Medical Accountants

Accountants for Doctors in Birmingham

Written and reviewed by the Medical Accountants editorial team. Last reviewed .

Birmingham sits at the centre of a conurbation that reaches out to Wolverhampton, Walsall, Dudley, Solihull and Coventry, and a locum based here can reasonably work at any of them in a single week.

That geography is the whole tax story for a West Midlands locum: multiple employing bodies, multiple payment cycles, and a travel position that has to be evidenced rather than asserted.

Locum Invoicing Across the West Midlands

Several agencies and several trusts means several ways of being paid, and the gap between what was worked and what actually landed is where locum accounts usually come apart. We reconcile invoice to bank so nothing is counted twice or dropped.

Where the engagement runs through your own company and the client is an NHS body, the client determines your status, because NHS trusts are public authorities for off-payroll purposes. Determinations are worth checking rather than accepting, and that is covered in our locum accounts work.

Birmingham GP Practices and Partner Changes

For partnerships across Birmingham and Solihull, the recurring issue is the year a partner joins or leaves. The year splits, the profit allocation splits with it, and each affected partner needs their own figures rather than a share of an annual total.

Done late, an outgoing partner can find themselves taxed on profit they never received. Done at the actual date rather than the nearest quarter end, it is arithmetic.

What we do for Birmingham business owners

Questions Doctors Ask Us

I invoice through a company and work mostly for NHS trusts. Is that worth keeping?

Often not, and it is worth running the numbers rather than assuming. Where most engagements are determined inside the off-payroll rules, the money is taxed before it reaches the company and the structure adds cost without adding much.

Do you cover Wolverhampton and Coventry as well?

Yes. Nothing about the work is tied to a postcode, and the pension and tax bodies are national. The list of places here reflects where enquiries come from, not where we can act.

Send Us the Figures and We Will Quote

Tell us what you earn from and what is outstanding. We come back with a fee for the work and the date it has to be finished by. If your position is straightforward enough to file yourself, we will say so rather than quote for it.

Send us your position
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