Medical accounting for locums, practices and clinics
Our specialist medical accounting team looks after locum pharmacists, doctors and dentists with their own company, and the practices, clinics and pharmacies they work in. Fixed fees, everything filed, all online.
Built around how medical work actually works
Several agencies and sitesInvoices and payments from every agency and pharmacy, tracked in one place.
Professional costs claimed properlyRegistration fees, indemnity cover and subscriptions, recorded the right way.
Mileage done rightApproved mileage rates for allowable travel, with a simple log in FreeAgent.
Salary and dividends set up for 2026/27Payroll run monthly, dividend paperwork prepared for you.
Your tax return includedFiled early, with your payments on account explained.
Practices, clinics and pharmaciesNHS income reconciled, partial exemption VAT and staff payroll, from £325 a month.
Should you even have a company? We'll tell you honestly.
Since April 2025, higher employer National Insurance means a one-person company saves many locums less than it used to. For locum doctors, the NHS Pension and public-sector IR35 rules often tip the balance against a company.
Send us your numbers. Roughly what you earned and your main costs.
We run the scenarios at this year's tax rates.
You get a one-page answer, after tax and after fees.
You decide. No obligation.
Self-employed or limited company? See the difference in 10 seconds.
Enter roughly what you'll earn and spend this tax year. We compare what you'd keep self-employed and through your own limited company, at 2026/27 rates, after our fee.
What would you keep through a company?
Use our 2026/27 calculator to compare self-employed and limited company take-home, after our fee. Or ask us to check your own numbers, free.
Calculate your take-home
Get in touch
Tell us a little about your company. We reply the same working day.
Frequently asked questions
I work for several agencies and pharmacies. Is that a problem?
Not at all. Your company invoices each one, FreeAgent tracks who has paid, and we make sure every sale is in the accounts.
Can I claim mileage?
Travel to temporary workplaces is often allowable, at HMRC's approved mileage rates. It depends on your pattern of work, so we check yours and keep a simple log in FreeAgent.
What about IR35?
IR35 decides whether a contract should be taxed like employment. Many NHS engagements fall under the public-sector rules, where the engager decides your status. We look at your contracts during the free check.
I'm a locum doctor in the NHS Pension Scheme. Should I have a company?
Often not: income paid through a company generally doesn't count towards the NHS Pension, and public-sector IR35 applies to many NHS roles. We'll tell you honestly if a company isn't right for you.
How do I switch to you?
Get your price, sign up online, and we handle the rest, including your current accountant. You're set up in about 14 days.
Know another director who needs an accountant?
Ready to switch?
Questions sent before 3pm on a working day get an answer that day.