Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Albans

CruseBurke provides specialist accounting support for doctors in Albans, helping you make sense of Self Assessment, NHS and private income, locum and consultancy earnings, allowable professional expenses and day-to-day bookkeeping. Whether you are salaried, self-employed or working through a limited company, we help you keep your tax affairs accurate, organised and properly planned.

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?

Doctors rarely fit neatly into one financial box, and their accounting needs tend to shift as their working arrangements change. A salaried hospital doctor on PAYE may simply need a Self Assessment return for private work or a small amount of locum income, while a GP partner has partnership accounts, practice profits and pension implications to consider. Consultants running private clinics, locum doctors working through agencies or their own limited company, and doctors combining NHS roles with private practice all face different reporting and tax positions. Accounting support may therefore involve anything from straightforward personal tax returns to full company accounts, payroll, VAT and business structure advice. Because treatment depends on employment status, income sources, business structure and individual circumstances, we take the time to understand exactly how you work before recommending an approach.

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.

Our Accounting Services for Doctors

Our accounting services are built around the realities of medical work, where income can arrive from several directions and expenses are not always straightforward to classify. We prepare and file Self Assessment tax returns for doctors with NHS income, private medical income, locum fees, consultancy income or a mix of all three, making sure each source is reported correctly and that allowable reliefs are considered. For those trading through a limited company, we handle annual accounts, Corporation Tax computations and confirmation statements, alongside director-related payroll and dividend planning. Where doctors run a practice, join a partnership or work with other clinicians, we prepare partnership accounts and profit allocations and support the bookkeeping that keeps records reliable throughout the year. VAT registration and returns, management accounts and financial reporting are available where turnover or structure makes them relevant. We also advise on business structure, helping doctors weigh up sole trader status, partnership and incorporation as their private work grows, and we build in tax planning so profits, pension contributions and drawings are considered together rather than in isolation.

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 Often Face

Medical careers generate tax issues that generic accounting support can easily overlook. A few of the areas doctors most often need help with include:

  • Blending NHS and private income. Salary, pension contributions and private fees are taxed and reported in different ways, and keeping the two streams distinct is important for an accurate Self Assessment return.
  • Multiple income sources in one year. A doctor may hold a salaried post, take on locum shifts and receive consulting or medico-legal fees, each with its own records, dates and reporting requirements.
  • Allowable professional expenses. Medical indemnity cover, professional body subscriptions, revalidation costs, specialist equipment and relevant training can all be claimable, but only where the rules are met and the expense relates to the work undertaken.
  • Travel and mileage records. Travel between sites, home visits, locum placements and study days can produce significant costs, and HMRC expects clear evidence of business journeys rather than estimates.
  • Pension considerations. NHS pension contributions, annual allowance questions and personal pension arrangements interact with taxable income, so decisions should be taken with the wider tax position in mind.
  • Choosing the right business structure. Locum work, private practice and consultancy can be run as a sole trader, through a partnership or via a limited company, and the most suitable option depends on income levels, risk and long-term plans.
  • Practice and partnership finances. Partners need accurate profit shares, capital account records and timely information for their individual returns, which requires organised bookkeeping throughout the year.
  • Keeping on top of deadlines and records. Busy clinical schedules leave little room for filing dates and receipts, and late or incomplete records are a common cause of avoidable penalties and stress.
  • IR35 and off-payroll rules. Doctors contracting through an intermediary for NHS or private work may need to consider employment status rules, which can affect how income is taxed and paid.

Why Doctors Choose CruseBurke

Doctors choose CruseBurke because they want an accountant who recognises the shape of a medical career rather than treating them as an ordinary taxpayer. We take time to understand how you earn, whether that is a single salaried role, a portfolio of NHS sessions, locum shifts and private clinics, or a growing practice with a partner structure. From there we provide practical advice on Self Assessment, allowable professional expenses, bookkeeping and tax planning, explained in clear language without unnecessary jargon. Communication is straightforward: we keep records organised, flag deadlines in advance and make sure you know what information is needed and when. Because circumstances differ, we tailor our support to your employment status, income sources and business structure, and we remain flexible as your role develops, whether that means additional private work, a change of trust or a move into full self-employment.

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 for Doctors

Getting your accounting affairs in order should not add to the pressure of a clinical working week. We begin with an initial conversation to understand how you work, covering salary arrangements, NHS income, private fees, locum or consultancy work and any existing business structure, so nothing is missed. Next we review your current accounting and tax position, including previous returns, bookkeeping records, expense claims and any outstanding filings, and identify what needs attention or improvement. Finally, we put the appropriate support in place, whether that is preparing and filing your Self Assessment return, running payroll and company accounts, setting up bookkeeping systems or advising on structure and tax planning, with ongoing support that adjusts as your circumstances change.

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

What sets our approach apart is the way we connect the different parts of a doctor’s financial life rather than handling each in isolation. A single locum payment, a partnership profit share, a private clinic invoice and an NHS pension contribution all affect the same tax position, and we consider them together when preparing returns and planning ahead. We combine accurate compliance work, including Self Assessment, annual accounts, Corporation Tax, VAT and payroll where relevant, with advice on the practical questions doctors ask: which expenses are genuinely allowable, how to record mileage and indemnity costs, whether incorporation makes sense, and how to keep bookkeeping manageable alongside clinical commitments. We explain the reasoning behind our recommendations so you can make informed decisions, and we adapt our support as your working arrangements evolve.

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

Not every doctor does, but many benefit from one. If you are purely salaried with no private income, your tax position may be simple. Once you add locum shifts, private consultations, medico-legal work, partnership profits or a limited company, the reporting becomes more involved and errors can be costly. An accountant helps ensure income from each source is reported correctly and that the expenses you claim are properly supported.

Yes. NHS salary is usually taxed through PAYE, while private fees, locum payments and consultancy income often need to be reported separately on a Self Assessment return. We make sure each income stream is shown correctly, that PAYE already deducted is accounted for, and that relevant expenses connected to the private or self-employed work are considered.

Common examples include medical indemnity and professional indemnity insurance, professional body subscriptions, revalidation and mandatory training costs, specialist equipment and some travel or mileage for business journeys. What is allowable depends on your employment status and whether the cost was incurred wholly and exclusively for your work, so it is worth checking your specific circumstances rather than assuming a blanket rule applies.

A company structure brings additional responsibilities, including annual accounts, Corporation Tax returns, Companies House filings, director payroll and possibly VAT registration. Off-payroll working rules may also be relevant depending on who you contract with. We review your arrangements, confirm what filings are required and handle the compliance work so your records stay up to date.

These are recorded as professional expenses and claimed where the rules allow. We keep the supporting documentation on file, distinguish between personal and practice-related cover where necessary, and take them into account when calculating taxable profits or assessing what can be claimed against income.

Many doctors providing medical services are exempt from VAT, but not all activities fall into the same category. Medico-legal reports, cosmetic procedures, training courses and some consultancy work can be treated differently from standard medical care. We review what you actually do and advise whether registration is required or beneficial.

Yes. Accounting support does not depend on being in the same room. Documents can be shared securely, meetings can be held by phone or video, and records can be kept digitally. Many doctors find this easier to fit around clinics and on-call commitments, and it works equally well whether you keep paper records or use accounting software.

Changing accountants is usually straightforward. We contact your existing accountant for the relevant records and professional clearance, review the information provided, and confirm what needs to be filed or corrected. Once we understand your position, we set up the ongoing support that suits your circumstances.

Get in touch and tell us how you work, what income sources you have and what is currently causing difficulty. We will review your position, explain what support is appropriate and set out the next steps clearly so you know exactly what happens and when.

Speak to an Expert

Take the Pressure Off Your Tax Affairs With Accountants for Doctors in Albans. Speak to a Team That Understands Medical Income.

Juggling NHS pay, private fees and locum income while keeping receipts, mileage and expense records in order is a challenge at the best of times. CruseBurke can take that weight off your shoulders by preparing your Self Assessment return accurately and putting reliable bookkeeping in place, so every income stream is recorded and every allowable expense is properly claimed. When you are ready to hand over the paperwork and get clear, practical answers about your tax position, get in touch with our team and we will talk you through how we can help.