29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Liskeard
Specialist accounting and tax support for doctors working in Liskeard, whether you are a GP, hospital doctor, consultant, locum, salaried clinician or private practitioner. From Self Assessment and multiple income sources to bookkeeping, professional expenses and tax planning, the right accounting support helps you keep your financial affairs organised, accurate and compliant, so you can focus on patients rather than paperwork.
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Which Doctors Do We Support?
Our accounting services are designed for the wide range of working arrangements doctors in Liskeard may have. That includes GP partners and salaried GPs, hospital doctors and consultants, locum doctors moving between contracts, doctors in training, and private practitioners building a fee-based practice. Many doctors also combine several income sources at once — NHS salary alongside private fees, locum shifts alongside a substantive post, or consultancy and medico-legal work alongside clinical duties. Each arrangement carries different accounting and tax consequences. A salaried doctor may mainly need a straightforward Self Assessment return covering private income or professional expenses, while a GP partner needs partnership accounts, profit allocation and individual tax returns. A locum may be treated as self-employed and need help with record keeping and expenses, and a doctor operating through a limited company faces corporation tax, payroll and dividend considerations. Because treatment depends on your employment status, income sources, business structure and personal circumstances, we take the time to understand your position before recommending an approach.
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.
Our Accounting Services for Doctors
We provide accounting and tax support shaped around how doctors actually earn their income. For doctors with NHS employment income, private medical fees, locum earnings or consultancy income, we prepare and file Self Assessment tax returns, bringing all income sources together and making sure the right reliefs and expenses are considered. Where you are self-employed, we prepare annual accounts from your bookkeeping records so your taxable profit is calculated correctly. Doctors in partnership — including GP partners — need partnership accounts that allocate profits accurately, along with the individual returns that follow from them. If you run a private practice or a medical services limited company, we can look after annual accounts, Corporation Tax, VAT where it applies, payroll for you and any staff, and management accounts that help you monitor performance. We also offer tax planning covering profit extraction, timing of income, pension contributions and business structure, and we can advise on whether sole trader, partnership or limited company status suits your circumstances. Bookkeeping sits at the heart of all of this, and we can either support your existing records or help you put a simpler system in place so nothing is missed ahead of a filing deadline.
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 deal with a more complex financial picture than a single salary suggests. PAYE handles employment income, but private fees, locum work, consultancy earnings and partnership profits all have to be reported and taxed correctly, and the rules differ depending on how that income arises. These are the areas we see doctors working through most often.
- Reporting NHS and private income together — PAYE usually covers employment income, but private fees and other self-employed earnings must be included in Self Assessment, and an incomplete return can lead to interest and penalties.
- Identifying allowable professional expenses — medical indemnity, GMC and royal college subscriptions and professionally relevant training may be deductible in some circumstances, while employment and self-employment rules do not treat every cost the same way.
- Keeping track of multiple income streams — combining a salaried post with private sessions, locum shifts or consultancy work makes accurate records and a timely tax return considerably harder to manage.
- Choosing the right business structure — sole trader, partnership and limited company each carry different tax, compliance and administrative consequences, and the right answer depends on your contracts and plans.
- Managing partnership and practice finances — GP partners need partnership accounts that split profits correctly and feed into each partner's individual return, alongside capital accounts and any practice-level VAT or payroll obligations.
- Pension considerations — NHS pension arrangements interact with tax relief and annual allowance issues, so contribution decisions are best reviewed alongside your wider tax position.
- Meeting Self Assessment and filing deadlines — registration, record keeping and payment dates can easily slip when clinical commitments take priority, and late filing costs both money and time.
- Getting VAT and payroll right where they apply — whether VAT registration is needed depends on the specific services provided, and any practice employing staff will need accurate payroll processing.
Why Choose CruseBurke for Your Doctor Accounting Needs
CruseBurke works with the practical realities of medical careers in mind. We understand that doctors rarely fit one tidy tax category, and that your accounting needs change as you move between training posts, salaried roles, partnerships and private practice. We take a specialist approach: gathering a clear picture of every income source, identifying the expenses and reliefs that may apply, and making sure your returns and accounts are accurate and filed on time. Communication matters just as much. We explain the reasoning behind our advice in plain language, flag issues before they become problems, and keep your records organised so a deadline never comes as a surprise. Whether you need a straightforward Self Assessment return, partnership accounts, limited company compliance, bookkeeping support or forward-looking tax planning, we adapt our service to your circumstances rather than forcing your situation into a template. The aim is straightforward: sound compliance, clear records and advice you can act on.
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 properly organised is less complicated than it may sound. It starts with a conversation in which we ask about your role, your contracts and every source of income — NHS salary, private fees, locum work, consultancy or partnership profit — along with any existing accounting arrangements and the deadlines you are working towards. From there we review what is actually required: which returns need filing, whether your current business structure still fits, what records you need to keep and where bookkeeping, payroll or VAT obligations apply. The final step is putting support in place, agreeing how we will work together, setting up a clear process for sharing information and confirming responsibilities so your filings and records are handled in a structured way. Throughout, you will know what is happening, what we need 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
What sets our approach apart is a genuine focus on the way doctors earn and are taxed, rather than a general accounting service with a medical label. We look at the whole picture: employment income taxed through PAYE, self-employed locum or consultancy profits, private practice income, partnership shares and any company structure you use. That means reviewing whether professional expenses such as indemnity cover, professional body subscriptions and development costs are being treated correctly, checking that Self Assessment returns reflect every income source, and making sure bookkeeping keeps pace with the work you are actually doing. We can advise on business structures where your circumstances are changing, prepare annual accounts, partnership accounts and corporation tax computations, and support payroll and VAT where they are relevant. Where tax planning is appropriate, we look at matters such as profit extraction, timing of income and pension contributions in the context of your individual position — always on the basis that outcomes depend on your circumstances and cannot be guaranteed.
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
There is no blanket rule, and many salaried doctors with a single PAYE income manage without one. The picture changes as soon as there is anything beyond a straightforward salary — private fees, locum work, consultancy income, partnership profit, a limited company or higher earnings where reliefs and allowances matter. In those situations, the value of an accountant usually lies in getting the return right, identifying what can legitimately be claimed, and avoiding the cost of corrections or penalties later.
Your NHS salary is normally taxed through PAYE, but private fees, locum earnings and other self-employed income are not. HM Revenue & Customs generally expects all of it to be reported through Self Assessment, which is why registration and accurate record keeping matter. The interaction between PAYE and self-employment can also affect payments on account, so it helps to plan for the tax bill rather than meeting it in one go.
Commonly considered costs include medical indemnity insurance, professional body and royal college subscriptions, and training or professional development that maintains skills you already use in your current role. Travel and mileage on legitimate business journeys, equipment and some home office costs may also be relevant. What is allowable depends heavily on whether the cost relates to employment or self-employment, so it is worth checking before you claim.
Locum work is often treated as self-employment, which means registering for Self Assessment, keeping records of fees received and claiming allowable expenses against that income. Where work is arranged through an agency, or where a limited company is involved, off-payroll working rules can affect how the income is taxed. Because arrangements vary considerably between contracts, the treatment should be reviewed on your specific facts.
Yes. GP partners typically need partnership accounts that calculate practice profits, allocate them between partners in line with the agreement, and feed into each partner's individual Self Assessment return. That often sits alongside capital account tracking, practice bookkeeping, and payroll or VAT obligations where they apply. Partners also frequently want advice on pension contributions and on planning for changes in the partnership.
It depends on your contracts, income levels, how the work is arranged and how much administration you are willing to take on. A limited company can suit some private practitioners and consultants, but it brings Corporation Tax, payroll and dividend considerations, and off-payroll working rules may apply to certain engagements. We look at the pros and cons against your circumstances rather than recommending one structure for everyone.
Yes. Most doctors prefer to handle accounts and tax returns remotely, sharing documents securely and keeping in touch by email, phone or video call at times that fit around clinical commitments. What matters is that records are clear, deadlines are tracked and you have someone to speak to when a question arises.
Changing accountants is usually straightforward. Once you confirm you would like to proceed, we would typically contact your existing accountant for professional clearance and the information needed to take over, then confirm the handover with you. Having your last set of accounts, tax returns and up-to-date records available generally makes the transition smoother.
Speak to an Expert
Struggling to Keep NHS, Private and Locum Income in Order? Specialist Accountants for Doctors in Liskeard Can Help
When income arrives from several directions — NHS salary, private fees, locum shifts or consultancy work — it is easy for expenses to go unclaimed and deadlines to creep up. CruseBurke provides accounting and tax support built around doctors’ working arrangements, including Self Assessment that brings every income source together and bookkeeping that keeps your records in order throughout the year. If you would like a clear picture of where you stand and what needs to be filed, get in touch and we will talk through your circumstances.