Self Assessment for Doctors, Locums, Dentists & Nurses
If you work in healthcare in London and file a self-assessment tax return, the return itself is rarely the hard part. The hard part is two or three NHS employments in one year, locum invoices, private fees, superannuation deducted at source and an NHS Pension Annual Allowance charge you were never warned about. We handle all of it, and CruseBurke has advised British businesses since before the Second World War.
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
We prepare returns for healthcare professionals of every type across London. The complications differ in each case:
Multiple NHS employments, locum income, private fees, GMC and indemnity claims, and NHS Pension Annual Allowance and tapering checks.
Associate self-employment, UDA and private income, superannuation reconciliation, lab fees and GDC costs.
Partnership profit shares, drawings, superannuation certificates and Class 2 and Class 4 National Insurance handled correctly.
Locum pharmacists and optometrists, physiotherapists, nurses with agency shifts and anyone with mixed employed and self-employed income.
We do more than fill in the boxes. The point is to get the tax right and keep it as low as legitimately possible:
We pull together P60s, P45s, locum invoices and NHS schedules so every source of income is captured and nothing is double counted.
Pension input calculations, tapering checks and carry-forward, plus Scheme Pays advice where a charge cannot be avoided.
Your return prepared, checked with you, then filed with HMRC well before the 31 January deadline, with payments on account explained.
GMC, GDC or GPhC fees, indemnity, royal college subscriptions, exams, courses, equipment and mileage — every allowable claim identified.
We tell you what to pay and when, including 31 July payments on account, using HMRC self-assessment rules.
Almost every healthcare tax return we take over has at least one of these problems in it. Each one costs money or invites an HMRC letter:
Two or three NHS employments in a single tax year
NHS Pension Annual Allowance charge never calculated
Locum income from several trusts reported inconsistently
Allowable expenses missed on fees, indemnity and courses
Payments on account misunderstood, causing a January shock
Wrong tax code carried over from a previous NHS post
IR35 status on locum work never properly reviewed
Healthcare tax is a specialist job. We take the annual anxiety out of it and make sure you are not paying more than you should:
NHS schedules, superannuation and locum income are routine work, not a research project.
GMC, GDC and GPhC fees, indemnity, exams, courses, equipment and mileage all captured.
Annual Allowance, tapering and Scheme Pays checked before the charge becomes a problem.
We aim to have your return agreed and filed well before the deadline, so you can plan the payment.
Reminders in good time and filings handled for you, so penalties and interest never arise.
Clear pricing agreed up front, so you know the cost before any work starts.
Tax returns are not why you went into healthcare. Our three-step process makes it painless:
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.
Is managing your finances stressing you out? Let our expert healthcare accountants in London help you build smart and long-term financial strategies. We’ll provide a yearly analysis that keeps your financials in check and your practice on track.
We use Xero, Quickbooks, Sage & many other online software.
Meet, Call, E-mail or Skype to your dedicated accounts manager.
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 expert accountants handle everything. Here’s how easy it is to get started with us:
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.
Self-Assessment for healthcare in London is the process of reporting your earnings and expenses to HMRC. It is essential for those with income from different sources. At CruseBurke, we simplify this process. Thus, ensuring everything is filed correctly and on time.
Yes, you need to. If you earn income outside PAYE such as private work or locum shifts, you must complete a Self Assessment tax return.
Yes, absolutely. We’re experts at dealing with those mixed income streams. Thus, we can help you track and organise everything.
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 tax affairs. It’s that easy!
Not always, but you must file if you have any self-employed or locum income, private practice fees, rental or dividend income, or if you need to declare an NHS Pension Annual Allowance charge. Many salaried GPs are also better off filing to claim professional fees and expenses.
Online returns and any balancing payment are due by 31 January following the end of the tax year, with a second payment on account due by 31 July. We aim to have your return agreed months earlier so the payment is never a surprise.
Typically GMC registration, medical indemnity, royal college and BMA subscriptions, exam and course fees, journals, equipment, professional clothing and mileage between sites. What is allowable depends on whether you are employed or self-employed, so we review both positions.
The charge is declared on the pension savings pages of your return. You need your pension savings statement, your pension input amount and any carry-forward from the previous three years. We calculate it and decide with you whether to pay personally or elect for Scheme Pays.
Yes, that is the most common situation we deal with. We reconcile your employed income from P60s with your self-employed locum and private fees, apportion expenses correctly and make sure nothing is taxed twice.
We can bring late returns up to date, calculate the tax, interest and penalties, and where appropriate make a disclosure to HMRC. Coming forward voluntarily almost always reduces the penalty position.
