Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hayes

CruseBurke provides specialist accounting and tax support for doctors in Hayes, helping you keep your financial affairs in order whether you work in the NHS, private practice, or a combination of both. From Self Assessment and multiple income sources to bookkeeping, allowable professional expenses and tax compliance, we take the administrative weight off your shoulders so you can focus on patients rather than paperwork. Every doctor’s circumstances are different, so we shape our advice around your contracts, income streams and long-term plans.

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?

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

Our services are designed around the way doctors actually earn and spend. For those with NHS and private income, we help bring the different sources together into a clear picture, so Self Assessment and tax returns are completed accurately and on time. For locum doctors, we can support regular bookkeeping so that timesheets, agency income and expenses are recorded properly, making year-end far less painful. Where a doctor runs a private practice or consultancy, we can prepare annual accounts, management accounts and financial reporting, and advise on business structures — sole trader, partnership or limited company — depending on how the work is carried out. That may also involve Corporation Tax, payroll for practice staff, VAT registration and returns where turnover or services make it relevant, and partnership accounts where doctors share profits in a practice. Alongside compliance, we look at tax planning opportunities, such as making the most of allowable professional expenses, timing of income and pension contributions within the rules, and structuring income sensibly across different streams. Professional subscriptions, medical indemnity insurance, training and professional development costs, equipment and travel are all areas where the correct treatment matters — and where we make sure nothing relevant is overlooked.

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.

Accounting and Tax Challenges Doctors Commonly Face

Medical careers rarely follow a simple financial path. Income can arrive from several places at once, expenses are often professional rather than personal, and the rules around what can and cannot be claimed are not always obvious. These are the areas doctors most often need help with.

  • Blending NHS and private income — Many doctors receive both, and the two are treated differently. Keeping them properly separated for tax purposes, and understanding how each affects your overall position, is essential for an accurate return.
  • Multiple income sources across the year — Locum shifts, consultancy fees, teaching, medico-legal work and salaried employment can all appear in the same tax year, requiring careful record keeping and a tax return that reflects every stream correctly.
  • Self Assessment and deadlines — Doctors with income outside PAYE usually need to file a Self Assessment tax return, which means keeping records, tracking payments on account and avoiding late filing penalties at a time when work pressures are already high.
  • Allowable professional expenses — Medical indemnity insurance, professional body subscriptions, specialist equipment, training and professional development are frequently claimable, but only where the rules are met. Claiming too little is as much a problem as claiming incorrectly.
  • Travel, mileage and dual locations — Doctors often work across multiple sites, and the rules around ordinary commuting versus business travel can be genuinely confusing. Clear records and informed advice make a real difference here.
  • Pension considerations — For many doctors, the NHS pension and any private pensions sit alongside annual allowance and contribution questions. Getting the wider tax picture right helps you make better informed decisions about your finances.
  • Choosing and reviewing a business structure — Whether you should operate as a sole trader, a partner or through a limited company depends on your income level, contracts, risk profile and plans. It is not a decision that should be made by habit.
  • Practice finances and partnership matters — For GP partners and others in practice ownership, profit shares, drawings, staff payroll, practice expenses and VAT can all create questions that go well beyond a standard personal tax return.

Why Doctors Choose CruseBurke

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

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

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 all of your income is taxed through PAYE, your tax affairs may be straightforward enough to handle yourself. However, once you have locum income, private practice fees, consultancy work, partnership profits, untaxed savings income or higher-rate income that requires a return, the position becomes more involved. An accountant can help ensure the return is accurate, the right expenses are claimed and deadlines are met, which is often worth the time it saves.

It depends on your income sources. Salaried doctors taxed entirely through PAYE may not need to file, although HMRC can still require a return in some cases. Doctors with locum income, private practice or consultancy earnings, partnership profit shares, or income from property or investments above the reporting thresholds will usually need to complete a Self Assessment return. We can review your position and confirm what applies to you.

NHS salary is normally taxed through PAYE, with tax deducted at source. Private practice fees, locum payments and consultancy income are often paid gross, meaning you are responsible for reporting them and paying the tax due. Where you receive both, careful record keeping is essential so the two are not mixed up in your return, and so any expenses are allocated to the correct income stream.

Commonly claimed items include medical indemnity insurance, professional body subscriptions, required professional development and training, specialist equipment, and business travel or mileage where the rules are met. Whether a specific cost qualifies depends on your employment status, whether the expense is wholly and exclusively for your work, and whether it has already been reimbursed. We review expenses individually rather than applying a blanket approach.

Yes. Locum work often means several payers, varying hours and income that does not arrive evenly. We help you keep records that capture all of it, track allowable expenses such as travel between sites, and ensure your tax return reflects the full year accurately. We can also look at whether your current structure remains appropriate as your locum workload grows or changes.

Sometimes, but not always. A limited company can suit certain private practice or consultancy arrangements, while for others a sole trader or partnership structure remains simpler and more tax-efficient. The right answer depends on your income levels, contracts, how much risk you carry and your longer-term plans. It is worth reviewing before making a change rather than assuming one route is automatically better.

Yes. Much of the information exchange can be handled securely online, which suits doctors working long hours or across multiple sites. You can share records, ask questions and review documents without needing to fit appointments around a rota. How the working relationship runs is agreed with you at the outset so it fits your schedule.

It is usually simpler than people expect. We ask for details of your current accountant so we can request the necessary records and information on your behalf, review what has been filed to date, and confirm where things stand before taking over filings. Once everything is in place, we agree responsibilities and deadlines so nothing is missed in the transition.

Speak to an Expert

Take the Pressure Off Your Tax Affairs with Expert Accountants for Doctors in Hayes

Juggling NHS pay, private fees and locum income can quickly turn tax administration into another job you never applied for. CruseBurke helps doctors in Hayes bring those income streams together with clear Self Assessment support, organised bookkeeping and practical guidance on allowable professional expenses such as medical indemnity and professional subscriptions. If your records have slipped, a deadline is approaching or you simply want a second opinion on your current structure, get in touch and we will talk through your circumstances and what would help most.