Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Ascot

Specialist accounting and tax support for doctors in Ascot, whether you work as a GP, hospital doctor, consultant, locum or private practitioner. From Self Assessment and multiple income sources to NHS and private earnings, bookkeeping and tax compliance, we help you keep your financial affairs organised, accurate and aligned with your working arrangements.

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?

Our accounting support is designed for the wide range of working arrangements found across the medical profession. That includes GPs and GP partners, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners, and doctors who combine NHS work with private or medico-legal income. Accounting needs can differ significantly depending on your circumstances: a salaried doctor may primarily need a straightforward Self Assessment tax return, while a locum working through multiple agencies, a consultant with private practice income, or a doctor running a limited company or partnership may need broader support with bookkeeping, payroll, VAT, business structure and tax planning. Pension considerations, medical indemnity, professional subscriptions and training costs also affect how your affairs are best organised. Because no two doctors are in the same position, we take the time to understand your income sources, employment status and professional activities before recommending an approach that fits.

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

We provide accounting and tax services shaped around the realities of medical work, covering areas such as Self Assessment tax returns, annual accounts, bookkeeping, management accounts, payroll, VAT and Corporation Tax where relevant. For doctors with NHS income alongside private practice, locum or consultancy earnings, we help bring those income streams together into a clear and accurate picture, making sure the right figures are reported in the right place. We can advise on allowable professional expenses, including medical indemnity, professional subscriptions, training and professional development, equipment, and travel and mileage, and explain how the treatment of each may depend on whether the cost relates to employed or self-employed work. Where doctors operate through a partnership or limited company, we assist with partnership accounts, company accounts, financial reporting and business structure advice, including how drawings, dividends and retained profits might be handled. We also support doctors with tax planning across the year rather than leaving everything to a filing deadline, so that pension contributions, income timing and business decisions can be considered with the wider tax position in mind.

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

Medical careers rarely follow a single, simple financial pattern. Doctors often accumulate a mix of income sources, employment arrangements and professional costs, and that complexity is where accounting and tax problems tend to arise.

  • Multiple income streams to bring together: NHS salary, locum shifts, private consultations, medico-legal reports and teaching income may all need to be reported correctly, and missing or duplicating an income source can lead to inaccurate returns and unwelcome correspondence from HMRC.
  • Self Assessment deadlines and penalties: many doctors must file a tax return because of self-employment, untaxed income or higher earnings, and keeping track of registration, payment and filing dates alongside clinical rotas is not always straightforward.
  • Understanding allowable expenses: medical indemnity, professional subscriptions, training, equipment, and travel or mileage can all be relevant, but the rules differ between employed and self-employed work, so it is easy to claim too little or too much.
  • Keeping adequate records: receipts, invoices, mileage logs and bank transactions need to be retained and organised, and when records are incomplete the tax position becomes harder to substantiate and more time-consuming to prepare.
  • Pension considerations: NHS pension arrangements, annual allowance questions and private pension contributions can interact with your tax position, so decisions are best made with the wider picture in mind rather than in isolation.
  • Choosing a business structure: working as a sole trader, through a partnership or via a limited company each carries different reporting, tax and administrative obligations, and the right choice depends on your income levels, plans and appetite for administration.
  • Practice and partnership finances: GP partners and doctors running private practices deal with profit shares, practice expenses, staffing costs, VAT and payroll responsibilities that go well beyond a personal tax return.
  • Payments on account and cash flow: tax bills for doctors with rising or irregular income can be substantial and may include payments on account, so planning ahead helps avoid surprises.
  • Keeping employment and self-employment income separate: when PAYE income sits alongside self-employed earnings, careful allocation of expenses and accurate reporting of each source is essential.

Why Doctors Choose CruseBurke for Accounting and Tax Support

CruseBurke supports doctors who want their accounting handled by people who understand how medical income actually works. We take the time to map out your income sources, your employment and self-employment arrangements, and the professional costs you incur, so that your records, returns and tax position reflect your real circumstances rather than an oversimplified version of them. That means practical advice on Self Assessment, allowable professional expenses, bookkeeping, payroll, VAT and business structures, explained in plain language and without unnecessary jargon. We keep the lines of communication clear, so you know what information we need, when it is needed and why it matters, which is particularly valuable when your time is better spent on patients than on paperwork. Our approach is organised and consistent across the year, helping you stay compliant with filing and payment obligations while giving you the information to make sensible decisions about pensions, practice finances and future plans. Whether you are a salaried hospital doctor, a locum managing several engagements, a GP partner or a consultant with private income, we aim to provide support that fits the way you work.

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 Getting Started

Getting the right accounting support in place does not need to be complicated. First, we start with a conversation about your circumstances, covering how you work and where your income comes from, whether that is NHS salary, locum shifts, private practice, consultancy, medico-legal work, teaching or a combination of these. Second, we review your accounting and tax requirements, looking at what you already have in place, what may be missing, and where there are areas worth attention, such as Self Assessment registration, record keeping, business structure, VAT or payroll. Third, we put appropriate support in place, agreeing what we will handle, what you need to provide and how we will keep in touch, so that your bookkeeping, returns and reporting are managed in an organised way going forward. If you are changing accountants, we can also help coordinate the handover of information from your existing adviser.

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 work apart is a genuine focus on the way doctors earn and spend. Rather than treating medical income as a single figure, we look at each element separately: employed NHS earnings, self-employed locum work, private practice receipts, consultancy and any other professional income, along with the expenses that relate to each. That detail matters, because it affects how much tax is due, which costs can be claimed and which reporting obligations apply. We also recognise that doctors make decisions with long-term implications, from joining or leaving a practice partnership to setting up a limited company or adjusting pension contributions, and we aim to give you clear information so those decisions can be made with confidence. Our support extends beyond filing a tax return, covering bookkeeping systems, payroll, VAT, management information and structure reviews, which is particularly useful for doctors whose finances have grown more complex over time. Where your circumstances are unusual, such as combining NHS work with private practice or working across several short-term contracts, we tailor our approach rather than applying a fixed template. The result is accounting support that is specialist, practical and built around your professional 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 with a single salaried NHS post and straightforward tax affairs may manage without specialist help, although Self Assessment obligations, pension considerations and professional expenses still need attention. Where things become more complex, such as combining NHS employment with locum shifts, private practice, consultancy or medico-legal income, an accountant who understands how those income streams interact can help you report accurately, claim the expenses you are entitled to and plan ahead for tax bills. The value is usually greatest when income is varied, irregular or growing.

Yes. Doctors frequently have PAYE income from NHS employment alongside self-employed earnings from private practice, locum work or consultancy, and both need to be reflected correctly in your tax return. We help you gather the right figures for each source, separate allowable expenses appropriately between employed and self-employed work, and make sure payments on account and any tax due are understood in advance.

Commonly considered costs include medical indemnity insurance, professional subscriptions to medical bodies, relevant training and professional development, specialist equipment, and business travel or mileage where it relates to self-employed work. The rules are not identical for employed and self-employed doctors, and some costs are only allowable in certain circumstances, so the correct treatment depends on your individual position. We review your expenditure and advise on what can properly be claimed.

Locum doctors are often treated as self-employed for tax purposes, which means registering with HMRC, keeping records of income and expenses, filing a Self Assessment tax return and potentially making payments on account. Where several agencies or trusts are involved, tracking income and matching it to the correct period can be challenging. We can help you set up a workable bookkeeping routine, including mileage and travel records, and prepare your return from accurate figures.

There is no single answer that suits every doctor. Sole trader status is straightforward and common for locum and freelance work, partnerships are typical in GP and private practice settings, and a limited company may be worth considering in certain circumstances, such as higher levels of private or consultancy income. Each option carries different reporting, tax and administrative obligations, so the right structure depends on your income levels, your plans and how much administration you are comfortable with.

Pension matters for doctors can involve NHS pension arrangements, annual allowance questions and private contributions, and they often interact with your wider tax position. We can help you keep the relevant figures organised and highlight when it may be worth seeking specialist pension advice, so that decisions about contributions and income are made with a clear understanding of the wider picture.

Yes. Accounting support can be provided remotely, which suits doctors who move between sites, work shifts or spend time away. Documents and records can be shared electronically, and meetings can be arranged in a way that fits around clinical commitments. What matters most is that we have a clear picture of your income sources and circumstances, and that you know what information is needed and when.

Changing accountants is usually simpler than doctors expect. Once you decide to move, we can liaise with your existing adviser to obtain the relevant records and information, and we will confirm what is needed from you, such as details of your income sources, previous returns and outstanding filings. It is sensible to make the change at a point in the year that allows enough time for your next tax return to be prepared without pressure.

Speak to an Expert

Make Your Medical Income Easier to Manage With Accountants for Doctors in Ascot

If NHS salary, locum work, private practice income and professional expenses have made your tax affairs harder to keep track of, CruseBurke can help. We support doctors with Self Assessment, bookkeeping and day-to-day tax planning, so your records stay in order and your returns reflect your real circumstances. Get in touch to talk through how you work and what you need, and we will explain the next steps clearly.