Welcome to Kumar Associates. Medical Accountancy Specialists.
Established in 1991 and based in Romsey, Hampshire, Kumar Associates are one of the UK’s most trusted firms of accountants for medical professionals. For over 30 years, we’ve supported GPs, consultants, locums, dentists, pharmacists and private clinics with specialist accountancy, tax and NHS pension advice — alongside delivering reliable services for individuals and businesses across all sectors.
In February 2024, Kumar Associates became part of BC&A Chartered Accountants, strengthening our ability to provide nationwide expertise while continuing to serve our local community in Hampshire.


About Kumar Associates - Medical Accountants
For over 30 years, we've been trusted by healthcare professionals and businesses alike
Kumar Associates is a distinguished firm of Chartered Accountants and Registered Auditors, established in 1991 in Romsey, Hampshire. Over the past three decades, we’ve built a reputation for reliability, professionalism and personal service, supporting clients across the UK.
While we work with a wide range of businesses and individuals, we are recognised nationally as specialist medical accountants. Our team has extensive experience advising GPs, consultants, locum doctors, dentists, pharmacists and private healthcare providers on the complex financial challenges unique to the healthcare sector — from NHS pension planning and practice structuring, to VAT in healthcare and tax-efficient expense claims.
Based in Romsey, Hampshire, we proudly serve clients locally and nationwide, combining the personal touch of a local firm with the reach and expertise of a national practice.
- GP Practices & Partners
- Hospital Consultants & SAS Doctors
- Locum Doctors
- Dentists & Orthodontists
- Private Clinics & Aesthetics Providers
- Pharmacies & Dispensaries
- Allied Health Professionals
- Pharmaceutical & Life Sciences
- High Net Worth Individuals
Medical & General Accounting Services
Take a look at some of our most popular accounting services.
Accounting & Book-keeping
Accurate annual accounts and maintain clear financial records for businesses, GP practices, dental surgeries, pharmacies and private clinics, giving you practical insights to improve cashflow, stay compliant, and focus on delivering patient care.
NHS Pension Advice & Planning
We guide you through the complexities of the NHS Pension Scheme, including annual allowance limits, tapered allowance, Scheme Pays and the McCloud remedy, helping you plan for retirement and minimise unexpected taxes.
R&D Medical Innovation Tax Relief
Our specialist in-house team help healthcare businesses and innovators claim valuable tax relief on the design, development and testing of new medical devices, technologies and software.
Expense Optimisation
Helping doctors, dentists, locums and healthcare providers identify and claim all allowable expenses, reducing tax bills and maximising take-home income whilst remaining compliant.
- Practice Accounts & Benchmarking
- Locum & Consultant Tax Planning
- Practice Structuring & Partnerships
- Payroll & CIS-Style Contractor Management
- NHS/PCN Cash Flow & Funding Advice
- Taxation Services
- Company Secretarial Services
- Business Start Up
- Consultancy & Systems Advice
- Investments & Pensions
- Management Accounting & Finance Support
- Finance Function
- Virtual Finance Director
- Company Sales and Acquisitions
- M&A Due Diligence Services
- Restructuring & Insolvency
How we operate
We’re committed to understanding of the unique requirements of each client. To that end, we begin with a comprehensive consultation to fully appreciate and understand your financial aspirations and specific requirements. Our services are deliberately designed to offer flexibility, acknowledging the demanding schedules of our professional clients and ensuring availability for face-to-face consultations as necessitated.
Kumar Associates is renowned for its adeptness in a comprehensive array of services, including but not limited to Audit & Accounts, Taxation Services, Bookkeeping & VAT, Payroll Services, and Company Secretarial tasks. Learn more about our services here.
Our profound expertise in the medical sector allows us to offer specialised guidance and strategic solutions tailored to medical professionals, thereby facilitating optimal financial efficiency and compliance.
Transparency
As a firm grounded in professionalism, we uphold the principles of integrity and honesty in every aspect of our practice. During our initial consultation, we will collaboratively determine the services you require and establish a fixed fee for each, ensuring transparency from the outset. Our commitment to clarity means we avoid unexpected charges, unforeseen tax liabilities, or overlooked issues. Moreover, we believe that open communication is fundamental; thus, inquiries from our clients are encouraged and never subject to additional fees.
Leveraging the latest technological advancements, we streamline routine tasks to maintain current and meaningful financial data. This efficiency enables us to conduct regular reviews and maintain open lines of communication, empowering our clients with the insights needed to make informed decisions. Such strategic advice is designed to enhance competitive positioning, reduce expenditures, minimise tax obligations, and increase profitability.
BC&A Businesses
BC&A Chartered Accountants
Tailored accountancy, taxation, payroll and management services in Hampshire and across the South Coast for over 20 years.
Kumar Associates
Providing accountancy and taxation services to a number of clients, specialising in the medical and pharmaceutical sectors.
BC&A Innovation
BC&A Innovation are the R&D tax specialist wing of our business. Our specialists will guide you through the whole process of claiming tax relief for innovative work and projects.
BC&A Romsey
BC&A Romsey is a firm of accountants, established for over 25 years. Our clients range from private individuals to limited companies.
BC&A Mergers
A specialised division of BC&A Chartered Accountants, established to cater to the unique needs of accountancy firms seeking to merge, buy, or sell. We have leveraged our extensive industry expertise to facilitate seamless and successful mergers and acquisitions.
FAQs
Frequently Asked Questions
What is the McCloud remedy and how does it affect my NHS Pension?
The McCloud remedy is a government fix to correct discrimination in the NHS Pension Scheme caused by transitional protections when the scheme changed in 2015. For doctors, consultants, and other NHS staff, it means you may be able to choose which scheme benefits (1995/2008 or 2015) apply to your service during the remedy period. This can have a significant impact on your pension value and tax position. At Kumar Associates, we help medical professionals understand their options, model different outcomes, and plan ahead to minimise unexpected pension tax charges.
Should I use a limited company for my private medical work?
Many consultants and locums consider setting up a limited company for private income. A company can be tax-efficient in the right circumstances, allowing you to control how and when you extract profits. However, it’s not always the best option, especially if you’re also working within the NHS. Factors such as IR35, pension contributions, and personal circumstances all matter. We provide tailored advice to ensure you choose the structure that best fits your financial and professional goals.
What expenses can doctors, dentists, and locums claim against tax?
Healthcare professionals are entitled to claim a wide range of allowable expenses, including professional fees (GMC, GDC, indemnity), CPD courses, work-related travel, medical equipment, and part of your home office costs. Locums often have more flexibility, but rules differ between NHS and private income. Missing legitimate expenses can mean overpaying tax, while incorrect claims risk HMRC penalties. We specialise in helping medics maximise their expense claims safely and compliantly.
How does IR35 apply to locum doctors and consultants?
IR35 (off-payroll working rules) determines whether HMRC treats a locum or consultant as genuinely self-employed or as a “disguised employee.” If you’re engaged through an agency or directly with the NHS, IR35 can significantly affect your take-home pay and tax liabilities. Misclassification can be costly, so it’s vital to understand the risks. Our team advises locums and consultants on contracts, compliance, and the best way to structure your income.
Do I need to register for VAT if I provide private medical services?
Most core medical services are exempt from VAT, but there are important exceptions — for example, aesthetics, medico-legal reporting, and some consultancy work. If your exempt and taxable supplies overlap, you may fall into “partial exemption” territory, which requires careful VAT accounting. We guide private clinics, pharmacies, and consultants through these grey areas to ensure compliance and avoid costly errors.
How do PCN (Primary Care Network) funds affect GP practice accounts?
PCN income creates unique accounting and tax challenges for GP practices. Questions often arise around whether PCN funding is taxable, how it affects VAT status, and how to record reimbursements in partner drawings. We provide practical advice on managing PCN funds, keeping accounts accurate, and avoiding hidden tax liabilities.
Can you help with NHS Pension annual allowance and tapered allowance issues?
Yes — these pension tax rules are some of the biggest pain points for high-earning medics. If your pension growth exceeds the annual allowance, you may face unexpected tax bills. The tapered allowance reduces this threshold further for the highest earners. We calculate your pension inputs, model your tax position, and advise on strategies such as Scheme Pays elections to manage liabilities.
How quickly can you onboard a new GP practice or medical client?
We understand that medical professionals can’t afford disruption when it comes to finances. Our onboarding process is efficient and transparent — we handle the transfer of records, liaise with your previous accountant, and set up digital systems if required. Many clients are fully onboarded within a few weeks, allowing us to immediately support you with tax planning, pension advice, or practice profitability reviews.
What support do you provide for dental and orthodontic practices?
Dental practices face unique challenges around NHS/private income split, staff costs, equipment investment, and succession planning. Our dental accountants provide tailored advice on structuring your practice, managing cash flow, and maximising allowances. We also advise associate dentists on self-employment, tax planning, and retirement preparation.
Do you work nationwide with medical professionals, or only in Hampshire?
Although we are proudly based in Romsey, Hampshire, we work with medical clients across the UK. Our specialist knowledge of NHS pensions, medical sector tax rules, and healthcare structuring applies nationwide. With modern digital systems, we provide seamless support whether you’re a GP in the South Coast, a consultant in London, or a locum working across the country.
Book Your Free Medical Financial & Tax Health Check today
Is your GP practice, dental surgery, pharmacy, or private clinic turning over £250,000 or more? At Kumar Associates, specialist medical accountants, we’re offering a complimentary financial and tax health check designed specifically for healthcare professionals.
During your no-obligation consultation, we’ll review your accounts and highlight:
- Potential tax savings for doctors, dentists, locums, and consultants.
- Grants, NHS reimbursements, or funding opportunities that may benefit your practice.
- Strategies to improve practice profitability, manage NHS pension tax charges, and reduce unnecessary expenses.
- Specialist advice on NHS pensions, IR35, VAT in healthcare, and practice structuring.
Think of it as a professional check-up for your finances — just as you look after patients, we look after the financial health of healthcare professionals.
