Who we work with
At Kumar Associates, we are proud to be recognised as one of the UK’s leading firms of specialist medical accountants. For over 30 years, we’ve supported healthcare professionals and businesses with expert accountancy, tax planning, and NHS pension advice — from individual locum doctors to large GP partnerships and multi-site dental practices.
About Kumar Associates - Specialist Sectors
From individual GPs to large multi-site practices
Our clients include GP practices and partners, hospital consultants, locum doctors, dentists, orthodontists, pharmacies, private clinics and allied health professionals, as well as high net worth individuals and organisations in the pharmaceutical and life sciences sectors.
Whether you need an accountant for dentists to manage practice accounts, a GP practice accountant to guide you through NHS reimbursements and pensions, or specialist advice for locums on IR35 and expenses, our team understands the unique challenges of the healthcare profession. We combine technical expertise with clear, practical guidance to help you stay compliant, reduce tax bills, and improve financial wellbeing.
Explore the sections below to see how we support different professions:
Tailored Accountancy for GPs, Dentists, Locums and Healthcare Practices
GP Practices & Partners
Running a GP practice brings unique financial pressures — from managing NHS reimbursements and PCN funding to handling partner drawings, surgery premises and pensions. Our specialist GP practice accountants prepare tailored accounts, manage partnership changes, and advise on tax planning to improve profitability and compliance. We also provide benchmarking against national GP averages to help practices measure and grow effectively.
Hospital Consultants & SAS Doctors
Consultants and SAS doctors often juggle NHS contracts with private income, creating complex tax and pension implications. We provide expert guidance on NHS pension annual allowance and tapered allowance issues, structuring private practice income through limited companies, and ensuring expenses are claimed correctly. Our goal is to simplify your finances so you can focus on your patients.
Locum Doctors
As a locum, you may work through agencies, limited companies, or on a self-employed basis. Each option has different tax consequences, particularly around IR35 and off-payroll rules. Our locum doctor accountants help you choose the most tax-efficient structure, manage allowable expenses such as travel and indemnity, and stay compliant with HMRC requirements.
Dentists & Orthodontists
Dentists and orthodontists face a unique blend of NHS and private income, practice costs, and investment in equipment. Our accountants for dentists support practice owners with financial management, partnership agreements, staff payroll, and tax planning. We also advise associates on self-employment, expenses, and retirement planning, helping dental professionals make the most of their earnings.
Private Clinics & Aesthetics Providers
Private medical and aesthetics clinics operate in a complex VAT environment where some services are exempt and others taxable. We help clinics structure their businesses efficiently, manage VAT partial exemption, and optimise expenses such as premises, equipment, and staff. Whether you run a cosmetic clinic or a multi-speciality private practice, our team ensures your finances stay compliant and profitable.
Pharmacies & Dispensaries
Pharmacies face cash flow pressures from NHS reimbursements, stock management challenges, and complex VAT rules. Our pharmacy accountants work closely with owners to streamline accounts, improve profitability, and ensure compliance with HMRC. We also advise on succession planning, premises finance, and structuring your business for long-term success.
Allied Health Professionals
From physiotherapists and osteopaths to optometrists and podiatrists, allied health professionals often combine NHS and private work. We help with bookkeeping, tax returns, allowable expenses, and VAT queries, tailoring our advice to your profession’s specific needs. Our flexible support ensures you can spend more time with patients and less time worrying about finances.
Pharmaceutical & Life Sciences
We support businesses in the pharmaceutical and life sciences sector with specialist tax, audit, and R&D services. Whether you are developing new drugs, medical devices, or healthcare technology, we ensure your finances are structured efficiently and that you benefit fully from R&D tax relief and innovation grants.
Psychologists & Therapists
Psychologists, counsellors, and therapists often balance private practice with NHS contracts, creating complex income streams and expense claims. Our specialist accountants for therapists and psychologists provide tailored support with bookkeeping, tax returns, and allowable expenses such as professional memberships, supervision costs, and therapy room hire. For those running group practices or clinics, we also advise on VAT, payroll, and structuring your business for growth. With our guidance, you can reduce your tax burden, stay compliant, and focus on supporting your clients’ wellbeing.
High Net Worth Individuals
Many of our clients are high-earning medical professionals and business owners who require careful personal financial planning. We provide bespoke advice on wealth structuring, inheritance tax planning, trusts, and investments. By integrating personal and professional finances, we ensure you and your family are well-positioned for long-term financial security.
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
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.
