Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hatfield

CruseBurke provides specialist accounting and tax support for doctors in Hatfield, helping you make sense of Self Assessment, NHS and private income, locum work and consultancy earnings. Whether you are a GP, hospital doctor, consultant or private practitioner, we help you keep accurate records, understand allowable professional expenses and stay on top of your filing responsibilities, so you can focus on your patients rather than paperwork.

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 are not a single, uniform group when it comes to tax and accounting. A salaried hospital doctor on PAYE has a very different set of responsibilities from a locum working through multiple agencies, a GP partner running a practice, or a consultant building a private practice alongside NHS commitments. At CruseBurke, our accounting support is designed around those differences. We work with GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners and doctors who combine NHS and private work in a variety of ways. Your accounting needs can depend on whether your income arrives through payroll, self-employment, a partnership or a limited company, how many income sources you have, and the professional costs you incur along the way. Some doctors need help with a straightforward Self Assessment return that covers NHS income alongside a small amount of private work. Others need support with practice or partnership accounts, bookkeeping across several income streams, payroll for practice staff, or advice on whether a limited company structure suits their private and consultancy work. If your circumstances change — a new role, a move into private practice, a change in working pattern or additional medical income — your accounting and tax position can change with them. We aim to make sure your records and returns reflect what you actually do, not a generic template.

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 for Doctors in Hatfield

Our services for doctors are built around the way medical income actually works in practice. That often means Self Assessment tax returns that bring together NHS income, locum income, private medical fees and consultancy earnings in one coherent picture, with the allowable professional expenses you are entitled to claim properly accounted for. Depending on your circumstances, that may include medical indemnity and professional subscriptions, training and professional development costs, equipment, and travel or mileage connected with your medical work. For doctors in private practice or those running a medical business, we can help with annual accounts, bookkeeping and management accounts, so you have a clear view of income and costs rather than a shoebox of receipts at the deadline. Where a limited company is involved, we can support with statutory accounts, Corporation Tax and payroll, including director remuneration and the interaction with your personal tax position. For those in partnership, we can assist with partnership accounts and the allocation of profits between partners. VAT may also be relevant if your private or consultancy income crosses the registration threshold or if you provide services in a way that requires registration, and we can advise on registration, record keeping and returns where it applies. Payroll support may be relevant if you employ practice staff, locum reception cover or administrative help. We also provide business structure advice — helping you weigh up sole trader, partnership and limited company arrangements in light of your NHS and private income mix — alongside wider tax planning so that decisions are made with your overall position in mind, not in isolation.

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 carry a tax and accounting workload that is more complex than their employment paperwork suggests. The challenges below come up regularly, though how they affect you will depend on your income sources, employment status and business structure.

  • Multiple income streams in one return. Many doctors receive NHS salary or pension income, private fees, locum payments and consultancy income within the same tax year. Pulling these together accurately, and making sure nothing is missed or double-counted, is one of the most common sources of difficulty.
  • Working out what you can actually claim. Medical indemnity, professional body subscriptions, revalidation and training costs, specialist equipment and business mileage may all be allowable in the right circumstances, but the rules are not always obvious and claiming the wrong thing can create problems later.
  • Distinguishing employment from self-employment. A salaried role generally sits under PAYE, while locum work and private practice income are usually self-employed. If your work spans both, you need records and a return that treat each element correctly.
  • Record keeping across a busy working week. Theatre lists, clinics, on-call rotas and admin time leave little room for filing receipts. Without a simple system, expenses are forgotten and deadlines approach with the paperwork incomplete.
  • Pension considerations. The NHS pension scheme, annual allowance questions and any private pension arrangements can interact with your tax position, and the right approach depends on your individual circumstances.
  • Choosing the right business structure. Whether private or consultancy income should sit in a sole trader, partnership or limited company arrangement depends on your level of income, your NHS position and your plans. The answer is rarely the same for two doctors.
  • Practice, partnership and payroll responsibilities. GP partners and doctors running a practice face partnership accounts, profit allocation, staff payroll and VAT questions on top of their clinical work — responsibilities that need proper day-to-day management, not a last-minute scramble.
  • Keeping pace with changing circumstances. A change of role, a new private clinic, a period of locum work or a move between NHS trusts can all shift your tax position. Without a review, old arrangements can quietly become the wrong ones.

Why Doctors Choose CruseBurke

Doctors choose CruseBurke because they want an accountant who understands the shape of medical income rather than one who treats every client the same. That means recognising the difference between NHS salary, locum earnings, private fees and consultancy income, and understanding why that mix matters for your Self Assessment, your expenses and your wider tax position. It also means practical, plain-English advice. We explain what you can claim, what needs to be declared, and what deadlines apply, without burying you in jargon. Where your circumstances are more complex — a practice partnership, a limited company alongside NHS work, or payroll for staff — we can handle the detail and keep your records in order. Clear communication matters just as much. You should know where you stand, what is outstanding and what happens next, whether you prefer to deal with us remotely or by phone and email. Because doctors work in so many different arrangements, we take the time to understand your particular situation before recommending an approach, and we keep that advice under review as your working life changes.

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

Getting your accounting in order should not be another administrative burden. Our process is designed to be straightforward and structured. First, we take the time to understand your circumstances — your role, your employment status, and whether your income comes from NHS work, private practice, locum shifts, consultancy, or a combination. Second, we review your accounting and tax requirements in light of that picture, looking at your Self Assessment position, allowable professional expenses, record keeping, and whether your current business structure still fits what you do. Third, we put the right support in place, whether that is preparing and filing your tax return, managing bookkeeping and accounts, handling payroll or VAT where relevant, or providing ongoing advice as your circumstances evolve. Throughout, we keep the process clear, with defined points of contact and a shared understanding of what is needed from you and when.

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 work with doctors apart is the focus on the whole financial picture rather than the tax return alone. A doctor’s tax position rarely sits in one place — NHS income, private fees, locum work and consultancy can each be treated differently, and the decisions made in one area often affect another. We look at how your income sources interact, how your professional expenses should be treated, and whether your current structure still makes sense for the work you are doing. That might mean reviewing whether private income should sit in a limited company, checking that medical indemnity and subscription costs are properly recorded, or making sure your bookkeeping keeps pace with several income streams rather than falling behind. For doctors in practice partnerships, it may mean supporting partnership accounts, profit allocation and staff payroll. For those with simpler arrangements, it means a tax return that is accurate, timely and free of unnecessary complexity. We avoid one-size-fits-all answers, because the right approach genuinely depends on your employment status, income mix and plans.

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 does. If your only income is a salaried NHS role taxed through PAYE and you claim nothing beyond the standard allowance, your tax affairs may be straightforward. An accountant becomes more valuable when you have private or locum income, work through a limited company or partnership, receive income from several sources, or want confidence that your expenses and returns are correct. For doctors in Hatfield combining NHS work with private practice or consultancy, specialist support often removes both the admin and the uncertainty.

It depends on your circumstances. Salaried doctors whose tax is fully collected through PAYE may not need to file, but if you have self-employed income from locum work, private practice or consultancy, untaxed income, or certain other circumstances, a return is usually required. Higher earners and those with complex affairs may also need to file. We can review your position and confirm whether a return is needed, then prepare and submit it if it is.

Salaried NHS income is normally taxed through PAYE, with tax deducted at source. Locum work is often treated as self-employment, which means you are responsible for reporting the income and paying tax and National Insurance through Self Assessment. If you locum through an agency or umbrella arrangement, the treatment can differ again. Keeping clear records of each engagement, and the expenses connected with it, makes the return far easier to prepare accurately.

Commonly claimed costs include medical indemnity, professional body subscriptions, revalidation and professional development, specialist equipment, and travel or mileage connected with your medical work. Whether a particular cost is allowable depends on your employment status and the purpose of the expense, and the rules differ between employed and self-employed work. We can help you identify what applies in your case and keep the supporting records in order.

Yes. Where your income comes from a mixture of NHS salary, private fees, locum work or consultancy, we bring those elements together into a single accurate picture and report them correctly. This matters because each source may follow different rules and because the interaction between them affects your overall tax position. We also check that expenses are attributed to the right activity rather than being claimed loosely across the board.

Not automatically. Whether a limited company is beneficial depends on your level of private or consultancy income, your NHS position, pension considerations and your longer-term plans. Some doctors find a company structure suits them; others are better off as a sole trader or within a partnership. We look at your individual circumstances and explain the practical implications before you commit to a structure.

Yes. Much of the work involved in accounting and tax returns can be handled remotely, with documents shared securely and conversations held by phone or email. That said, some doctors prefer to discuss more involved matters such as business structure or partnership arrangements in more detail, and we are happy to arrange that in whichever format suits you.

Changing accountants is usually more straightforward than doctors expect. We would ask for details of your current arrangements, including your previous returns and records, and with your authorisation we can contact your existing accountant to obtain what we need. Once we understand your income sources and circumstances, we can take over the ongoing work and make sure nothing falls between the two firms.

Speak to an Expert

Get Your Medical Income and Tax Affairs Properly Organised

If you are juggling NHS income, locum shifts, private fees or consultancy earnings, keeping track of what to declare and what you can claim can quickly become a headache. CruseBurke provides accounting support for doctors in Hatfield that covers Self Assessment, bookkeeping and practical advice on professional expenses and business structures. Speak to our team about your circumstances and we will explain how we can help.