large number of doctors in the UK work as self-employed locums, combining NHS shifts, private work, and sessional contracts. As a self-employed doctor, you manage multiple income streams, claim allowable expenses for professional work, complete annual self-assessment tax returns, and pay your own National Insurance contributions. This gives doctors greater earning potential and flexibility, but also more financial responsibility — especially around pensions, tax planning, and compliance.

How to Register as a Self-Employed Doctor

Registering with HMRC is straightforward and can be done online. You’ll need to register as self-employed, activate your Self-Assessment Online Account, and receive your Unique Taxpayer Reference (UTR). If you prefer, our team can register you with HMRC on your behalf, ensuring everything is set up correctly from day one.

Why Doctors Often Miss Out on Tax Savings and Pension Clarity

Managing NHS, private, and locum income together often means doctors either underclaim legitimate expenses (GMC fees, CPD, travel, equipment) or lose track of how their NHS pension contributions interact with their overall tax position. Others discover too late that mixing income sources incorrectly on a self-assessment return has triggered an HMRC query. We handle the full picture — every income stream, every allowable expense, and pension contribution planning — so nothing is missed and nothing is overpaid.

Who Is This Service For?

Our medical accounting service is built for doctors and healthcare professionals across Slough and Berkshire, regardless of how your income is structured.

  • NHS consultants with additional private practice income
  • Locum doctors working across multiple trusts and agencies
  • GPs operating as partners or sole practitioners
  • Doctors with NHS pension contributions needing tax planning
  • Newly self-employed doctors unsure how to register with HMRC
Discover Our Complete Services

What's Included in Our Doctor Accounting Service

Self-Assessment Tax Returns

Accurate filing covering NHS, private, and locum income together

NHS Pension Guidance

Support understanding contributions, tax relief, and annual allowance issues

Expense Claims

Correct claims for GMC/BMA/MDU fees, CPD and training, travel, equipment, and home office use

Cloud Accounting Setup

Xero, QuickBooks, or FreeAgent configured for tracking multiple income sources

VAT Guidance

Advice if your private practice income requires VAT registration

Ongoing Tax Planning

Year-round support to maximise take-home pay and plan for retirement

Frequently Asked Questions

Even occasional locum income must be declared via self-assessment, and an accountant ensures it’s combined correctly with your other income and taxed accurately.
Yes, we help doctors understand how pension contributions affect their tax position, including annual allowance considerations for higher earners.
Common allowable expenses include GMC/BMA/MDU membership fees, CPD and training costs, professional travel and mileage, medical equipment, and a portion of home office costs where applicable.
Most NHS and clinical work is VAT-exempt, but certain private consultancy or non-clinical services may require registration — we assess your specific situation.
Yes, we handle the full registration process on your behalf if you’re newly self-employed.
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