Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Gorebridge

Specialist accounting support for doctors working in and around Gorebridge, whether you are a GP, hospital doctor, consultant, locum or private practitioner. CruseBurke helps medical professionals make sense of Self Assessment, NHS and private income, locum and consultancy earnings, allowable professional expenses, bookkeeping and tax compliance — so your financial affairs stay organised and your tax position reflects the work you actually do.

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 have a single, simple income stream, and their accounting needs tend to reflect that. We support GPs within practices and out-of-hours services, hospital doctors and consultants on salaried contracts, locum doctors moving between assignments, doctors with wholly private practices, and those who combine NHS work with private or medico-legal income. Some doctors are employed throughout, others are self-employed, and many work through a partnership or their own limited company. Each arrangement brings different considerations: employed income is usually taxed through PAYE but may still require a Self Assessment return, self-employed locum or consultancy work brings its own record-keeping and expense rules, and a mixed NHS and private income profile needs careful reporting so nothing is over- or under-declared. Your location within a practice, your contract type, your pension arrangements and whether you hold a medical indemnity policy can all influence how your accounts and tax returns should be prepared. We take the time to understand how you work before recommending how your accounting should be handled.

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 and tax services are shaped around the way doctors actually earn. That typically includes preparing and filing Self Assessment tax returns where you have NHS income, private medical fees, locum payments or consultancy income, alongside advice on the professional expenses you may be able to claim — medical indemnity cover, GMC and royal college subscriptions, professional development and training, specialist equipment, and travel and mileage between sites. For doctors working through a limited company, we can look after statutory annual accounts, Corporation Tax computations, payroll for you and any staff, VAT registration and returns where relevant, and management accounts that give you a clearer view of profitability. Where you practise in partnership, we can prepare partnership accounts and capital accounts and help you understand profit allocation and drawings. We also provide bookkeeping support to keep income and expenses recorded properly throughout the year, and practical tax planning around pension contributions, timing of income and business structure — including whether a limited company, partnership or sole trader arrangement suits your circumstances. VAT treatment, expense eligibility and structure decisions can depend on your individual situation, so we tailor our approach rather than applying a single template.

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

Doctors deal with a set of financial and tax issues that differ from those of most other professions. These are some of the areas we see regularly and help to resolve.

  • Managing multiple income sources: combining NHS salary, private fees, locum shifts and consultancy work can mean several payers and payslips, and every stream needs to be reported correctly on the same tax return.
  • Getting Self Assessment right: even doctors taxed through PAYE may need to file a return, and mistakes or late filing can lead to unnecessary penalties and correspondence with HMRC.
  • Claiming the right professional expenses: medical indemnity, GMC and college subscriptions, training, and equipment are commonly allowable in the right circumstances, but the rules differ between employment and self-employment.
  • Travel and mileage records: doctors frequently move between hospitals, surgeries and clinics, and without reliable mileage records it becomes difficult to support a claim if HMRC asks questions.
  • Locum and consultancy income: self-employed earnings bring different reporting, expense and payment-on-account obligations than salaried work, and they can catch doctors out in their first year.
  • Pension considerations: annual allowance, contribution limits and NHS pension interactions can affect tax position, and these are areas where individual circumstances matter greatly.
  • Business structure decisions: whether to work as a sole trader, partner or through a limited company affects tax, admin and personal liability, and the right answer depends on your income mix and plans.
  • Keeping records organised: receipts, invoices and bank records build up quickly across multiple roles, and poor record keeping usually means higher accounting costs and missed claims.
  • Partnership and practice finances: profit shares, drawings, capital accounts and practice overheads need clear accounting so each partner understands their position.
  • Meeting deadlines consistently: registration, filing and payment dates arrive throughout the year, and a missed deadline can be costly when you are already working long hours.

Why Doctors Choose CruseBurke

Doctors choose CruseBurke because we understand the shape of a medical career — the mix of NHS and private work, the shift patterns, the locum contracts, the practice partnerships and the expenses that come with staying registered and insured. We focus on making your accounting straightforward: clear explanations instead of jargon, timely reminders so deadlines do not creep up on you, and financial records that are properly maintained rather than scrambled together at year end. Whether you are employed with a small private income, fully self-employed as a locum, running a private practice or working through a limited company, we adapt our support to your circumstances and explain the implications of the choices available to you. Our aim is practical, reliable accounting and tax compliance that fits around clinical work rather than adding to it, with advice you can act on and a team you can actually reach when you need to ask a question.

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 in order does not have to be complicated. Step one is a conversation about how you work — your contracts, your income sources including NHS salary, private fees, locum shifts or consultancy work, any partnership or company involvement, and your pension arrangements. Step two is a review of your current accounting and tax position: what has been filed, what records exist, where the gaps are, and which expenses or structures may be relevant to you. Step three is putting the right support in place, whether that is bookkeeping throughout the year, preparing and filing your Self Assessment return or company accounts, running payroll and VAT, or planning ahead for tax efficiently. From there, we keep things running and check in as your circumstances change — a new contract, a move into private practice or a change in business structure.

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 us apart is the way we approach medical clients specifically. A doctor’s tax position is rarely just a salary, and treating it that way leads to missed expenses, muddled returns and avoidable queries from HMRC. We look at the whole picture — employed income and its interaction with self-employed earnings, the reporting of NHS and private income, medical indemnity and subscription costs, equipment and mileage claims, pension contributions and how they affect your tax position, and whether your current structure still suits the way you work. We handle the day-to-day side too, from bookkeeping and record keeping through to Self Assessment, annual accounts, Corporation Tax, payroll and VAT where these apply to you. Because circumstances vary greatly between a salaried consultant, a full-time locum and a partner in a private practice, we do not assume your needs match anyone else’s. Instead, we explain the options, flag the deadlines, and put in place accounting support that is proportionate to the complexity of your affairs.

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

Many do, though it depends on your circumstances. If you are employed on a straightforward salary with no additional income, your tax may be handled entirely through PAYE. However, once you have private fees, locum income, consultancy earnings, a partnership share, company directorship, or significant professional expenses, an accountant can help ensure everything is reported correctly, relevant expenses are claimed, and deadlines are met. Doctors with more complex income profiles often find the support worthwhile simply for the certainty it brings.

Not always, but often yes. A Self Assessment return is generally required if you have untaxed income such as private medical fees or locum earnings, if you are a company director, if you have income from a partnership, or if HMRC has asked you to file. High earners with certain tax charges may also need to file. Because the rules depend on your total income and its sources, it is worth checking your position rather than assuming PAYE covers everything.

Your NHS salary is usually taxed through PAYE, with tax deducted at source. Private medical income is typically self-employed income, reported on a Self Assessment return, and taxed after allowable expenses are deducted. If you have both, they are combined for tax purposes, which can mean the private income is taxed at a higher rate than you might expect and may create payments on account for the following year. Your exact position depends on your total income and circumstances.

Potentially allowable costs often include medical indemnity insurance, GMC and royal college subscriptions, professional memberships, relevant training and continuing professional development, specialist equipment, and business mileage for travel between sites. What you can claim depends on whether the cost relates to employed or self-employed work and whether it is wholly and exclusively for the purposes of that work. Keeping receipts and mileage records throughout the year makes the claims far easier to support.

There is no single answer — it depends on your level of income, how long you expect to work as a locum, your pension position, and your personal financial aims. Working through a limited company can suit some doctors, while sole trader status may be simpler and just as tax effective for others. There are compliance obligations attached to a company, including annual accounts, Corporation Tax and payroll requirements. We can talk through the practical differences and help you decide what fits your situation.

Yes. Where they apply to your circumstances, we can support with VAT registration and returns, payroll for you and any employees or practice staff, bookkeeping, annual accounts and Corporation Tax. Many doctors need a combination of these, particularly those running a private practice or operating through a company. Whether VAT applies depends on your turnover and the nature of your services, so we would review that with you.

Yes. Accounting work is well suited to remote arrangements, with documents shared securely and meetings held by phone or video where that suits you better than travelling. If you already have an accountant, we can liaise with them to obtain your records and handle the professional clearance process so the transition is as smooth as possible. It is helpful to arrange this outside a busy filing period where you can.

The first step is simply to get in touch and tell us how you work — your contracts, income sources, any private or locum earnings, and whether you operate as a sole trader, partner or through a company. From there we can review your current position and outline what accounting and tax support would be appropriate. If you are approaching a deadline, let us know early so we can prioritise accordingly.

Speak to an Expert

Bring Your Medical Income Under Control With Accountants for Doctors in Gorebridge

Juggling NHS salary, private fees, locum shifts and consultancy income makes it easy for tax returns and records to slip — particularly when deadlines fall in the middle of a busy clinical week. CruseBurke can take that pressure off by preparing and filing your Self Assessment return, keeping your bookkeeping and records in order throughout the year, and advising on allowable professional expenses such as medical indemnity and professional subscriptions. If you would like accounting support built around how you actually work, get in touch and we will talk through your circumstances.