Specialist Accountants for GPs, Consultants & Locum Doctors
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Accounting and tax support for GPs with NHS income, private work, practice interests or additional professional earnings.
Support with Self Assessment, professional expenses and tax matters alongside employment income and other professional earnings.
Accounting support for consultants managing NHS employment, private practice income, professional expenses and tax obligations.
Support with Self Assessment, locum income, allowable expenses, bookkeeping and relevant business structure considerations.
Tax and accounting support for salaried doctors with additional professional income or expenses requiring reporting.
Accounting support for doctors providing private medical services through individual practices, partnerships or companies.
Preparation and support for doctors with employment, locum, private practice or other taxable 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.
Incorporation reviews for private practice, profit extraction, capital allowances and timing of income to keep your effective tax rate down.
Contract and IR35 status reviews, limited company versus sole trader comparisons and expense claims for locums working across multiple trusts.
Doctors often face a distinctive set of accounting and tax challenges. These can arise from multiple income sources, complex expense rules, pension considerations and the need to meet strict filing deadlines. The list below highlights some of the areas where specialist support can make a difference.
We support GPs, locum doctors, consultants and other medical professionals with accounting and tax matters tailored to their individual circumstances.
GMC and indemnity fees, royal college subscriptions, exams, courses, equipment and mileage — nothing left on the table.
We calculate your pension input amount, check tapering and advise on Scheme Pays before a charge becomes a problem.
Status reviews on your engagements and a clear answer on limited company versus sole trader for your circumstances.
Returns, accounts and payroll filed on time, with reminders well in advance so penalties never happen.
One agreed monthly fee, quoted up front, with no hourly billing and no surprise invoices.
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.
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.
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.
We use Xero, Quickbooks, Sage & many other online software.
Meet, call or email the same qualified accountant who knows your practice and your pension position.
Free telephone & email support
throughout the year.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
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:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Not every doctor needs an accountant, but many find one helpful. If you have income outside PAYE — such as private practice, locum work, consultancy or rental income — you will usually need to file a Self Assessment tax return. An accountant can help you understand your obligations, claim allowable expenses and avoid common errors. Even if your affairs are straightforward, specialist advice can help you plan ahead.
Self Assessment is the system HMRC uses to collect tax on income that is not taxed at source. If you are employed by the NHS, your salary is usually taxed through PAYE, but any private income, locum income or consultancy fees will normally need to be reported through a Self Assessment tax return. You will need to keep records of your income and expenses, and filing deadlines apply. An accountant can prepare and submit your return on your behalf.
Allowable expenses depend on your circumstances, but common claims for doctors may include medical indemnity insurance, professional subscriptions, training and continuing professional development costs, equipment, and travel or mileage for work purposes. The rules are specific, and not every cost is allowable. Keeping accurate records and receipts is essential. An accountant can help you identify legitimate claims and avoid claiming for items that HMRC may challenge.
Locum doctors often need to register for Self Assessment and report their income and expenses. You may also need to consider whether IR35 rules apply if you work through an intermediary, and whether VAT registration is required. Keeping on top of invoices and expenses is important. An accountant can help you understand your obligations and stay compliant.
VAT registration depends on your turnover and the nature of your services. Some medical services are exempt from VAT, but others may be standard-rated. If you provide locum or consultancy services, you may need to monitor your turnover and consider whether registration is required. It is best to seek advice based on your specific circumstances rather than rely on general rules of thumb.
The right structure depends on your income, working arrangements and plans. Many doctors working in private practice start as sole traders, while those in partnerships may use a partnership structure. A limited company can be appropriate in some cases, but it brings additional compliance and reporting requirements. An accountant can help you weigh up the pros and cons and choose a structure that suits your circumstances.
Yes. If you are a partner in a medical practice, you will typically need partnership accounts and individual tax returns for each partner. The profit-sharing arrangement, expenses and tax treatment need to be handled correctly. We can prepare partnership accounts, allocate profits and submit the relevant returns, helping to keep the practice compliant and the partners informed.
Yes. Many doctors prefer to work with an accountant remotely, using secure digital tools to share documents and communicate. This can be convenient if you work across different locations or have a busy schedule. CruseBurke can support you remotely or discuss the best way to work together based on your preferences.
