Every element of our advice accounts for how doctors are actually paid, pensioned and taxed in the UK — rotations, banding, locum shifts, superannuation and private practice included.
The NHS pension is usually a doctor's largest single asset, and the most misunderstood. We model it properly rather than guessing at it.
What this includes
1995, 2008 and 2015 scheme membership analysis, including mixed service
Annual allowance testing with three years of carry forward applied
Tapered allowance calculations for high earners with private income
Scheme pays decisions, deadlines and the long-term cost of the election
McCloud remedy implications and remediable service statements
Retirement modelling: partial retirement, early retirement factors and lump sum options
Most relevant to: Every stage — foundation year to partial retirement.
Investment & Portfolio Management
02 · Advice discipline
Evidence-based portfolios built around your risk profile, time horizon and the tax wrappers available to you.
What this includes
Attitude to risk and capacity for loss assessment
Globally diversified, low-cost portfolio construction
Tax wrapper sequencing across ISAs, SIPPs and general investment accounts
Use of spouse and partner allowances where appropriate
Annual rebalancing and capital gains management
Clear, itemised cost disclosure on everything we recommend
Most relevant to: Registrars onwards, and any doctor with investable surplus income.
Professional Mortgages
03 · Advice discipline
Access to lenders who understand medical contracts, rotations and locum work rather than applying rigid payslip rules.
What this includes
Lenders who underwrite on forward training contracts
Higher income multiples available to qualified medical professionals
Low-deposit options for first-time buyers in training
Locum, bank and private practice income included in affordability
Porting, remortgaging and consent-to-let between rotations
Buy to let and commercial surgery premises finance
Most relevant to: First-time buyers in training through to practice premises purchases.
Protection & Insurance
04 · Advice discipline
Cover sized against NHS sick pay, private income and family commitments — not against a generic calculator.
What this includes
Own-occupation income protection appropriate to clinical work
Deferred periods matched to your NHS or partnership sick pay tiers
Life cover written into trust so it sits outside the estate
Critical illness cover and considered advice on whether you need it
Cover for private and locum income alongside substantive pay
Review of existing BMA, employer and legacy policies before anything new is arranged
Most relevant to: Essential from foundation year, revisited at every income change.
Tax-Efficient Structuring
05 · Advice discipline
Private practice and additional income structured so that more of what you earn survives the tax year.
What this includes
Sole trader versus limited company modelling for private work
Salary and dividend planning, and remuneration timing
Managing the 60% effective rate band and personal allowance taper
Pension contributions used as a deliberate tax tool where efficient
Coordination with your accountant so advice does not contradict
Planning for payments on account and January/July liabilities
Most relevant to: Consultants, GP partners and any doctor with meaningful private income.
Estate & Legacy Planning
06 · Advice discipline
Passing wealth on with intention, at a cost your family should not have to guess at.
What this includes
Inheritance tax exposure assessment including the residence nil-rate band
Trust planning and whether a trust is genuinely warranted
Nomination and expression of wish for pension death benefits
Lifetime gifting that does not compromise your retirement income
Wills and lasting powers of attorney coordinated with your solicitor
Intergenerational planning for children's education and first homes
Most relevant to: Consultants, GP partners and doctors approaching retirement.
Our process
How we work
01
Discovery
A confidential conversation at our cost. We map your position: scheme membership, contracts, income sources, debts, existing cover and what you actually want the money to do.
02
Analysis
Pension inputs, tax exposure, mortgage affordability and portfolio risk are modelled against your career timeline, not against generic assumptions.
03
Recommendation
A written plan with clear costs, trade-offs and priorities. Nothing is implemented until you have read it, questioned it and agreed to it.
04
Ongoing review
Annual reviews before tax year end, plus support at every promotion, rotation, contract change and new income stream.
