29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Liss
Specialist accounting support for doctors in Liss, built around the way you actually work. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, CruseBurke can help you keep on top of Self Assessment, make sense of combined NHS and private income, organise your bookkeeping and plan ahead with confidence. From allowable professional expenses such as medical indemnity and professional subscriptions through to payroll, VAT and business structure decisions, we explain things clearly so you can make informed choices about your finances.
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Which Doctors Do We Support?
Doctors come to us with very different working arrangements, and their accounting needs tend to follow those differences. A salaried hospital doctor on PAYE with a small private income has a different tax position to a locum working through several trusts, or a consultant running a private practice alongside an NHS role. We support GPs working in partnerships, salaried GP roles or out-of-hours work, hospital doctors and specialist registrars, consultants with private patient income, locum doctors moving between assignments, private practitioners, and doctors who combine NHS work with private, medico-legal or consultancy income. Their needs can also vary depending on whether they operate as a sole trader, a partner or through a limited company, and on how much bookkeeping, payroll and VAT work their activities involve. We take the time to understand your particular mix of income before recommending how your accounts and tax returns should be handled.
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 Services for Doctors
Our services are shaped around the financial lives of doctors rather than a general small business template. For many doctors that starts with Self Assessment, bringing together NHS salary and pension income, private medical fees, locum or consultancy income and any other sources into an accurate tax return. We can prepare annual accounts and partnership accounts for practices and medical businesses, handle bookkeeping so your records are ready and reliable, and take care of payroll, VAT and Corporation Tax where a limited company structure is in place. Management accounts and financial reporting can help private practitioners understand how a practice is performing, while tax planning looks at how income is structured, how business profits are drawn and what can legitimately be claimed as a professional expense. We also advise on business structure, including whether sole trader, partnership or limited company treatment suits your circumstances, and we can support the practical side of running a medical practice, from routine record keeping to reporting deadlines.
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 rarely have a single, simple income stream, and that is usually where the complexity begins. The challenges below are common considerations rather than universal rules, because the right treatment depends on your employment status, income sources, business structure and personal circumstances.
- Combining NHS and private income. Salary, pension contributions and private fees are taxed in different ways and reported through different routes, so it helps to have one clear picture rather than several disconnected records.
- Multiple income sources. Locum shifts, consultancy work, medico-legal reports, teaching and private patient fees can all need to be captured and reported, each with its own records and timing.
- Self Assessment deadlines. Doctors with untaxed income often need to file a return and settle any liability through payments on account, so missing dates can lead to avoidable interest and penalties.
- Allowable professional expenses. Medical indemnity insurance, professional subscriptions, revalidation and continuing professional development costs, specialist equipment and, in some cases, travel and mileage may be claimable, but only where the rules are met.
- Pension considerations. NHS pension arrangements interact with annual allowance and contribution decisions, and doctors with private income or company structures may need to think carefully about how retirement planning fits with their tax position.
- Record keeping. Receipts, bank transactions and expense records build up quickly across several roles, and poor organisation tends to make tax returns slower, more expensive and more prone to error.
- Business structure. Whether to work as a sole trader, in partnership or through a limited company affects how profits are taxed, how accounts are prepared and what compliance obligations apply.
- Practice and partnership finances. Partners may need to agree profit-sharing arrangements and Capital Gains Tax considerations on entering or leaving a practice, while private practitioners need to understand the true costs of running their business.
Why Doctors Choose CruseBurke
Doctors choose CruseBurke because they want an accountant who recognises the shape of medical income rather than treating it as an ordinary self-employed trade. We take the time to understand how you earn, whether that is NHS salary and pension income, private fees, locum work, consultancy or a combination of several sources, and we build the accounts and tax work around that reality. Our approach is practical and clearly explained: we help you keep records organised throughout the year, identify the professional expenses you may be entitled to claim, and make sure returns and filing obligations are handled in good time. Because doctors work in many different ways, we do not force everyone into the same solution. Salaried doctors with a small private income, partners in a practice, locums with several engagements and limited company directors each receive advice suited to their own circumstances. You get straightforward communication, specialist understanding of medical income and support that keeps your tax affairs in order without adding to your workload.
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 in place does not need to be complicated. The first step is a conversation about how you work: your NHS income, private fees, locum or consultancy work, any practice involvement and how your records are currently kept. From there we review your accounting and tax position, looking at what has been filed, what deadlines apply, whether your current structure still suits your circumstances and where bookkeeping, payroll or VAT support may be needed. The final step is putting the right support in place, which might mean taking over your Self Assessment and annual accounts, setting up a clearer bookkeeping routine, managing payroll or advising on business structure and tax planning. Because doctors’ circumstances change, we build in room for that, so advice can be adjusted as your roles and income sources develop.
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
Many accountants can file a tax return, but fewer understand why a doctor’s income is rarely straightforward. CruseBurke focuses on the practical detail: separating NHS salary and pension figures from private medical income, accounting for locum and consultancy fees, and making sure expenses such as medical indemnity, professional subscriptions, training and equipment are treated correctly. We also look beyond the annual return, advising on business structure, partnership arrangements, payroll and VAT where they apply, and on how to keep management information accurate enough to be genuinely useful. Just as importantly, we explain the reasoning behind our advice in plain language, so you understand the position you are in and the decisions in front of you rather than simply receiving a set of figures. Whether you are employed, self-employed or running a limited company alongside your clinical work, the aim is accounting support that fits your working life and is easy to act on.
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 you are fully employed on PAYE with no additional income and no significant expenses, your tax position may be straightforward. An accountant usually becomes valuable once there is something beyond that, such as private fees, locum or consultancy income, practice profits, a company structure, high expenses to claim or several income sources that need reporting together. It is also worth considering how much time and confidence you have in handling Self Assessment, payments on account and record keeping yourself.
NHS salary and pension income is normally taxed through PAYE, but private medical fees, locum income and consultancy earnings generally need to be reported through Self Assessment. We bring the figures together from your payslips, P60, pension records and private income records so the return reflects your full position. Because tax on untaxed income can trigger payments on account, it also helps to plan for those in advance rather than meeting them unexpectedly.
Common claims include medical indemnity insurance and professional subscriptions, along with revalidation and continuing professional development costs where they are incurred for your work. Specialist equipment, professional books and certain travel or mileage costs may also qualify. The rules are specific, and some costs are not allowable simply because they relate to your career. We review your outgoings individually so claims are accurate and defensible.
Locum doctors are often treated as self-employed for the engagements they take on, which means completing Self Assessment, keeping detailed records of income and expenses, and potentially registering for VAT if turnover exceeds the threshold. Because locum work can involve several trusts, agencies or practices in a single tax year, accurate bookkeeping matters. If a large share of your work is through agencies or long-term contracts, the employment status position can be less clear, so it is worth reviewing.
It depends on your circumstances. Some doctors running private practices or consultancy work find a limited company structure benefits them through the way profits are taken and taxed, along with limited liability. Others find the additional obligations, including payroll, Corporation Tax, annual accounts and possible VAT registration, outweigh the advantages. The right answer depends on your income levels, how profits are used, your pension position and your long-term plans.
Yes. Practice partnerships involve profit-sharing arrangements, partner drawings, and accounting that needs to be agreed between partners as well as reported correctly. There may also be Capital Gains Tax considerations when a partner joins or leaves. We can prepare partnership accounts and the associated tax returns, and help partners understand how the numbers are arrived at.
Yes. Much of the accounting process can be handled remotely, using secure sharing of documents and cloud bookkeeping, which suits doctors working shifts or across several sites. What matters most is that your accountant understands your income sources and responds promptly when you have questions. If you prefer to meet in person at points during the year, that can usually be arranged too.
Switching is usually more straightforward than doctors expect. We would ask for your permission to contact your existing accountant, obtain your records and review the current position, then confirm deadlines and outstanding matters before taking over. If a return is already due, we will make sure the timing works so nothing is missed during the handover.
Speak to an Expert
Take the Pressure Out of Your Tax Affairs
If juggling NHS income, private fees, locum work and Self Assessment has left your records in a muddle, CruseBurke can help you bring it back under control. We prepare Self Assessment returns, keep bookkeeping organised and review the professional expenses you may be entitled to claim, all explained in plain language. Speak with our team about your circumstances and we will help you work out what support is right for you as a doctor in Liss.