Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Abergavenny

Doctors in Abergavenny often juggle more financial moving parts than most people realise — NHS pay, private or locum income, pension arrangements, professional expenses and Self Assessment deadlines all arriving at once. Our specialist accounting support is built around how doctors actually work, helping you keep accurate records, understand your tax position, claim the professional expenses you are entitled to, and stay on top of your filing obligations. Whether you are salaried, self-employed, working as a locum, running a private practice or combining several roles, the aim is straightforward: clear accounting and tax advice that fits your circumstances, without the jargon.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Jamie Fletcher profile picture
Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman profile picture
Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Muna Mohamoud profile picture
Muna Mohamoud
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I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail. Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable. I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
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Sergey M profile picture
Sergey M
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I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
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Ebba Qureshi profile picture
Ebba Qureshi
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Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
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Mael Leboucher profile picture
Mael Leboucher
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We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did. Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly. Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible. Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow. I would 100% recommend them.
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3rd Hub profile picture
3rd Hub
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Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
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Martin Tyrrell profile picture
Martin Tyrrell
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I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free. A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently. I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
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Matthew Lyon profile picture
Matthew Lyon
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Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
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Which Doctors Do We Support?

Medical careers rarely follow a single, neat path, and the accounting questions that come with them change as your working arrangements change. We support GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners and doctors who combine NHS work with private or medico-legal income. A salaried doctor with a modest amount of private work may only need help with Self Assessment and allowable expenses, while a GP partner faces partnership accounts, practice profit shares and pension considerations, and a locum working through a limited company has company accounts, Corporation Tax and possibly VAT to think about. Consultants with private practice income, doctors with rental or investment income, and those moving between roles mid-year all bring their own considerations. The right approach depends on your employment status, your income sources, your business structure and your wider financial position — which is why the starting point is always a proper conversation about how you work, not a template.

GPs

Accounting and tax support for GPs with NHS income, private work, practice interests or additional professional earnings.

Hospital Doctors

Support with Self Assessment, professional expenses and tax matters alongside employment income and other professional earnings.

Consultants

Accounting support for consultants managing NHS employment, private practice income, professional expenses and tax obligations.

Locum Doctors

Support with Self Assessment, locum income, allowable expenses, bookkeeping and relevant business structure considerations.

Salaried Doctors

Tax and accounting support for salaried doctors with additional professional income or expenses requiring reporting.

Private Practitioners

Accounting support for doctors providing private medical services through individual practices, partnerships or companies.

Accounting and Tax Services for Doctors in Abergavenny

Our services are shaped around the practicalities of medical work. For doctors with self-employment or untaxed income, that means Self Assessment tax returns that bring together NHS income, private medical income, locum fees, consultancy or medico-legal earnings and any other sources in one accurate picture, supported by tidy bookkeeping throughout the year rather than a scramble at the deadline. Where you operate through a limited company, we can prepare annual accounts and Corporation Tax computations, handle payroll for you and any staff, and advise on VAT registration and returns if your turnover or circumstances mean it applies. Doctors in partnerships — GP practices being the common example — may need partnership accounts, profit allocation and support with the wider financial reporting the practice requires. Alongside compliance, we offer tax planning that considers allowable professional expenses such as medical indemnity, professional subscriptions, training and professional development, equipment, and travel and mileage, plus pension considerations and, where relevant, management accounts and business structure advice. If your affairs are relatively simple, we will not overcomplicate them; if they are not, we will make sure nothing is missed.

Self Assessment Tax Returns

Preparation and support for doctors with employment, locum, private practice or other taxable income.

NHS & Private Income

Help organising accounting records where income comes from NHS work, private services, locum assignments or other professional activities.

Accurate records built around the way GP practices, partnerships and locum doctors actually work, with cloud software set up for you.

Tax Planning for Doctors & Consultants

Incorporation reviews for private practice, profit extraction, capital allowances and timing of income to keep your effective tax rate down.

Locum Tax & IR35 Support

Contract and IR35 status reviews, limited company versus sole trader comparisons and expense claims for locums working across multiple trusts.

Accounting and Tax Challenges Doctors Commonly Face

Doctors tend to accumulate financial complexity gradually rather than all at once — a locum shift here, a private clinic session there — and the tax consequences are not always obvious at the time. These are some of the areas where specialist support tends to make the biggest difference.

  • Multiple income sources arriving in different formats. NHS pay, private fees, locum work and consultancy income can each be reported differently, and pulling them into one accurate tax position is far easier when records are kept consistently throughout the year.
  • Self Assessment deadlines and payment on account. Once you have untaxed income, registration and filing obligations follow, and payments on account can catch doctors out if they are not planned for.
  • Allowable professional expenses. Medical indemnity insurance, professional subscriptions, training and professional development, equipment, and travel or mileage between sites are all areas where the rules matter and the treatment depends on your circumstances.
  • Pension considerations. NHS pension contributions, annual allowance questions and any private pension arrangements interact with your tax position, and the interaction can be difficult to unpick without specialist input.
  • Choosing the right business structure. Whether to work as a sole trader, through a partnership or via a limited company affects how you are taxed, what you can claim and what admin you take on — and the right answer changes as your work changes.
  • Partnership and practice finances. GP partners and others in practice partnerships deal with profit shares, practice accounts and financial reporting that go well beyond a personal tax return.
  • Record keeping under pressure. Long hours and unpredictable rotas make it easy to fall behind on receipts, mileage logs and bank records, which creates problems later when you need the numbers to be right.
  • Keeping pace with change. Rates, allowances and rules shift over time, and doctors moving between salaried, locum, private and partnership work often need their arrangements reviewed rather than left on autopilot.

Why Doctors Choose CruseBurke

Working with an accountant who understands medical income makes a real difference to how smoothly your tax affairs run. CruseBurke provides accounting and tax support designed around the way doctors earn — NHS pay alongside private fees, locum income, consultancy work, partnership profits or a mix of all of these. We focus on keeping your records organised and your compliance in order, while explaining what is happening in plain English so you can make decisions with confidence rather than guesswork. Advice is always matched to your circumstances: the same question about expenses, pensions or business structure can have different answers depending on your employment status and income sources, and we will tell you clearly where something depends on your individual position. If you prefer to work remotely, we can support you that way, and if you would rather sit down and talk things through, we are happy to do that too. We also handle the straightforward things properly — deadlines, filings, bookkeeping, payroll — because that is the foundation everything else rests on.

Healthcare Focus

We support GPs, locum doctors, consultants and other medical professionals with accounting and tax matters tailored to their individual circumstances.

Every Allowable Expense Claimed

GMC and indemnity fees, royal college subscriptions, exams, courses, equipment and mileage — nothing left on the table.

NHS Pension Specialists

We calculate your pension input amount, check tapering and advise on Scheme Pays before a charge becomes a problem.

IR35 & Locum Confidence

Status reviews on your engagements and a clear answer on limited company versus sole trader for your circumstances.

Deadlines Handled for You

Returns, accounts and payroll filed on time, with reminders well in advance so penalties never happen.

Fair, Fixed Fees

One agreed monthly fee, quoted up front, with no hourly billing and no surprise invoices.

Our Simple 3-Step Process

Getting the right accounting support in place does not need to be complicated. First, we start with a conversation about how you work — your employment status, whether you have NHS income, private medical income, locum or consultancy earnings, any partnership or company involvement, and what is currently causing you difficulty. Second, we review your accounting and tax requirements, looking at your existing records, filings and structure, and identifying where things need attention or where your arrangements could work better. Third, we put the appropriate support in place, whether that is Self Assessment and bookkeeping, annual accounts and Corporation Tax, partnership accounts, payroll or VAT, along with ongoing advice as your circumstances change. Throughout, you will know what is being done, what we need from you and when.

1. Initial Consultation (It’s Free):

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.

2. Customised Plan:

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.

3. Ongoing Support & Updates:

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.

What Makes CruseBurke Different for Doctors

Many accountants can file a tax return. Fewer take the time to understand how medical income actually works. We look at the whole picture: NHS pay and pension contributions, private practice fees, locum and consultancy income, partnership profit shares and company structures, then work out how those pieces fit together for tax purposes. That means identifying the professional expenses worth claiming, such as medical indemnity, professional subscriptions, training costs, equipment and travel, and being clear about when something is allowable and when it is not. It means keeping bookkeeping current so Self Assessment is based on real figures rather than estimates, and handling VAT, payroll and annual accounts where your structure requires them. It also means recognising that doctors’ circumstances change — a training post becomes a consultancy role, a salaried job gains private work, a locum decides to incorporate — and adjusting the advice accordingly rather than applying a one-size-fits-all approach. The result is accounting support that is practical, properly explained and built around your working life.

Technology Driven

We use Xero, Quickbooks, Sage & many other online software.

Dedicated Medical Accountant

Meet, call or email the same qualified accountant who knows your practice and your pension position.

Unlimited Support

Free telephone & email support
throughout the year.

Experienced Team

Our team have over 100 years of combined experienced.

Free - Email Reminders

Never Miss any deadline with our automated email reminders.

Yes, We Are Chartered!

We’re an ICAEW, ACCA & AAT accredited Firm.

How to Switch to Our Doctor Accountants

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:

Get in touch

Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.

Letter of Engagement

We’ll send over a simple letter to formalise our partnership and get everything in motion.

Previous Accountants

If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.

We Do the Rest

From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.

FAQs

It depends on your circumstances. A doctor whose entire income is taxed through PAYE, with no untaxed earnings, no significant expenses to claim and no pension complications, may manage perfectly well without one. The picture changes as soon as you take on locum shifts, private practice sessions, consultancy or medico-legal work, partnership profits, a limited company or rental income — at that point you have Self Assessment obligations, expense claims to substantiate and often a choice of business structure to make. An accountant helps ensure the tax position is correct, that you are claiming what you are entitled to, and that deadlines are met without last-minute stress.

Common examples include medical indemnity insurance, professional body subscriptions, costs of training and professional development related to your current work, equipment and reference materials, and travel or mileage for work-related journeys. What is allowable depends on whether you are employed, self-employed, or both, and on the precise purpose of the expense — for instance, travel between sites can be treated differently from ordinary commuting, and training costs have their own rules. Because the detail matters, it is worth reviewing your spending patterns with an accountant rather than assuming a blanket list applies to you.

NHS pay is normally taxed through PAYE, while private fees, locum work and consultancy income are usually reported through Self Assessment. We bring the figures together, reconcile the employment income already taxed against your self-employment or miscellaneous income, and make sure the return reflects all your sources correctly. Where expenses relate to your private or self-employed work, they are reviewed and claimed appropriately. It is also worth remembering that additional untaxed income can affect payments on account, so planning ahead is part of the process.

Both are possible and the better option depends on your level of income, your working pattern and how you want to be paid. Operating as a sole trader is generally simpler, with Self Assessment and Class 2 and 4 National Insurance to consider, while a limited company can offer different tax treatment but brings company accounts, Corporation Tax, payroll and often VAT into play. There is no universal answer, and the decision can change as your earnings grow or your work shifts between locum, private and salaried roles — so it is worth reviewing properly rather than choosing on the basis of what someone else does.

Yes. Partnership work typically involves partnership accounts, allocation of profits between partners, and support with the wider financial reporting and record keeping the practice needs to maintain. Partners also have individual Self Assessment obligations, and their profit share interacts with pension contributions and other income. If you are a partner, the useful starting point is a review of the current accounts, how profits are allocated and whether the reporting arrangements are working well for everyone involved.

We can, where those services are relevant to your circumstances. A doctor working through a limited company, or running a private practice with staff, is more likely to need payroll, VAT and ongoing bookkeeping, while a salaried doctor with a small amount of private income may need little beyond Self Assessment and good record keeping. We will only recommend what actually applies to you, and we will explain the obligations that come with each structure so you know what you are taking on.

Remote working is perfectly practical for most doctors, particularly given clinical rotas and limited free time during the working day. Documents can be shared securely and meetings arranged to suit you. If you are moving from another accountant, the transition is usually straightforward — we will confirm what information and authorisations are needed, obtain the relevant records and prior filings, and take care of the handover so nothing is missed. As with any professional change, it helps to plan the timing around your filing deadlines.

Start with a conversation about how you work and what you need. It is useful to have a rough picture of your income sources, any existing Self Assessment or company filings, your current business structure and the areas causing you concern — whether that is expense claims, pension contributions, partnership profit shares or simply getting your records in order. From there we can review your position and recommend the level of accounting support that makes sense, with no obligation to proceed until you are comfortable.

Speak to an Expert

Make Your Medical Income Easier to Manage with Specialist Accountants for Doctors in Abergavenny

If your income comes from more than one direction — NHS pay alongside private fees, locum shifts or consultancy work — keeping track of what you owe and what you can claim can quickly become a burden. CruseBurke supports doctors with Self Assessment, bookkeeping and expense reviews that pull those strands into one clear, accurate picture, so your return reflects your real circumstances and your records stand up to scrutiny. Whether you are newly self-employed, reviewing your business structure or simply behind on your paperwork, we are happy to talk through where you stand and what would help most.