Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Grays

Accountants for Doctors in Grays can help you manage the financial side of medical work with specialist accounting and tax support. Whether you have NHS income, private fees, locum work or a mix of sources, we can assist with Self Assessment, bookkeeping, allowable expenses and tax compliance so your records stay organised and your reporting is handled correctly.

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 Can Benefit from Specialist Accounting Support?

Doctors come to accounting with very different circumstances. A salaried hospital doctor may only need straightforward Self Assessment support, while a GP partner, private consultant, locum doctor or doctor combining NHS and private work may have multiple income streams, business expenses and complex reporting requirements. Our accounting support is designed for GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners and doctors who run or are part of a medical practice. The right approach depends on your employment status, income sources, business structure and professional activities, so advice should always be tailored to your circumstances.

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 and Tax Services for Doctors in Grays

Our services are built around the way doctors actually earn and report income. That can include Self Assessment tax returns, annual accounts, bookkeeping, management accounts, payroll and VAT support where relevant. If you have NHS income, private medical income, locum fees, consultancy income or a medical practice, we can help you keep clear records, understand allowable professional expenses and meet your reporting obligations. We can also advise on business structures, partnership accounts, Corporation Tax for limited companies and practical tax planning throughout the year.

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.

Common Accounting and Tax Challenges for Doctors

Doctors often face accounting and tax issues that are not covered by a standard personal tax return. The right treatment depends on your employment status, income sources, business structure and professional activities, so it is important to review your circumstances carefully.

  • Multiple income sources: NHS pay, private consultation fees, locum work and consultancy income can arrive through different systems and on different timescales, making it harder to keep a complete picture of your taxable income.
  • Self Assessment reporting: Even where NHS income is taxed through PAYE, private, locum or consultancy income usually needs to be reported through Self Assessment, and combining employment and self-employment figures requires accurate records.
  • Allowable professional expenses: Medical indemnity insurance, professional body subscriptions, registration fees and relevant training costs may be claimable, but only where they meet HMRC rules and relate to your work.
  • Travel and mileage: Doctors may travel between hospitals, clinics, practices and locum assignments, but the tax treatment depends on whether journeys are ordinary commuting or genuine business travel.
  • Pension considerations: NHS pension contributions and private pension arrangements can interact with your overall tax position, so pension planning should be reviewed alongside your income and business structure.
  • Record keeping and bookkeeping: Invoices, receipts, bank summaries and income records need to be kept organised throughout the year to support accurate tax returns and reduce the risk of missed expenses.
  • Business structure decisions: Working as a sole trader, partner or limited company can change how accounts, tax and National Insurance are handled, and what suits one doctor may not suit another.
  • VAT and practice finances: Private practice, consultancy or medical business income can bring VAT and bookkeeping responsibilities into scope, so it is worth reviewing your activities and turnover before issues arise.

Why Doctors Choose CruseBurke for Accounting Support

CruseBurke provides accounting and tax support designed for doctors who need clear, practical guidance rather than a generic service. We take time to understand your income sources, employment arrangements and professional expenses, then help you keep your records organised, meet your Self Assessment and reporting responsibilities, and make informed decisions about business structures or practice finances. Communication is kept clear and jargon-free, so you know what is due, what records are needed and how your tax position is being managed. Whether you are salaried, self-employed, in a partnership or running a limited company, the support is shaped around your circumstances.

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 need to be complicated. First, we discuss your circumstances, including whether you have NHS income, private medical income, locum work, consultancy income or a mixture of sources, and how you currently keep records. Second, we review your accounting and tax requirements, including Self Assessment, bookkeeping, payroll, VAT, business structure or partnership matters where relevant. Third, we put the appropriate accounting support in place, agree how information will be shared and set out a clear way forward so your reporting stays organised. The process is designed to fit around clinical commitments and can be handled remotely where that suits you.

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 CruseBurke apart is a focus on the practical accounting and tax issues doctors actually face. We look at the whole picture, including NHS and private income, locum or consultancy work, allowable professional expenses, pension considerations and the structure you work through. That means your bookkeeping, Self Assessment, annual accounts and tax planning are considered together rather than in isolation. We aim to make complex areas understandable, help you avoid common reporting errors and give you confidence that your financial records are in order. The advice is tailored to your circumstances, because two doctors with similar job titles can have very different tax positions.

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 will need the same level of support. If you are salaried and your tax affairs are straightforward, you may manage without one. However, if you have NHS income alongside private fees, locum work, consultancy income, a partnership or a limited company, an accountant can help you keep records accurate, claim allowable expenses correctly and meet Self Assessment requirements. The right answer depends on your income sources and how your medical work is structured.

NHS employment income is usually taxed through PAYE, but it still needs to be included in your Self Assessment tax return where you are required to file one. Private medical income, locum fees and consultancy income may also need to be reported, and the records must reconcile with your payslips, invoices and bank statements. An accountant can help you bring those figures together and identify allowable expenses connected to your work.

Locum doctors may be able to claim expenses such as medical indemnity insurance, professional subscriptions, relevant training and some travel or mileage costs, depending on whether they work as self-employed or through an employment arrangement. The rules can differ between employment and self-employment, and not every cost qualifies. Keeping receipts and a clear record of assignments makes it easier to support any claim.

Medical indemnity insurance and professional subscriptions are often among the expenses doctors ask about, and they may be allowable where they are incurred wholly and exclusively for the purposes of your work. The exact treatment depends on your employment status and the nature of the subscription or policy. We can review the costs you pay and explain how they should be treated in your tax return.

VAT registration depends on your taxable turnover and the types of services you provide. Some medical services may be exempt, while private practice, consultancy or non-medical work can be treated differently. If you are unsure whether VAT applies to your activities, it is worth reviewing your income streams and contracts before you reach a registration requirement.

A limited company can suit some doctors with private practice, consultancy or contracting income, but it is not automatically the right structure for everyone. It can affect how accounts, Corporation Tax, payroll and dividends are handled, and there may be IR35 or pension implications to consider. The decision should be based on your income, working arrangements and long-term plans rather than a generic comparison.

Yes. If you are a GP partner or involved in a medical partnership, we can help with partnership accounts, profit allocation, Self Assessment for partners and the tax and reporting requirements that follow. The work involved depends on the partnership agreement, the practice structure and how profits and expenses are shared, so it is important to review the details before accounts are finalised.

Yes. If your circumstances have changed or you feel your current support is not suited to a doctor's income and expenses, you can switch accountants. We can help make the transition organised by reviewing your records, outstanding returns and filing position. Many doctors also prefer to work remotely, sharing documents securely around clinical commitments, so you do not need to be available during standard office hours. If you are based in Grays, remote support can still provide direct access to specialist advice.

Speak to an Expert

Stop Juggling NHS, Private and Locum Income: Accountants for Doctors in Grays Can Help

If you are balancing NHS payslips, private consultation fees and locum work, keeping everything organised for Self Assessment can quickly become complicated. CruseBurke can help you make sense of your income, claim allowable professional expenses correctly and keep your bookkeeping in order, so you can focus on patients rather than paperwork. Speak with our team to discuss how we can support your circumstances.