Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Arlesey

Specialist accounting support built around the working lives of doctors in Arlesey. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, the way your income arrives can make your tax position more complex than a standard payslip-and-P60 scenario. Our accountants for doctors in Arlesey help you make sense of Self Assessment, NHS and private income, locum and consultancy earnings, allowable professional expenses, bookkeeping and pension considerations — so your records stay organised, your deadlines are met and your tax position is planned rather than patched up at the last minute.

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 We Support in Arlesey

Doctors come to accounting with very different circumstances, and the right support depends on how you actually work. A salaried hospital doctor with a single NHS employment has a far simpler position than a consultant combining NHS duties with private practice, or a locum doctor working through several engagements in a year. We support GPs, including partners and salaried GPs; hospital doctors and consultants; locum doctors; doctors with NHS income, private medical income or both; private practitioners running their own clinics or practices; and doctors who combine clinical work with teaching, research, medico-legal or consultancy income. Your accounting needs can turn on whether you are employed, self-employed or both, whether you operate as a sole trader, in a partnership or through a limited company, and whether you are registered for VAT. Understanding those factors properly is what allows the accounting and tax work to be structured sensibly rather than simply recorded after the event.

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 Arlesey

Our accounting services are designed around the income patterns and expense profiles that doctors typically deal with. That includes Self Assessment and tax returns where you have NHS income, private medical income, locum fees, consultancy income or other self-employed earnings alongside employment. For doctors running a practice, clinic or consultancy, we can look after annual accounts, bookkeeping, management accounts, payroll and VAT where relevant, along with Corporation Tax if you operate through a limited company. Partnership accounts and profit allocation are also part of the picture for GP partners and other medical partnerships. Alongside the compliance work, we can advise on business structure — whether sole trader, partnership or limited company suits your circumstances — and on tax planning matters such as allowable professional expenses, medical indemnity, professional subscriptions, training and professional development costs, equipment, travel and mileage, and pension considerations, including how NHS pension contributions interact with your wider tax position.

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 often carry more financial complexity than their job title suggests. NHS pay, private fees, locum work and consultancy income can all arrive in different ways and on different timescales, which makes record keeping, expense claims and tax returns harder to keep on top of. The challenges below are worth thinking through carefully.

  • Multiple income sources: NHS employment income, private practice fees, locum payments and consultancy earnings may all be taxable together, so understanding how each stream is taxed and reported matters.
  • Self Assessment obligations: Doctors with self-employed income, untaxed private earnings or higher-income Child Benefit implications often need to file a return, and payments on account can catch people out if they are not planned for.
  • Allowable professional expenses: Medical indemnity insurance, GMC and royal college subscriptions, specialist equipment, professional development and travel between sites can be allowable — but only if the rules for your circumstances are correctly applied.
  • Keeping records of expenses: Receipts, mileage logs and subscription renewals scattered across emails, apps and paper files are a common problem, and weak records can mean missed claims or awkward questions later.
  • Pension considerations: The interaction between NHS pension contributions, annual allowance matters and private income is technical, and getting it wrong can be costly.
  • Business structure decisions: Choosing between sole trader, partnership and limited company affects how much administration you take on and how profits are taxed, and the right answer depends on your income mix and plans.
  • Partnership and practice finances: GP partners and partners in medical practices need clear profit allocation, drawings and capital account records, which is quite different from personal tax alone.
  • VAT and payroll where relevant: Private practice, clinics and medico-legal work may bring VAT registration into scope, while practice staff and associate arrangements can require payroll processing and RTI reporting.
  • Deadlines and cash flow: Tax payments, filing deadlines and student loan or pension adjustments tend to cluster, and without forward planning the timing can put pressure on cash flow.

Why Doctors in Arlesey Choose CruseBurke

Doctors tend to want an accountant who understands the shape of their working life without needing it explained from scratch. That means recognising how NHS income, private fees, locum work and consultancy earnings sit alongside each other, appreciating why medical indemnity and professional subscriptions sit differently from ordinary business costs, and knowing that a GP partner’s position is not the same as a salaried doctor’s. CruseBurke provides specialist accounting and tax support with clear communication, well-organised records and practical advice that fits your circumstances rather than a standard template. We explain the reasoning behind the numbers, keep you informed about your filing and payment obligations, and help you plan ahead where planning is possible. Whether you need a straightforward Self Assessment return or fuller support for a practice, partnership or company, the aim is the same: your financial affairs kept in good order, with advice you can act 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 for Doctors

Getting the right accounting support in place does not need to be complicated. First, we take time to understand how you work — your employment arrangements, NHS income, private medical income, locum or consultancy work, any practice or partnership involvement, and the structure you currently operate through. Second, we review your accounting and tax requirements, looking at your existing records, filing position, expense claims, VAT or payroll needs and any deadlines coming up, so nothing important is missed. Third, we put the appropriate support in place, whether that is Self Assessment and tax returns, bookkeeping, annual accounts, partnership accounts, payroll, VAT returns or ongoing tax planning, and agree how and when information will be shared. The pace of each step depends on your circumstances and how ready your records are, and we will always be clear about what we need from you and why.

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 combination of specialist understanding and practical delivery. Doctors rarely fit a single mould — you may be employed and self-employed at the same time, earning NHS pay alongside private fees, locum shifts or consultancy income, or running a practice with staff, premises and partnership arrangements. We work with that reality rather than forcing it into a generic set of accounts. That means treating professional expenses with the attention they deserve, keeping bookkeeping and records structured so Self Assessment is straightforward rather than stressful, advising on business structure when it genuinely helps, and handling the compliance side — tax returns, annual accounts, Corporation Tax, VAT and payroll — accurately and on time. Equally important is the conversation around it: clear explanations, sensible questions and advice framed around your individual circumstances, because tax treatment depends on your employment status, income sources, business structure and personal position, not on a blanket rule.

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 with a single salaried NHS post and no other income may not need much beyond a straightforward tax position, but once private fees, locum work, consultancy income, practice profits or a partnership are involved, the reporting and planning work grows quickly. An accountant can help ensure your returns are accurate, your allowable expenses are claimed properly and your tax position is considered as a whole rather than year by year.

Yes. Where you have NHS employment income alongside private medical income, your employment is usually taxed through PAYE while the self-employed element is reported through Self Assessment. The two need to be brought together correctly, including any payments on account and adjustments such as pension-related or student loan matters. We prepare and file the return, but we also look at how the income mix affects your overall position so you are not caught by an unexpected bill.

Commonly claimed items include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional development and training that maintains or updates your existing expertise, specialist equipment, and travel or mileage for business journeys between sites. Whether a particular cost is allowable depends on your employment status, your contract and the specific purpose of the expense — employment expenses face stricter tests than self-employed ones, so it is worth checking rather than assuming.

Locum doctors often work through a mix of engagements, some paid directly and some through agencies, which can mean multiple payments, varying tax treatment and more administration. Keeping a clear record of each engagement, its dates, income and associated costs makes the tax return much easier to prepare and reduces the risk of something being missed or misreported.

Sometimes, but not automatically. A limited company can suit some private practitioners, consultants and medico-legal practices, particularly where profits are retained or where a corporate structure fits the way you work. For others, sole trader or partnership status is simpler and more appropriate. The right answer depends on your income levels, how the work is contracted, your pension position and your plans, so it is worth discussing before making a change.

VAT is a common confusion for doctors because some medical services are exempt while others, such as certain cosmetic procedures or medico-legal reports, may be taxable. Whether registration is required depends on the value and nature of your taxable supplies, and some doctors can also come within scope when selling goods or services alongside clinical work. We can review your activities and advise on registration and reporting where it applies.

Yes. Much of the information we need can be shared digitally, and many doctors find remote communication convenient alongside a demanding clinical schedule. What matters most is having a clear way to pass across records and documents and an agreed point of contact for questions, so the accounting work keeps moving even when your diary is full.

Changing accountants is usually straightforward. We will ask for your authorisation to contact your current accountant, request the relevant professional clearance and information, and review what has been filed previously. If there are gaps in your records or outstanding filings, we will explain what needs to be addressed before moving forward so the transition does not create avoidable problems.

Speak to an Expert

Take the Pressure Out of Your Tax Affairs with Accountants for Doctors in Arlesey

Juggling NHS pay, private fees, locum shifts and consultancy income makes it easy for receipts and filing deadlines to slip. CruseBurke can bring order to your bookkeeping, prepare and file your Self Assessment return accurately, and help you claim the allowable professional expenses you are entitled to — from medical indemnity and professional subscriptions to equipment and travel. If you would like your tax position handled by accountants who understand how doctors work, get in touch and we will talk through your circumstances.