29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Llangollen
Medical careers rarely produce a tidy set of finances. NHS pay, private fees, locum shifts, consultancy work and pension contributions can all land in the same tax year, each with its own reporting rules. As Accountants for Doctors in Llangollen, we help you pull those strands together — keeping accurate records, preparing and filing your Self Assessment tax return, identifying the professional expenses you may be able to claim, and explaining how each income source affects the others. Whether you are salaried, self-employed, or a mixture of both, the aim is straightforward: fewer surprises, cleaner records and tax compliance you can rely on.
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Which Doctors Do We Support?
Doctors work in an unusually wide range of arrangements, and two people on similar earnings can have very different accounting and tax positions. That is why our support is shaped around how you actually work, not a single template. Salaried hospital doctors and doctors employed by a practice often have straightforward PAYE income, but may still need Self Assessment if they take on private work, receive untaxed income, or need to claim relief on professional costs. Consultants with private practice fees and doctors running their own clinics usually need help with self-employment, records, invoicing and, in some cases, incorporation. Locum doctors frequently earn through multiple agencies or direct contracts, which brings record keeping, expense claims and sometimes off-payroll working rules into play. GP partners have partnership accounts, profit shares, drawings and pension considerations to manage alongside practice finances. GPs on a salaried contract, private practitioners, and doctors who combine NHS work with private, medico-legal or consulting income all sit somewhere along the same spectrum. Whatever your combination, the accounting detail depends on your employment status, your income sources, your business structure and your individual circumstances, and we will always explain which of those factors matters in your case.
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
Our accounting services for doctors are built around the realities of medical income: PAYE pay alongside untaxed fees, irregular locum work, expenses spread across several professional bodies, and pension arrangements that need to be understood rather than guessed at. We prepare and file Self Assessment tax returns for doctors with multiple income sources, making sure NHS pay, private fees, locum income, consultancy and medico-legal earnings are all captured correctly and that payments on account are planned for rather than treated as a shock. Where self-employed medical work exists, we handle bookkeeping, invoicing, expense records and, where relevant, VAT registration and returns. For doctors operating through a limited company, we prepare annual accounts, deal with Corporation Tax, and manage payroll for directors and any staff. For partners in a practice, we prepare partnership accounts and returns, agree profit shares, and support practice bookkeeping and reporting. Alongside the core compliance work, we help with allowable expenses such as medical indemnity, professional subscriptions and required training, offer advice on business structure when you are weighing up sole trader, partnership or limited company arrangements, and provide management accounts and tax planning so decisions about profit, drawings and pension contributions are made with the numbers in front of 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 Commonly Face
Medical work tends to generate more accounting complexity than the headline salary suggests. These are the areas where doctors most often need a second opinion, a clearer process, or simply someone who has seen the pattern before.
- Multiple income sources taxed together: NHS pay, private fees, locum income and consultancy earnings are taxed as part of one overall position, so your combined income can affect the rate applied, your allowances and your entitlement to certain reliefs in ways a single-source payslip never shows.
- Distinguishing employment expenses from self-employed costs: expenses claimed against employment income must meet a stricter test than those claimed against self-employment, which matters for doctors who hold down an NHS post while also earning fees privately.
- Claiming the right professional costs: medical indemnity, registration and professional body subscriptions, and required training and development are commonly claimed, but only where the cost genuinely relates to the work — and the supporting evidence needs to exist.
- Record keeping across employers, agencies and patients: income and receipts arrive from several directions, and reconstructing a year's figures at the last minute is both stressful and prone to error, particularly with mileage and travel records.
- Pension considerations: NHS pension arrangements and private pension contributions can interact with tax relief and allowance rules, so contributions are worth reviewing rather than leaving on autopilot.
- Choosing the right business structure: whether private work sits as a sole trade, inside a partnership or within a limited company has practical consequences for administration, tax and how profits are taken.
- Filing deadlines and payments on account: an unexpected tax bill often follows a first year of self-employment income, because payments on account can arrive alongside the liability itself, so planning the cash flow early makes a real difference.
- Practice and partnership finances: partners need to track drawings against profit share, keep practice bookkeeping accurate and understand how practice income flows through to personal returns.
Why Doctors May Choose CruseBurke for Accounting Support
Doctors often have limited time and a low tolerance for vague answers, so accounting support needs to be clear, organised and relevant to medical work rather than generically professional. That is the standard we work to. We take the time to understand how you earn — NHS post, private fees, locum sessions, consultancy or a mix — and then explain what that means for your returns, your expenses and your tax position in plain English. Communication is practical: you will know what we need from you, when we need it and why, so deadlines do not creep up unnoticed and records do not pile up unopened. We keep your bookkeeping and filing in order, review the professional costs you are claiming to make sure they are appropriate, and handle correspondence with HMRC on your behalf where you would rather not. Because doctors’ circumstances vary so much, the advice itself varies too — a salaried consultant with a small amount of private work needs something quite different from a locum juggling several agencies or a GP partner involved in practice finances. We adapt the service to suit, rather than forcing your situation into a fixed package.
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 the right accounting support in place does not need to be complicated. It usually follows three straightforward stages. First, we talk through your circumstances — how you are employed, where your income comes from, whether you have NHS pay, private fees, locum sessions, consultancy income or a partnership share, and what you already have in place for records and filings. Second, we review your accounting and tax requirements against that picture: what needs to be registered, what is outstanding, which expenses may be claimable, how your pension arrangements fit in and whether your current structure still makes sense. Third, we agree and put in place the support you need, whether that is a full service covering bookkeeping, accounts and tax returns, or targeted help with a specific issue such as Self Assessment, VAT or moving to a different business structure. From there, the emphasis is on keeping things running smoothly through the year, with information shared securely and questions answered as they come 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?
The difference lies in how we approach medical income rather than in a slogan. Doctors rarely fit a single category, and accounting that assumes otherwise tends to produce either missed reliefs or unnecessary administration. We start by mapping your income streams properly — employed NHS income, self-employed private or locum earnings, consultancy and medico-legal fees, partnership profits and any investment or rental income — and then work out how they interact for tax purposes. That means careful attention to allowable professional expenses such as indemnity cover, registration and membership costs, required training and equipment, and to the stricter rules that apply when a cost is claimed against employment rather than self-employment. It also means looking at the bigger decisions: whether a limited company structure suits your private work, how profits and drawings should be handled in a partnership, whether VAT registration is relevant to your services, and how pension contributions sit alongside your tax position. Throughout, the focus is on accurate records, filings submitted on time and advice you can act on, delivered by a team that would rather explain a point clearly than leave you guessing.
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 your only income is a salary taxed through PAYE and your affairs are simple, you may manage perfectly well without ongoing support. Professional help tends to become worthwhile when there is private practice income, locum work, a partnership share, rental or investment income, pension contributions that need reviewing, or untaxed income that has to be reported. Doctors also frequently have questions about expenses such as medical indemnity or professional subscriptions, and about how their income sources affect one another. We are happy to look at your position and tell you honestly whether you need ongoing support or just help with a specific issue.
NHS salaried pay normally arrives through PAYE, while private fees, locum sessions and consultancy work are usually reported through Self Assessment. When both exist, the calculation becomes more involved: your total income determines the rate applied across your earnings, payments on account may become relevant for the following year, and pension contributions can be affected. We bring everything into one clear picture, keep your records consistent across sources and make sure what is reported matches what HMRC already holds for you.
Usually, yes. Locum work is often treated as self-employment, particularly when you invoice agencies or practices directly, in which case you need to register with HMRC, keep records of sessions worked and report your profit. Even where tax is deducted at source, a return may still be needed if you have other untaxed income or expenses to claim. Locums often find it helpful to have support with tracking income across several agencies, understanding their employment status, and claiming allowable costs such as travel to temporary workplaces and professional subscriptions.
Common examples include medical indemnity cover, registration and professional body subscriptions, required training and continuing professional development, and equipment used for your work. The rules differ depending on whether the cost relates to employment or self-employment, and the evidence you keep matters as much as the category. We review what you have paid, flag what is likely to be claimable and explain why anything borderline may not be, so your claims are properly supported.
It depends on your level of profit, how you contract with clients and what you intend to do with the income. Incorporation brings additional obligations — statutory accounts, Corporation Tax, and payroll if you pay yourself a salary — and off-payroll working rules can affect arrangements where services are provided through an intermediary. It can be the right move in some circumstances and unnecessary administration in others. We look at your numbers and explain the trade-offs so the decision is based on your situation rather than a general rule of thumb.
Many medical services are exempt from VAT, but the exemption does not cover everything. Certain related activities, such as particular types of report or non-medical treatments, may fall outside it, and once registered there are rules about what you can reclaim on costs. Whether registration is required depends on your taxable turnover, so it is worth reviewing which of your services are exempt before assuming you are outside the system. We can assess your position and, where relevant, handle registration and returns.
Most of our work with doctors is handled remotely. Records, documents and approvals can be shared securely, and meetings can take place by phone or video at times that fit around clinics and on-call commitments. You will know who to contact, what information is needed and when, so the process stays predictable. Where a face-to-face discussion is genuinely useful, that can be arranged — but proximity is not a requirement for good accounting support.
Either route is simpler than most people expect. If you already have an accountant, we ask for professional clearance and set up authorisation with HMRC so we can act on your behalf, then review previous filings and outstanding matters before taking over the records. If you have never used an accountant, we start by understanding your income sources and obligations, then agree what needs to be done and by when. Timing matters most when a filing deadline is approaching, so it is worth starting the conversation early rather than leaving it until the last moment.
Speak to an Expert
Take the Guesswork Out of Medical Tax — Speak to Accountants for Doctors in Llangollen. Whether you are a locum, a partner or a consultant with private fees, we will help you get your income, expenses and filings in order.
Juggling NHS pay, private fees, locum income and professional expenses across a single tax year can turn into a paperwork exercise nobody trained you for. CruseBurke can bring those strands together, with Self Assessment preparation that captures every income source and bookkeeping that keeps your records organised well before the filing deadline arrives. If you would like a clearer view of your tax position and a process that fits around clinical life, get in touch with our team and we will talk through the best next step for your circumstances.