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 have financial affairs that are more varied than a standard employee tax return. The right accounting support can help you keep track of income, expenses and deadlines without losing focus on your clinical work.
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 legally needs an accountant, but many benefit from specialist support. If you only have straightforward PAYE income and no untaxed income, your tax may be handled through PAYE. However, if you have private income, locum income, consultancy earnings, multiple NHS roles, rental income, high expenses or pension complexities, Self Assessment may be required and an accountant can help ensure income and expenses are reported correctly. The right answer depends on your employment status, income sources and individual circumstances.
Doctors with NHS and private income often need to report all taxable income through Self Assessment. NHS pay is usually taxed through PAYE, but private fees, locum payments and consultancy income may not be. You may also need to claim allowable expenses, account for pension contributions and check whether payments on account apply. Accurate records are important because HMRC expects all income sources to be included.
Allowable expenses depend on whether you are employed, self-employed or operating through a limited company. Common areas doctors ask about include medical indemnity, professional subscriptions, training and professional development, equipment, travel and mileage. For employed doctors, expenses usually need to be wholly, exclusively and necessarily incurred for the job and not reimbursed by the employer. For self-employed doctors, the rules are based on expenses wholly and exclusively for the business. It is important to keep receipts and records.
Medical indemnity insurance can be an allowable expense in many circumstances, but the treatment depends on your working arrangement. For self-employed doctors, it may be deducted as a business expense if it relates to the medical work. For employed doctors, relief may be available where the cover is required for the job and not reimbursed by the employer. Professional subscriptions may be treated similarly in some cases. Because circumstances vary, it is best to review your specific position.
Yes. Locum doctors often have income from multiple NHS trusts, agencies or private bookings, and may need to track travel, mileage, equipment, indemnity and professional costs. Depending on your circumstances, you may work as a sole trader, partner or limited company contractor. CruseBurke can help with bookkeeping, Self Assessment, allowable expenses, VAT where relevant and advice on the most suitable structure for your locum work.
There is no single answer that suits every doctor. A sole trader structure is simpler, while a limited company can offer different tax and administrative arrangements, including payroll, Corporation Tax and Companies House filing obligations. The right choice depends on your income level, private or locum work, pension position, plans for the future and how you want to manage risk and compliance. We can review your circumstances and explain the practical implications.
Yes. Doctors in partnerships or medical practices may need partnership accounts, profit share calculations, partners' tax returns and advice on drawings, expenses and reporting obligations. Partnership taxation can be complex, especially where there are changes in partners, practice income or property arrangements. We can help keep the partnership records organised and prepare the required accounts and returns.
Start by gathering details of your income sources, employment arrangements, business structure and current accounting records. If you are changing accountants, we can help coordinate the handover of information from your existing adviser. We will review your circumstances, explain what is required and agree how bookkeeping, Self Assessment, payroll or other services will be handled. Whether you work in the NHS, private practice, locum roles or a mixture, the aim is to put organised support in place with clear communication.
