Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in High Wycombe

CruseBurke provides specialist accounting and tax support for doctors working across High Wycombe and the surrounding area. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, we help you make sense of Self Assessment, NHS and private income, bookkeeping, allowable professional expenses and tax compliance — so your financial affairs stay accurate, organised and properly structured around the way you actually work.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

Posted on Google Google
Jamie Fletcher profile picture
Jamie Fletcher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Mansur Liman profile picture
Mansur Liman
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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
Posted on Google Google
Muna Mohamoud profile picture
Muna Mohamoud
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Sergey M profile picture
Sergey M
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Ebba Qureshi profile picture
Ebba Qureshi
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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 .
Posted on Google Google
Mael Leboucher profile picture
Mael Leboucher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
3rd Hub profile picture
3rd Hub
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
Posted on Google Google
Martin Tyrrell profile picture
Martin Tyrrell
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Matthew Lyon profile picture
Matthew Lyon
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Which Doctors Do We Support?

Accounting and tax needs vary enormously across the medical profession, so our support is shaped around your particular working arrangements rather than a one-size-fits-all approach. We work with GPs handling practice and partnership income alongside NHS earnings, hospital doctors and consultants on salaried pay with additional private or waiting list work, locum doctors paid through agencies or directly, and salaried doctors who simply want their Self Assessment and expenses handled correctly. We also support private practitioners running their own clinics or consultancies, doctors with medico-legal or advisory income, and those combining several streams — NHS salary, private fees, locum shifts or teaching — within a single tax year. Depending on your circumstances, your accounting needs may involve employment expenses, partnership accounts, limited company reporting, VAT, payroll or pension considerations, and the right treatment often depends on your employment status, income sources and business structure. If you are unsure how your situation is best handled, we can talk it through with you.

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

We provide a practical range of accounting and tax services for doctors, built around the realities of medical income. That includes Self Assessment tax returns covering NHS salary, private fees, locum income and consultancy earnings, along with a careful review of the professional expenses you may be able to claim. For doctors running a private practice, consultancy or medical business, we handle annual accounts, bookkeeping, management accounts and financial reporting, plus Corporation Tax where a limited company is involved and partnership accounts where you work alongside other practitioners. We can also advise on business structure — sole trader, partnership or limited company — and on payroll and VAT where these apply to your practice or private work. Alongside compliance, we look at forward tax planning, including how pension contributions, income timing and profit extraction may affect your overall position. The exact mix of services depends on your circumstances, and we are happy to explain which elements are likely to be relevant to you.

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

Doctors frequently deal with income and expenses that do not sit neatly within a standard tax return. A few of the areas we help with most often include the following.

  • Multiple income sources: combining NHS salary, private fees, locum shifts or consultancy income in one tax year can complicate the return and make it harder to judge how much tax is genuinely due.
  • Self Assessment accuracy: PAYE does not always collect the right amount once untaxed private or locum income is added, so underpayments and unexpected bills can arise without careful planning.
  • Allowable professional expenses: identifying what genuinely qualifies as a deductible expense is not always obvious, and claimed items need to be properly supported and recorded.
  • Medical indemnity and professional subscriptions: these are common costs for doctors, but the correct treatment depends on whether they relate to your employment, your private practice or both.
  • Training, exams and professional development: not every course or qualification counts as allowable, and the distinction between maintaining existing skills and acquiring new ones matters.
  • Travel and mileage: travel between sites, home visits, practice locations and hospital commitments can be claimed in some circumstances but not others, and records need to stand up to scrutiny.
  • Record keeping and deadlines: gathering payslips, invoices, pension statements and expense receipts throughout the year is far easier than reconstructing them at the filing deadline.
  • Pension considerations: annual allowance and contribution limits can affect higher-earning doctors, and the interaction with tax relief is worth reviewing rather than leaving to chance.
  • Business structure decisions: choosing between sole trader, partnership and limited company affects tax, National Insurance and administrative obligations, and the best option varies by individual.
  • Practice and partnership finances: profit shares, drawings, partner changes and practice overheads all need clear accounting and agreed treatment across the partnership.

Why Doctors Choose CruseBurke

Doctors tend to come to us because they want an accountant who understands how medical income actually works — NHS payslips, private fee statements, locum timesheets, practice drawings and pension paperwork all in the same file. We take the time to understand your working arrangements before recommending anything, then keep your records, returns and filings organised so nothing slips through. You get clear explanations in plain English rather than technical jargon, and practical advice on expenses, structure and tax planning that reflects your own circumstances rather than a template. Whether you are newly qualified, working across several roles, or established in private practice, we aim to make your accounting straightforward, accurate and easy to keep on top of.

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 the right accounting support should not be complicated, so we keep the process clear from the outset. First, we take the time to understand your circumstances — your employment status, your income sources, whether you have NHS salary, private fees, locum work, consultancy income or a combination, and how your work is structured. Second, we review your accounting and tax requirements, looking at what you already have in place, what needs attention and which services are genuinely relevant to you, including Self Assessment, bookkeeping, payroll, VAT or business structure questions. Third, we put the appropriate support in place and explain how the ongoing arrangement will work, including what information we will need from you and when. From there, we keep in touch as your circumstances change, whether you take on new private work, adjust your hours, or review how your practice is set up.

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 approach apart is the way we treat medical income as a whole rather than as isolated pieces. We look at how NHS earnings, private fees, locum income and consultancy work interact, because the tax position of a doctor with several income streams is rarely the same as someone with a single salary. That means reviewing allowable professional expenses carefully, keeping bookkeeping and records in order throughout the year, and making sure Self Assessment filings are accurate and submitted on time. Where a doctor has a private practice, we can support annual accounts, management accounts, payroll and VAT, and advise on whether a partnership or limited company structure suits their circumstances. Where the focus is on tax planning, we look at pension contributions, income timing and profit extraction in the context of your wider position. The aim is specialist, joined-up accounting advice that reflects how you actually work — not generic compliance with your name at the top.

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, but many doctors benefit from professional support. If your income comes solely from an NHS salary with no additional earnings, your PAYE position may be relatively simple. Once you add private fees, locum shifts, consultancy income, medico-legal work, practice profits or partnership drawings, the return becomes more involved and mistakes become more likely. An accountant can help you claim the expenses you are entitled to, keep records in order and file accurately.

Yes. Your Self Assessment return can include employment income from the NHS alongside untaxed private fees, locum income, consultancy earnings and any partnership or company income. The important part is making sure each source is reported correctly and that the tax already paid through PAYE is properly accounted for, so you are not paying twice or facing an unexpected bill.

Commonly claimed items include medical indemnity insurance, professional body subscriptions, some professional development costs, necessary equipment and certain travel and mileage. However, the rules are not identical for everyone, and treatment can differ depending on whether a cost relates to employment, private practice or both. We review your expenses individually rather than assuming a standard list applies to you.

Locum work is often paid without tax deducted, or through an agency, which means tax and National Insurance usually need to be settled through Self Assessment. You may also be able to claim expenses relating to travelling between assignments and running your locum work. The correct treatment depends on whether you work through an agency, directly with a trust or practice, or through your own limited company, and we can help you clarify which applies.

There is no single answer that suits every doctor. A limited company can be appropriate for some private practitioners, consultancies and locum doctors, while sole trader or partnership arrangements often suit others. The right choice depends on your income level, how you work, your pension position and your preferences around administration and flexibility. We can talk through the advantages and obligations of each before you decide.

VAT registration depends on your turnover and the nature of the services you provide, because some medical services are treated differently from others. Whether you need to register, and how VAT should be handled if you do, is something we assess based on your specific activities rather than a general rule.

Yes. If your records are incomplete or you have outstanding filings, we can help you work through what is missing, bring your records up to date and get your position back in order. It is usually easier to address these matters sooner rather than later, so it is worth speaking to us as soon as you are aware there is a problem.

Just get in touch and tell us a little about how you work — your income sources, your employment status, and whether you already have an accountant. We will arrange an initial conversation to understand your situation, review what accounting and tax support you need, and explain how we would work together going forward.

Speak to an Expert

Take the Pressure Out of Your Medical Finances

Juggling NHS salary, private fees, locum income and professional expenses can make Self Assessment far more complicated than it needs to be, and it is easy for records to fall behind. CruseBurke helps doctors in High Wycombe bring their bookkeeping, tax returns and expense claims into order, with clear advice on business structure and forward tax planning where it is relevant to you. If you would like your financial affairs handled by accountants who understand medical income, get in touch with our team and we will talk through your circumstances.