Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Farnworth

Specialist accounting support for doctors in Farnworth, whether you work as a GP, hospital doctor, consultant, locum or private practitioner. We help make sense of the financial side of your career — from Self Assessment and multiple income sources through to NHS and private income, bookkeeping, allowable expenses and keeping your tax affairs compliant and well organised.

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 are not a single group when it comes to tax and accounting. Salaried hospital doctors and GPs usually have straightforward employment income but may still face complicated Self Assessment returns if they take on extra shifts, private work or additional roles. Locum doctors often operate more like self-employed professionals, managing invoices, expenses and records across several engagements. Consultants and private practitioners may need help with practice or partnership accounts, VAT, payroll or a limited company structure. Many doctors combine NHS employment with private or medico-legal income, which can push them into higher tax charges, alter pension considerations and create overlapping reporting obligations. Whether you are early in your career or established in a specialty, your accounting needs depend on your employment status, income sources, business structure and professional activities — and the right support should reflect that rather than apply a one-size-fits-all 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

We provide accounting and tax support shaped around how doctors actually earn their income. For employed GPs, hospital doctors and surgeons, that often means preparing and filing the Self Assessment tax return, reviewing allowable professional expenses such as medical indemnity and professional subscriptions, and making sure additional NHS or private income is reported accurately. For locum and self-employed doctors, we can handle bookkeeping, invoicing, income and expense records, mileage and travel claims, and the preparation of accounts and tax returns. Where a doctor runs a private practice, partnership or consultancy, we can support annual accounts, partnership accounts and profit shares, Corporation Tax and statutory filings if a limited company is involved, VAT registration and returns where turnover requires it, payroll for practice staff or for the director himself or herself, management accounts and financial reporting. Alongside compliance, we offer practical tax planning — looking at business structure, income timing, pension considerations and how best to organise multiple income streams — so that decisions are made with the tax consequences in mind rather than after the fact.

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 simple financial path. Income can come from an employer, a locum agency, a private practice, medico-legal work or a mix of all three, and each element carries its own reporting requirements and tax consequences.

  • Multiple income sources — combining NHS employment with private practice, locum shifts or consultancy income often means more than one tax return obligation and a greater risk of untaxed income or overlapping PAYE and Self Assessment calculations.
  • Self Assessment accuracy — a return that misses locum income, private fees or reimbursed expenses can trigger enquiries, interest or penalties, and payments on account can leave doctors facing larger bills than expected.
  • Allowable professional expenses — medical indemnity, professional subscriptions, training and continuing professional development, equipment and mileage may all be claimable, but only where the rules are met and the expense is genuinely work-related.
  • Pension considerations — annual allowance charges and contribution decisions can interact with tax bands and total income, making pension planning a genuinely technical area for doctors with high earnings.
  • Record keeping — receipts, mileage logs and invoices are easy to set aside during a busy clinical week, but poor records usually mean missed relief or an unnecessarily stressful year-end.
  • Business structures — deciding whether to work as a sole trader, in partnership or through a limited company affects tax, National Insurance, filing deadlines and how profit is taken, and the right answer depends on individual circumstances.
  • Practice and partnership finances — profit shares, drawings, staff payroll, VAT and practice overheads all need clear accounting so that partners understand their true position.
  • Tax deadlines and payments on account — two filing obligations in the Self Assessment cycle mean cash flow planning matters as much as accuracy for doctors with significant additional income.

Why Doctors Choose CruseBurke for Accounting Support

CruseBurke works with doctors and medical professionals who want their tax and accounting affairs handled properly, not simply processed. That means taking the time to understand your working pattern — how many roles you hold, which income is taxed at source, what you pay out professionally, and how you want your finances structured — before recommending anything. We aim to make compliance straightforward and stress-free, with clear deadlines, organised records and plain-English explanations rather than jargon. Where there are planning opportunities, we will point them out, but we will also be honest when a treatment is not available to you. Doctors are busy, and the value of good accounting support lies in removing the guesswork: knowing what to claim, when to file, what to set aside for tax and how to keep personal and professional finances separate. Whether you are employed, self-employed, in a partnership or running a limited company, we tailor the support to your circumstances and communicate clearly throughout.

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 your circumstances — your role or roles, whether you have NHS income, private income, locum work, consultancy earnings or a mixture, and how your records are currently kept. Second, we review your accounting and tax position, identifying filing obligations, available reliefs, business structure questions and anything that needs tidying up, then set out clearly what is required and what it involves. Third, we put the appropriate support in place: agreeing how bookkeeping will be maintained, which returns we will prepare, what information we need from you and when, and how we will keep in touch through the year. From there, you have a defined point of contact and a clear process for the year ahead, so tax deadlines and responsibilities stop being something you have to hold in your head alongside a clinical schedule.

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 good medical accounting apart is context. A doctor’s finances are shaped by factors that general accountants rarely have to think about: income taxed under PAYE alongside self-employed earnings, expenses that only qualify because of the requirements of a medical role, pension contributions that interact with annual allowance rules, and structures that may need to accommodate both NHS service and private practice. We approach each client with that context in mind, mapping income sources and expenses properly before preparing returns or recommending a structure. Practically, that means bookkeeping set up to separate different streams of income, Self Assessment returns that reflect how you actually work, accounts and tax computations prepared for practices, partnerships and companies where relevant, and payroll and VAT support where turnover or staffing requires it. It also means being available to answer the questions that arise between deadlines — a new private contract, a change in hours, a locum assignment abroad, or a decision about taking on additional work — so that the tax implications are considered before you commit rather than discovered afterwards.

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. If you are employed on a straightforward salary with no additional income or unusual expenses, your tax is largely dealt with through PAYE. An accountant becomes genuinely valuable where there is complexity — private or locum income, multiple roles, partnership or practice involvement, a limited company, pension considerations, or simply a wish to know which professional expenses can be claimed and to have returns prepared accurately and on time.

Yes. Combining employed and self-employed income is one of the most common situations we see. PAYE will usually have been applied to your NHS salary, but private fees, medico-legal income and some locum work need to be reported through Self Assessment. We prepare the return, report both streams correctly, work out what remains payable after tax already deducted, and help you plan for payments on account so the bill does not come as a surprise.

Locum doctors are generally treated as self-employed, so you will need records of every assignment and the income received, along with the expenses you incurred — travel and mileage between sites, medical indemnity, professional subscriptions, training and any equipment used for the role. Keep invoices or agency statements, bank records and a mileage log. Good records throughout the year make the return far quicker to prepare and considerably easier to support if HMRC asks questions.

It depends on your employment status and your individual role. Common examples include medical indemnity insurance, professional body subscriptions, costs of training that maintains or updates skills required for your existing work, and travel to temporary or temporary-workplace locations. For self-employed doctors, a wider range of business costs can apply. There are specific rules around each category, so it is worth reviewing your own outgoings with us rather than assuming an expense qualifies.

There is no single answer, and it very much depends on how you work. Many doctors with NHS employment must remain on payroll for their employed income, and tax rules limit the benefit of providing services through a personal company in certain circumstances. For doctors working privately, running a practice or providing consultancy services, a limited company may be worth considering. We look at your total income, structure and plans before advising, and we are clear when incorporation is unlikely to help.

Pension contributions can attract tax relief, but for doctors with high earnings the annual allowance and any resulting charges can be complicated, particularly where NHS pension growth is involved. The interaction between contribution levels, total income and tax bands means the position is individual. We can factor pension information into your tax return and planning, and work alongside your pension adviser where specialist pension input calculations are needed.

Yes. Most of what we do can be handled remotely — secure document sharing, video or phone calls and digital bookkeeping mean physical location is rarely a barrier, and we are happy to work with doctors across Farnworth and further afield. If you already have an accountant, switching is usually straightforward: we contact your existing firm for the relevant records and professional clearance, review what has been filed previously, and pick up the work without you having to chase either side.

The first conversation is about understanding you. We will ask about your role, your income sources, whether you are employed, self-employed, in a partnership or running a company, how your records are kept and what deadlines you are facing. From there we explain what support is likely to be needed, what it involves and what information we would need from you, so you can decide whether we are the right fit before anything is finalised.

Speak to an Expert

Take the Stress Out of Your Tax Affairs with Accountants for Doctors in Farnworth

If you are juggling NHS payslips, private fees, locum invoices or practice accounts and are not entirely sure everything has been reported correctly, CruseBurke can help. We support doctors with Self Assessment, bookkeeping and allowable professional expenses, so your income sources are recorded properly, claims are reviewed and deadlines are met without last-minute panic. Get in touch to talk through your circumstances and find out how straightforward specialist accounting support can be.