29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Llandrindod Wells
CruseBurke provides specialist accounting and tax support for doctors in Llandrindod Wells, from salaried hospital doctors and GP partners to locums, consultants and private practitioners. If your income comes from the NHS, private practice, or a combination of both, we help you keep your records in order, meet your Self Assessment and filing responsibilities, and make informed decisions about expenses, business structures and tax planning.
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Which Doctors Do We Support?
Our accounting services for doctors are designed around the way medical professionals actually work, rather than a one-size-fits-all template. We support salaried GPs and hospital doctors whose main income is taxed through PAYE but who may also have private or locum earnings to declare, GP partners and practice principals dealing with partnership accounts and profit shares, consultants with private practice or medico-legal income, locum doctors working through agencies or directly with practices, and doctors building portfolio careers that combine NHS sessions, private clinics and consultancy work. We also work with doctors who run their own private clinics, carry out medical examinations or report writing, or are considering whether a limited company or partnership structure suits their circumstances. The right approach depends on your employment status, how many income sources you have, whether you are a sole trader, partner, company director or employee, and how your professional expenses and pension arrangements interact with your tax position. Because no two doctors are in the same position, we look at your individual circumstances before advising on the most sensible way forward.
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 and Tax Services for Doctors
We provide a practical range of accounting support tailored to doctors, whether your income is straightforward or spans several sources. Self Assessment is central to much of the work we do, as doctors with private income, locum income, consultancy fees or medico-legal earnings generally need to file a tax return, and often need to plan for payments on account. Alongside this, we prepare annual accounts for sole traders, partnerships and limited companies, handle bookkeeping and record keeping, and complete tax returns that reflect NHS income, private medical income, locum work and consultancy income correctly. For practice owners, partners and incorporated practices, we cover partnership accounts, Corporation Tax, payroll and pension auto-enrolment, VAT registration and returns where relevant, management accounts and financial reporting. We also advise on allowable professional expenses such as medical indemnity, professional subscriptions and training, help you decide whether a sole trader, partnership or limited company structure is appropriate for your work, and provide ongoing tax planning so that decisions about income, dividends, drawings, pension contributions and capital expenditure are not made in isolation. If you are unsure which of these applies to you, that is exactly the conversation worth having.
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
Doctor-specific accounting is rarely just about filling in a tax return. Most of the pressure comes from the way medical careers generate multiple, changing and sometimes irregular income streams, each with its own reporting and record-keeping demands.
- Combining income sources: NHS salaries, private consultations, locum shifts, consultancy fees and medico-legal work can all appear in the same tax year, and they need to be reported accurately as a single tax position rather than in isolation.
- Self Assessment obligations: many doctors must file a tax return even when most of their income is taxed through PAYE, and understanding payments on account matters for cash flow planning across the year.
- Allowable professional expenses: medical indemnity, GMC and royal college fees, professional body subscriptions, specialist equipment and training costs may attract tax relief, but only where the rules are met and the expense relates to your work.
- Travel and mileage records: separating ordinary commuting from genuine business travel to clinics, hospitals, private practices or training venues is a common area of confusion, and HMRC expects claims to be supported by evidence.
- Pension considerations: the NHS Pension Scheme, additional private pension contributions and variable annual income can interact in ways that are worth reviewing before year end rather than after.
- Choosing the right structure: whether to work as a sole trader, in a partnership, or through a limited company depends on the type of medical work you do, your exposure to off-payroll rules, and your pension position.
- Keeping records alongside clinical work: gathering invoices, receipts, bank statements and income records while working full rotas is often the hardest part of staying compliant, and late records usually mean rushed, less effective decisions.
- Practice and partnership finances: GP partners and doctors running private clinics deal with practice accounts, profit shares, staff payroll and VAT questions, all of which need to be managed alongside clinical responsibilities.
Why Doctors Choose CruseBurke
Doctors tend to come to CruseBurke because they want an accountant who does not need the basics of medical income explained twice. We understand how NHS pay, private practice income, locum work and consultancy fees fit together, and we know that the answer to questions about expenses, structure or pension contributions depends on your particular circumstances. That means clear, practical advice rather than a generic checklist. We keep communication straightforward, explain what is required in plain English, and work with you to keep financial records organised so that deadlines and filings are not left to the last minute. Whether you are a salaried doctor with a small private income, a locum building a portfolio of work, a GP partner or a consultant running a private practice, we aim to provide accounting support that matches the way you actually earn.
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. We start with a conversation about how you work, covering your employment arrangements and every income source you have, whether that is NHS salary, private medical income, locum shifts, consultancy fees or practice profits. From there, we review your accounting and tax requirements, including your Self Assessment position, the records you currently keep, your expenses, pension arrangements and any questions about business structure. Once we understand the picture, we put appropriate support in place, agreeing what needs to be done, what information we need from you and how we will work together going forward. Many doctors find it helpful to bring previous tax returns, contracts and income records to that first discussion so that the advice is grounded in their real position.
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 doctor-focused accounting apart is the way we approach the whole picture rather than the tax return alone. We look at how your income is structured, where your professional expenses arise, whether your record keeping is sustainable, and whether your current business structure still makes sense as your career develops. That might mean untangling PAYE income from private earnings, making sure medical indemnity, subscriptions and training costs are treated correctly, reviewing whether partnership accounts or limited company accounts better reflect your work, or considering how VAT applies to the services you provide. We also keep tax compliance and bookkeeping pragmatic: simple systems that you can maintain between shifts, and filings prepared in good time. Our advice is tailored to doctors with different specialities, contracts and income patterns, so you are never squeezed into a template built for a different profession.
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. A salaried doctor whose entire income is taxed through PAYE may have relatively little to file, although high income, benefits or pension considerations can still make advice worthwhile. Doctors with private income, locum earnings, consultancy fees, medico-legal work, partnership profits or a limited company usually have more moving parts, and an accountant can help ensure income is reported correctly, expenses are properly supported and tax planning happens before year end rather than after.
Your NHS salary is normally taxed through PAYE, but private medical income, locum fees and consultancy earnings generally need to be reported through Self Assessment. The tax return brings all of your income together, and the tax already deducted from your salary is taken into account. Because combining income sources can move you into different tax bands, payments on account can also affect your cash flow, so it helps to plan ahead rather than wait for the filing deadline.
Medical indemnity cover, professional registration fees and subscriptions to professional bodies are commonly claimed by doctors, and training costs, specialist equipment and certain professional expenses may also qualify. Relief is not automatic, though, and depends on the expense being incurred wholly and exclusively for your work and claimed in the correct way. We review what you pay for each year and make sure legitimate claims are supported by records.
Not necessarily, and the right answer depends on your individual position. Many locums work as sole traders, some work through agencies, and others use a limited company. Off-payroll working rules, the way your engagements are contracted, your pension arrangements and your level of income all influence the decision. We look at your specific working arrangements before recommending a structure rather than applying a general rule.
VAT treatment depends on the type of service you provide. Many medical services supplied by registered health professionals are exempt from VAT, while other activities such as certain cosmetic treatments, medico-legal reports or non-medical services may be treated differently. If your private income grows, or you run a clinic with additional services, it is worth reviewing whether registration is required and how it affects your pricing and record keeping.
The NHS Pension Scheme is a valuable part of a doctor's overall position, and pension contributions, changing income levels and additional private pension saving can all have tax implications. Careers with varied hours, locum periods, promotions or partial retirement can change that picture from year to year, so reviewing your pension alongside your tax position helps you make better-informed decisions about contributions and income.
Yes. Much of the accounting support doctors need can be provided effectively remotely, including bookkeeping, Self Assessment, annual accounts, payroll and tax planning. Documents and records can be shared securely, and we agree upfront how we will communicate, what information you need to provide and when. Many doctors find this fits more easily around clinical rotas than fixed in-person appointments.
Changing accountants is usually straightforward. You let your existing accountant know you are moving, and we take care of the professional handover, including requesting your records and any outstanding filing information. Before the change takes effect it is worth checking that all returns and filings are up to date, and we will review your position so that nothing is missed in the transition.
Speak to an Expert
Make Your Tax Position Easier to Manage With Accountants for Doctors in Llandrindod Wells. Get specialist support that fits around your working life.
Struggling to keep track of NHS salary, private fees, locum income and the expenses that come with them? CruseBurke helps doctors bring all of that together, from Self Assessment and allowable professional expenses through to bookkeeping that stays current instead of piling up. Share a little about how you work and we will talk you through the options with no pressure.