Specialist Accountants for GPs, Consultants & Locum Doctors
You did not train for a decade to spend your evenings decoding NHS pension statements and hunting for receipts. Whether you are a salaried GP, a practice partner, a locum working across several trusts or a consultant with private income, our accountants for doctors in London handle the tax, the pension checks and the paperwork. CruseBurke has advised British businesses since before the Second World War, so your accountant is never learning your profession on your time.
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We act for doctors at every stage and in every setting across London and the wider UK. Your income mix, your pension position and your tax risks are different in each case, so the advice should be too.
Partnership accounts, profit-share statements, superannuation certificates and PCN income — plus self-assessment for salaried and portfolio GPs.
Private practice income alongside your NHS contract, Annual Allowance and tapering checks, and the most tax-efficient structure for your fees.
Company accounts, VAT on non-exempt treatment, payroll for clinical and admin staff, and profit extraction for practice owners.
IR35 status reviews, limited company versus sole trader comparisons, expense claims, and self-assessment for locums juggling multiple engagements.
Every service below is built around the way doctors actually get paid — NHS schedules, locum invoices, practice drawings and private fees — not around a generic small business template.
We prepare and file your return on time, reconcile NHS pay and locum income, and claim every allowable expense from indemnity to GMC fees.
Pension input amount calculations, tapered Annual Allowance checks and Scheme Pays advice so a pension charge never arrives as a surprise.
Accurate records built around the way GP practices, partnerships and locum doctors actually work, with cloud software set up for you.
Incorporation reviews for private practice, profit extraction, capital allowances and timing of income to keep your effective tax rate down.
Contract and IR35 status reviews, limited company versus sole trader comparisons and expense claims for locums working across multiple trusts.
Doctors carry tax problems most professionals never meet: two or three employers in one tax year, superannuation deducted before you are paid, and an Annual Allowance charge from the NHS Pension Scheme that can land years after the event. These are the issues we fix:
Multiple NHS trusts and payslips in one tax year
Annual Allowance and tapering charges nobody explained
IR35 uncertainty on locum and agency engagements
Expenses missed on indemnity, GMC, exams and courses
Cash flow when locum invoices are paid late
Partnership profit shares and drawings that never reconcile
Keeping up with changing NHS and HMRC rules
Healthcare finances take specialist knowledge. Our team already knows how a GP partnership profit share works, why your Annual Allowance statement looks wrong, and what a locum can legitimately claim. Here is what you get:
We act for GPs, locums and consultants across London and understand London weighting and high-cost area supplements.
GMC and indemnity fees, royal college subscriptions, exams, courses, equipment and mileage — nothing left on the table.
We calculate your pension input amount, check tapering and advise on Scheme Pays before a charge becomes a problem.
Status reviews on your engagements and a clear answer on limited company versus sole trader for your circumstances.
Returns, accounts and payroll filed on time, with reminders well in advance so penalties never happen.
One agreed monthly fee, quoted up front, with no hourly billing and no surprise invoices.
Managing the financial side is not why you went into medicine. Our three-step process gets you set up quickly and keeps you informed all year:
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Chartered, experienced and genuinely specialised in healthcare. Here is what working with us looks like in practice:
We use Xero, Quickbooks, Sage & many other online software.
Meet, call or email the same qualified accountant who knows your practice and your pension position.
Free telephone & email support
throughout the year.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our specialist healthcare accountants handle everything. Switching part way through the year is straightforward and you never need to speak to your old accountant:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Yes. While any accountant can technically do your books, a specialist knows the specific rules and regulations that apply to doctors. Especially those in the NHS and private sector. Thus, having a specialist accountant for doctors can lead to better tax efficiency and help you avoid costly mistakes.
Absolutely. Our accountant for locum doctor service is designed for doctors with multiple income streams. We’ll make sure everything is declared properly and tax-efficiently.
Yes. From registering with HMRC to planning expenses, we’ll get you started on the right track.
While we have a strong presence as accountants for doctors in London, we help doctors and medical professionals all over the UK. We can work with you effectively wherever you are.
Just give us a call or drop us an email for a free consultation. We’ll review your situation and help take the stress out of your accounts. It’s that easy!
We calculate your pension input amount for the year, check whether the tapered Annual Allowance applies to your income, and use carry-forward from the previous three years. If a charge is unavoidable we compare paying it personally against Scheme Pays so you make an informed choice.
It depends on your profit level, whether your engagements fall inside IR35, and how much income you need to draw. A company can be more tax-efficient at higher profits but brings extra filing. We model both for your actual figures before you commit.
Typically GMC registration, medical indemnity, royal college and BMA subscriptions, exam and course fees, professional journals, equipment such as a stethoscope or laptop, mileage between sites, and a proportion of phone and home office costs. We review your position line by line.
Yes. Partners are taxed personally on their profit share through self-assessment and pay Class 2 and Class 4 National Insurance, while a company pays corporation tax and directors are taxed on salary and dividends. Most GP practices cannot incorporate because of NHS contract and pension rules, so partnership accounts and accurate profit-share statements matter.
Private earnings push up your threshold income, which can taper your Annual Allowance down significantly and create a charge on your NHS pension growth. We look at both income sources together so the tax planning actually works.
It depends on whether you need a single self-assessment return, a limited company with payroll, or full practice accounts. We quote one fixed monthly or annual fee up front so you know the cost before you commit.
Yes. We contact your existing accountant for the handover, collect your records, and pick up from wherever things stand. You do not need to have an awkward conversation with them.
