Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Henley On Thames

Specialist accounting and tax support for doctors in Henley On Thames, from GPs and hospital consultants to locums and private practitioners. We help you make sense of Self Assessment, NHS and private income, allowable professional expenses, bookkeeping and tax deadlines, so your financial affairs stay accurate, organised and compliant while you focus on patients.

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 Henley On Thames?

Doctors rarely fit a single financial template. A salaried hospital doctor on PAYE has very different accounting needs from a locum working through several NHS trusts, a GP partner running a practice, or a consultant building a private practice alongside an NHS role. Some doctors have a straightforward employment position with a small amount of private income, while others are juggling NHS pension contributions, locum timesheets, consultancy fees, medical indemnity costs and multiple sources of self-employed income at the same time. We support GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners, and doctors who combine NHS and private work — as well as those moving into a partnership, setting up a limited company, or working across more than one role and location. Their accounting needs can differ significantly depending on employment status, income sources, business structure and professional activities, so the starting point is always understanding how you actually work, then building the accounting and tax arrangements around that.

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 Henley On Thames

Our accounting support for doctors is shaped around the way medical income genuinely arrives — often from more than one place, on more than one basis, and with expenses that ordinary tax software rarely handles well. For doctors with self-employed income, we prepare and file Self Assessment tax returns covering locum shifts, consultancy work, private medical fees and other freelance earnings, and we help identify the professional expenses that may be allowable, such as medical indemnity insurance, professional body subscriptions, required training and professional development, specialist equipment, and travel or mileage between sites. Where you have both employed and self-employed income, we look at both together so the return reflects the whole picture rather than one part of it. If you run a private practice or a medical consultancy, we can handle annual accounts, bookkeeping and management accounts, partnership accounts where you work with other practitioners, payroll for practice staff, VAT registration and returns where your turnover and activities require it, and Corporation Tax and company accounts if you trade through a limited company. We also advise on business structure — sole trader, partnership or limited company — and on practical tax planning around profit extraction, pension considerations and the timing of income and expenses. Because NHS income, private income and locum work are each treated differently, we take the time to separate them properly, keep clear records, and make sure your reporting is accurate and consistent from year to year.

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 Often Face

Medical careers tend to create financial arrangements that are more layered than a standard employed or self-employed tax position. These are the areas doctors most often need help with.

  • Multiple income sources in one tax year — combining NHS salary, locum shifts, private fees and consultancy income means several sets of records, several payers and one tax return. Getting the reporting right across all of them is where errors and unexpected tax bills usually start.
  • Self Assessment and payments on account — once you have self-employed medical income, you are generally in Self Assessment, and the payments on account system can catch doctors out in the first year or two, particularly when income rises or falls between years.
  • Identifying allowable professional expenses — medical indemnity and defence union subscriptions, GMC and specialist register fees, mandatory training, professional memberships, specialist equipment and clinical clothing can all be relevant, but only where they meet HMRC's rules and relate to your work. Claiming too little wastes money; claiming the wrong things creates risk.
  • Travel, mileage and working across sites — doctors frequently move between hospitals, clinics, surgeries and home visits. Understanding when travel is allowable, how to record mileage reliably and where ordinary commuting applies is a common point of confusion.
  • Pension considerations — NHS pension contributions, annual allowance questions and the interaction between pension contributions and tax relief are complex areas where doctors often want to understand their position before making decisions. For many, this needs joined-up thinking between accounting and pension advice.
  • Record keeping and deadlines — receipts, locum timesheets, bank statements and expense records accumulate quickly. Poor record keeping makes returns harder, slows down lenders or mortgage applications, and increases the chance of missing filing and payment deadlines.
  • Choosing the right business structure — whether to work as a sole trader, join or form a partnership, or operate through a limited company depends on your income levels, your mix of NHS and private work, your attitude to administration, and your longer-term plans. There is no single answer that suits every doctor.
  • Practice and partnership finances — GP partners and doctors in practice arrangements deal with profit shares, practice accounts, staff payroll, VAT and capital or property matters, all of which need accurate accounting rather than an approximate approach.

Why Doctors in Henley On Thames Choose CruseBurke

Doctors choose an accountant because they want their tax position handled properly, their questions answered in plain English, and their records in a state that stands up to scrutiny. CruseBurke works with doctors on exactly that basis. We understand how medical income is structured — salaried NHS work, locum assignments, private practice fees, consultancy and partnership profits — and we plan the accounting around your actual circumstances rather than squeezing you into a standard template. That means a Self Assessment return that reflects every income stream, an expense claim that is properly supported, and clear guidance on what records you need to keep and for how long. Just as importantly, we communicate clearly. Tax rules around medical income, professional expenses and pensions can be technical, and you should not need a tax background to follow what we are telling you or why it matters. We explain the position, outline the options, and let you make informed decisions. And because doctors are busy and often working across more than one site, we keep the process organised and manageable, whether you prefer to work with us remotely or in person.

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 Doctors

Getting your accounting onto a firm footing should not add another layer of stress. Our process is deliberately straightforward. Step one is a conversation about how you work. We look at your employment arrangements, your income sources — NHS salary, locum shifts, private fees, consultancy, partnership profit — your business structure, your pension position and any specific concerns you have. That gives us a full picture rather than a partial one. Step two is a review of your accounting and tax requirements. We identify what needs to be filed and when, which records need to be brought up to date, whether anything from previous years needs attention, and where your current arrangements could be improved or simplified. Step three is putting the right support in place. That might mean taking over your Self Assessment, setting up bookkeeping for a private practice, preparing accounts and Corporation Tax returns for a limited company, running payroll, or providing ongoing tax planning and advice as your circumstances change. From there, we keep things running, keep you informed, and adapt as your medical career develops.

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

The difference is context. A doctor’s tax position is rarely just one salary and one tax code. It is a combination of employed and self-employed income, expenses that only apply to medical professionals, pension arrangements with long-term financial consequences, and career decisions — going part-time, becoming a partner, reducing NHS sessions, expanding private work — that all carry tax implications. We work with that complexity rather than around it. Our approach is to understand your income streams properly and keep them clearly separated in your records, so your tax return is accurate and your position is explainable. We handle the technical side — allowable expenses, business structures, VAT where it applies, partnership and company accounts, payroll and reporting — and translate it into practical decisions you can act on. We also recognise that no two doctors are in the same position. A locum working full time through agencies has different priorities from a consultant with a small private practice, and both differ from a GP partner running a practice with staff and premises. Our advice is built around your circumstances, reviewed as those circumstances change, and delivered without jargon.

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 you are a salaried doctor with only PAYE income and no other earnings or expenses, your tax affairs may be simple enough to manage yourself. But once you take on locum work, private practice fees, consultancy income or a partnership share, you are likely to be dealing with Self Assessment, multiple income sources, allowable expenses and payments on account. At that point, an accountant who understands medical income can help you report accurately and avoid unnecessary tax.

Your NHS salary is normally taxed through PAYE, while private fees, locum earnings and consultancy income are usually self-employed and reported through Self Assessment. Both need to appear in the same return. Getting this right involves separating income streams, allocating expenses correctly and understanding how payments on account apply. The exact treatment depends on how you are engaged — as an employee, a sole trader, a partner or through a limited company.

Commonly considered expenses include medical indemnity and defence union subscriptions, GMC and specialist register fees, professional body memberships, mandatory training and continuing professional development, specialist equipment and clinical clothing, and travel or mileage for work-related journeys between sites. Whether something is allowable depends on HMRC's rules, whether it is wholly and exclusively for your work, and whether it has already been reimbursed or claimed elsewhere. It is worth reviewing your spending properly rather than estimating.

Locum doctors should keep timesheets, agency or trust payment statements, invoices issued, bank records showing receipts, and receipts for expenses such as travel, indemnity cover, training and equipment. Keeping these organised as you go makes your tax return faster to prepare, reduces the risk of missed income, and makes it easier to answer queries from HMRC or provide evidence for a mortgage or finance application.

Not automatically. Whether a limited company is beneficial depends on your level of private or consultancy income, your mix of NHS and private work, your pension position, how you want to take money out of the business, and how much administration you are willing to take on. For some doctors it offers flexibility; for others a sole trader or partnership arrangement is simpler and just as tax-efficient. We look at your circumstances before recommending a structure.

Yes. For doctors running a private practice or clinic, we can look after bookkeeping, annual accounts, management accounts and financial reporting, VAT registration and returns where your activities and turnover require it, payroll for practice staff, and Corporation Tax and company accounts if you operate through a limited company. We also support partnership accounts and profit share arrangements where you work alongside other practitioners.

Pension contributions can affect the tax relief you receive and may interact with annual allowance considerations, which is why they are worth reviewing alongside your tax return rather than in isolation. The NHS pension scheme, additional contributions and any private pension arrangements all form part of the picture. Because pension rules are complex and depend on your individual position, we help clarify the accounting and tax side and flag where specialist pension advice is appropriate.

Switching is usually straightforward. We confirm your current position, contact your existing accountant to request your records and any outstanding information, and make sure nothing falls through the gap between one firm and the next. Most of the work happens in the background; you provide information about your income sources and circumstances, and we take it from there.

Speak to an Expert

Get Your Medical Income, Expenses and Tax Return Properly Organised with Specialist Accountants for Doctors in Henley On Thames

Juggling NHS salary, locum shifts, private fees and consultancy income can quickly turn a straightforward tax return into a complicated one — especially when allowable expenses, payments on account and record keeping are all in play at once. CruseBurke provides accounting support for doctors covering Self Assessment, bookkeeping and tax planning, so your income streams are reported accurately and your records are ready when you need them. If you would like a clearer, more organised approach to your accounting and tax, get in touch and we will talk through your circumstances.