Accounting for Hospital Doctors

Larking Gowen offers tailored packages for hospital doctors. We can give you general business advice and help you with your personal tax arrangements.

Get in touch

How can we help you?

We'll give you all the business and tax advice and support you need to run your private practice in conjunction with your NHS work. We can help with:

• Preparing annual accounts
• Tax returns and calculation of liabilities.
• Personal expenses
• Tax planning advice
• NHS pension reviews including advice on annual allowance.
• Practical business advice on starting out in private practice
• Trading structure review, advise on pros and cons of self employment v limited company
• Other financial services such as payroll, bookkeeping,
• The transition to Making Tax Digital
• Access to our network of specialist medical financial advisers
• Specialist technical advice in relation to your tax affairs, including capital gains tax and inheritance tax

NHS Pension Schemes – Remediable Pension Saving Statements (RPSS)

Members of the NHS Pension Schemes will have received, or will be receiving, an RPSS from NHS Pensions, detailing the amended growth in the 1995/2008 and 2015 schemes between 1 April 2015 to 31 March 2022.

Action may need to be taken as a result of receiving this statement, in that members would need to inform HMRC of any changes to previously reported annual allowance tax charges, or report details of a new charge. The general deadline for reporting to HMRC is 3 months from the date of the RPSS, however, we don’t believe these to be firm deadlines, and no penalties will be levied if submissions are not made within this timeframe.

The McCloud remedy will impact anyone who transitioned to the 2015 pension scheme when it was introduced on 1 April 2015, or at a later date if you had tapered protection. As this transition was ruled to be age discriminatory, members' benefits have been amended to revert membership from the transition date through to 31 March 2022 back into the legacy (1995/2008) scheme, which has led to the pension growth figures needing to be recalculated and the remedial statements being sent to members.

If you have received a statement from NHS Pensions, please do get in touch and we can discuss next steps with you.

Relevant Insights:

Blog

Thinking about retiring from the NHS? Here's what you need to know

Thursday, 23 April 2026

Manager in our medical accounting team, Jamie Butcher, discusses the options you can take if you're considering retiring from the NHS. It's important you understand all of your options before making the decision.

Video

NHS contract changes and Neighbourhood Health developments

Larking Gowen and Mills & Reeve

Rob Day, from Mills & Reeve, and Andrew Burwood, from Larking Gowen, recap the content from their recent seminar, discussing the NHS contract changes and Neighbourhood Health developments.

Blog

NHS Pensions: Contingent decisions

Wednesday, 25 March 2026

NHS Pension members who opted out between 2015 and 2022 may now be able to reinstate their benefits under the McCloud Remedy. Director, Jan McLean, outlines what you can do, the costs involved, and the key tax considerations to review before making a decision.

Brochure

Ask us!

In this brochure, we answer your questions surrounding tax, pensions or accounts.

News

Larking Gowen Partner appointed Chair of AISMA

Lizzy Lloyd, Medical Partner at Larking Gowen, has been appointed Chair of AISMA. Lizzy aims to shape AISMA’s future through new initiatives like AISMA NextGen and the AISMA Academy.

Blog

Thinking of retiring early from the NHS pension?

Friday, 8 May 2026

A simple guide to taking early retirement from the NHS Pension Scheme and how actuarial reductions work. Manager, Jamie Butcher, outlines eligibility, reductions and key rules to help you plan ahead.

Webinar

Maximising tax claims for hospital doctors & private practices

Medical specialists Louise Dean and Jamie Butcher presented an overview of tax considerations including; what expenses can be claimed and how they reduce taxable income and considerations around setting up a limited company for private practice

Podcast

Understanding the new pay offer for NHS consultants

In this episode of Larking Gowen Insights, Medical Partner, Louise Dean, and Manager in our medical team, George Crowe, delve into the latest pay offer for NHS consultants in England.