Bookkeeping for doctors, dentists and healthcare professionals
Healthcare professionals often have several income streams: NHS, private and locum work. Keeping them separate from the start makes tax and pension planning far easier.
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Bookkeeping for doctors, dentists and healthcare professionals
Your price
3.5 hours at £15
£52.50
Set-up fee£0
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The short answer
What does bookkeeping for doctors, dentists and healthcare professionals involve?
Bookkeeping for doctors, dentists and healthcare professionals means keeping invoices to practices, agencies and patients, NHS payment statements, indemnity, registration and subscriptions and the rest of your records accurate and reconciled. At £15 an hour, a typical locum doctor through a limited company (about 40 transactions a month) needs about 3.5 hours a month, which is around £52.50.
What makes these books different.
Every sector has its own records and rules. These are the ones that matter for doctors, dentists and healthcare professionals.
Several payers
Income may come from NHS bodies, practices, agencies and private patients, each with different payment timing and paperwork.
NHS and private income apart
Tracking them separately matters for tax planning and for pension annual allowance calculations.
Professional costs
Indemnity cover, GMC or GDC registration, subscriptions, courses and equipment are allowable and need evidencing.
Locum invoicing
Regular invoicing and prompt chasing keep cash flow steady, especially across several short engagements.
£15
an hour, flat
£52.50
a month for a typical locum doctor through a limited company
3.5h
of bookkeeping a month, about 40 transactions a month
0
contract, stop whenever you like
Records we keep for you.
- Invoices to practices, agencies and patients
- NHS payment statements
- Indemnity, registration and subscriptions
- Courses, equipment and instruments
- Travel between sites
- Pension contribution statements
Rules worth knowing.
Pension annual allowance
NHS pension growth can create an annual allowance charge. Accurate income and contribution records support the calculation.
Sole trader or company
Many locums move to a limited company as income grows. Bookkeeping must change with the structure.
VAT
Medical services supplied by registered professionals are generally VAT exempt, while some private or cosmetic work is not.
General information, not tax advice. Rules change, so check GOV.UK or ask your accountant. Last reviewed November 2026.
A typical month.
A locum doctor through a limited company with about 40 transactions a month. Here is the time it takes and what it costs.
- Core bookkeeping (31 - 100)3h
- Limited company extras0.5h
Each month
£52.50
Where this sector is most common.
Using ONS business counts for 2026, health and care is the biggest share of local businesses in these places. We serve all of them online.
- Birmingham8% of local businesses, 1.7 times the UK share, about 2,900 firms
- Oxford7% of local businesses, 1.7 times the UK share, about 365 firms
- Belfast7% of local businesses, 1.6 times the UK share, about 800 firms
- Derby7% of local businesses, 1.6 times the UK share, about 510 firms
- Nottingham7% of local businesses, 1.5 times the UK share, about 665 firms
- Norwich7% of local businesses, 1.5 times the UK share, about 330 firms
Clients say it better than we do.
4.9300+ Google reviews of Accotax
“He took the time to explain every step of the process and made a complex situation much easier to understand.”
Hugo Alvarez
Google review of Accotax
“They take the time to understand how our business works and what our needs are.”
Mael Leboucher
Google review of Accotax
“Very prompt in responding to questions and patient with us even when we seem to be slow.”
Mansur Liman
Google review of Accotax
“The work was completed promptly, my tax return was successfully filed.”
Sergey M
Google review of Accotax
doctors, dentists and healthcare professionals: your questions.
Do locums need to register for VAT?
Medical services provided by registered professionals are usually exempt, which means no VAT is charged and registration is not normally required for that income. Mixed work should be checked case by case.
Services we would use.
Related sectors.
- IT contractors and freelancersLimited company books, IR35 evidence and flat rate VAT for contractors.
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