Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Guisborough

Specialist accounting support for doctors in Guisborough, whether you are a salaried GP, a hospital consultant, a locum, or running a private practice. We help medical professionals make sense of Self Assessment, multiple income streams, NHS and private earnings, bookkeeping and day-to-day tax compliance, so your finances stay accurate, organised and filed on time throughout your career.

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 in Guisborough?

Accounting needs vary considerably across the medical profession, and the right approach depends on how you are paid, how you are engaged and what else you have going on financially. GP partners typically need partnership accounts, profit allocation and practice-related tax advice, while salaried GPs and hospital doctors often have straightforward employment income complicated by additional private work, waiting list initiative payments or teaching fees. Locum doctors may operate through an agency, a limited company or as a sole trader, and each route carries different tax and National Insurance consequences. Consultants combining NHS duties with private practice usually have the most layered affairs, with two distinct income sources, separate expense rules and pension considerations to balance. Private practitioners running a clinic or consultancy face bookkeeping, VAT registration questions and annual accounts alongside their clinical work. If you work across more than one of these arrangements, or your situation is changing, we can look at the whole picture rather than treating each income stream in isolation.

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 Built Around Medical Careers

The services a doctor needs depend on their working arrangements, but the core areas tend to overlap. For Self Assessment, we prepare and file tax returns that correctly report NHS income, private medical fees, locum earnings, consultancy income, teaching or medico-legal work, and any other sources. Where you are self-employed or in a partnership, we prepare annual accounts, calculate taxable profits and handle partnership returns and profit-sharing arrangements. For doctors operating through a limited company, we look after statutory accounts, Corporation Tax, director payroll and dividend planning, and we can advise on whether incorporation actually suits your circumstances. Bookkeeping support keeps records tidy and audit-ready, whether that means reconciling practice income and expenses or managing mileage, indemnity and subscription costs. We also handle VAT registration and returns where your private or consultancy work makes it relevant, run payroll for practice staff or company directors, and prepare management accounts if you want a clearer view of profitability. Alongside compliance, we provide tax planning that considers expense claims, pension contributions, timing of income and business structure, always based on your individual position rather than a one-size-fits-all 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.

The Accounting and Tax Challenges Doctors Commonly Face

Doctors often juggle several income sources, shifting working patterns and expense rules that differ depending on whether income is employment or self-employment. These are the areas that tend to cause the most difficulty.

  • Multiple income streams: combining NHS employment with private fees, locum sessions or consultancy means more than one set of tax rules applies, and it is easy to miss a source or misreport it on a Self Assessment return.
  • Sorting NHS income from private income: employment income usually arrives through PAYE, while private and locum fees often do not, so building an accurate overall tax picture requires careful record keeping across both.
  • Allowable professional expenses: medical indemnity cover, GMC and royal college subscriptions, specialist equipment, professional books and journals, and some training costs may be claimable, but eligibility depends on whether the cost relates to your current role and how the income is taxed.
  • Travel and mileage: visits between sites, home-to-practice journeys and travel to training or conferences are treated differently, and the rules are not intuitive, so poor records can lead to overclaimed or missed relief.
  • Pension considerations: annual allowance charges and the interaction between NHS pension contributions, private earnings and taxable income can affect your overall tax position, so decisions should be reviewed rather than treated as a one-off.
  • Record keeping and deadlines: receipts, invoices, bank statements and mileage logs need to be maintained through the year, particularly for self-employed income, and late or incomplete records make filing deadlines far more stressful than they need to be.
  • Choosing a business structure: sole trader, partnership and limited company each produce different tax outcomes, administrative obligations and levels of privacy, and the right answer changes as your income grows or your working pattern shifts.
  • Partnership and practice finances: GP partners and those in practice-based arrangements need clear profit allocation, accurate practice accounts and agreement on how drawings, capital and expenses are handled between partners.

Why Doctors Choose CruseBurke for Accounting Support

Doctors come to CruseBurke because they want an accountant who understands that medical income does not behave like ordinary business income. We take the time to understand how you are engaged, who pays you and what deductions may or may not apply, then explain your position in plain language rather than accounting jargon. That means clear guidance on Self Assessment, organised records, well-prepared accounts and a tax position that is properly documented if questions ever arise. We work with doctors at different stages and in different arrangements, from newly qualified locums working out their first tax return to established consultants and practice partners with more complex affairs. Communication is straightforward, deadlines are managed proactively, and advice is tailored to your circumstances rather than applied from a standard template.

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

We begin with an initial conversation to understand your circumstances — how you are employed, whether you have NHS income, private fees, locum sessions, consultancy work or any combination of these, and what you want from an accountant. Next, we review your current accounting and tax position, looking at existing returns, records, business structure and any outstanding compliance issues, and we identify what needs attention or improvement. From there, we put the right support in place, whether that is Self Assessment filing, bookkeeping, annual accounts, payroll, VAT returns or ongoing tax planning, and we agree a clear way of working together going forward. If you are moving from another accountant, we can manage the handover of information so the transition is orderly.

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 focus on interpretation rather than data entry. Doctors rarely have simple tax affairs, but the complexity usually sits in the detail: which expenses are genuinely allowable, how NHS employment interacts with private practice, when a company structure becomes worthwhile, or how pension contributions affect the overall picture. We work through those questions with you and apply the answers consistently across your accounts, returns and records. Where you have several income sources, we bring them together into a single, coherent view so you can see what you owe, what you have paid and what is coming next. For those running a practice, we support partnership accounts, profit allocation and practice payroll, and for doctors working through a limited company we handle statutory accounts, Corporation Tax and director remuneration planning. Throughout, our aim is practical: accurate compliance, sensible planning and financial information you can actually use.

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. If your only income is salaried NHS employment taxed through PAYE, a tax return may not even be required. However, once you have private medical fees, locum income, consultancy earnings, medico-legal work, rental income or significant pension arrangements, the position becomes more involved. An accountant can help ensure all income sources are reported correctly, that you claim the professional expenses you are entitled to, and that your records support the figures submitted.

Yes. This is one of the most common situations for doctors in Guisborough and elsewhere. NHS employment income is reported through PAYE, while private fees, locum work or consultancy income often need to be included separately on a Self Assessment return. We bring both together, apply the relevant expense rules to each source and make sure the tax already paid through PAYE is correctly accounted for against your overall liability.

Common claims include medical indemnity cover, GMC and royal college or specialist society subscriptions, professional journals, and in some cases equipment, training and travel costs. Whether a particular cost is allowable depends on factors such as whether it relates to your current role, whether the income is employment or self-employment, and whether it was incurred wholly and exclusively for the purposes of that work. We assess each item against your specific circumstances rather than applying a blanket rule.

Both routes are used by locum doctors and the better option depends on your level of income, how you are engaged by agencies or practices, how much administrative responsibility you want to take on, and how you wish to draw money from the business. A limited company can offer different tax treatment on profits and dividends, but it also brings filing obligations, payroll requirements and additional compliance. We can compare the two in relation to your own figures so the decision is properly informed.

VAT is not generally a concern for standard NHS employment, but it can become relevant for certain private medical services, consultancy work, medico-legal reports and some aesthetic or non-medical services. There are also exemptions that apply to some healthcare services, which means the position needs to be reviewed rather than assumed. If your turnover approaches the registration threshold, or you are already registered, we can handle registration, record keeping and returns.

We can factor pension contributions into the tax planning we do for you, including how NHS pension contributions and any private pension arrangements interact with your taxable income and overall liability. Where relevant, we will flag points that may be worth discussing with a specialist adviser, so decisions about contributions and timing are made with the full picture in view.

Switching is usually more straightforward than doctors expect. We ask for details of your existing accountant, obtain the relevant information and records with your authorisation, and manage the transfer of your affairs so nothing is missed. If there are outstanding returns or records to tidy up, we identify that early and deal with it as part of getting your accounting back on track.

Many doctors prefer to work remotely because their working hours make travelling difficult, and that suits us fine. Documents can be shared securely, meetings can take place by phone or video, and correspondence can be handled electronically. Everything required for Self Assessment, accounts, bookkeeping, payroll and VAT can be managed without you needing to be in the same room.

Speak to an Expert

Get Accounting Support That Understands Medical Income

If you are juggling NHS payslips, private fees, locum invoices and a pile of receipts that never quite makes it into a spreadsheet, CruseBurke can bring it all into order. We help doctors in Guisborough with Self Assessment, bookkeeping, professional expense claims, pension considerations and tax planning, so your returns are accurate and your records stand up to scrutiny. Speak to our team about your circumstances and we will explain how the process works and what would suit your situation best.