29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Lydney
Specialist accounting support for doctors working in and around Lydney, whether you are a GP, hospital doctor, consultant, locum or private practitioner. From Self Assessment and tax returns to bookkeeping, payroll and advice on how to structure NHS and private income, we help you keep your financial affairs organised, accurate and compliant, so you can concentrate on your patients rather than paperwork.
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Which Doctors Do We Support?
Doctors rarely fit neatly into one tax box. You might be a salaried hospital doctor paying tax through PAYE, a GP partner sharing profits in a practice, a locum working through several short contracts, a consultant with a private practice on the side, or someone combining NHS work with private medical income. Each of these arrangements creates a different mix of tax returns, records and deadlines. A locum with irregular income has very different accounting needs to a consultant running a limited company, and a doctor with a modest private income may simply need help getting Self Assessment right the first time. Because accounting and tax treatment depends on your employment status, income sources, business structure and personal circumstances, we take the time to understand how you actually work before advising on anything. If you are unsure which category you fall into, that is a perfectly reasonable place to start the conversation.
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
The services that matter most to doctors tend to revolve around getting income from multiple sources reported correctly and keeping records that stand up to scrutiny. For doctors completing Self Assessment, we prepare and file tax returns covering NHS income, private medical fees, locum earnings and consultancy income in one coherent picture, making sure allowable professional expenses are properly claimed. Where you run a private practice or work through a limited company, we can prepare annual accounts, management accounts, Corporation Tax computations and financial reporting, along with bookkeeping to keep day-to-day records in order. Payroll and VAT support may be relevant if you employ staff, engage a practice manager or exceed the VAT registration threshold through private work. We also advise on business structures, including whether a partnership, sole trader arrangement or limited company suits your circumstances, prepare partnership accounts where profits are shared, and provide ongoing tax planning to help you manage liabilities as your income mix changes. Because the right combination of services depends on your individual position, we tailor the support rather than applying a fixed package.
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 carry a heavier administrative load than their payslips suggest. A few of the issues we see most regularly include the following.
- Combining NHS and private income: PAYE income, private fees and any additional roles each come with different reporting requirements, and missing one source can lead to an inaccurate return and unnecessary correspondence with HMRC.
- Self Assessment deadlines and penalties: many doctors register for Self Assessment because of private or locum income, then find that the filing and payment timetable arrives quickly alongside a demanding clinical rota.
- Knowing what counts as an allowable professional expense: medical indemnity insurance, professional subscriptions, registration fees, specialist equipment and certain training costs are commonly claimed, but the rules are specific and easy to get wrong in either direction.
- Travel and mileage records: between sites, practices and private clinics, doctors often clock up significant business travel, and without a clear record-keeping habit those claims become difficult to substantiate.
- Irregular locum and consultancy income: fluctuating earnings make it harder to plan for tax bills and can affect how much is set aside through the year.
- Pension considerations: NHS pension arrangements alongside private income can raise questions about annual allowances and contribution planning, which depend heavily on your individual circumstances.
- Choosing the right business structure: whether to operate as a sole trader, partnership or limited company affects how profits are taxed, how accounts are prepared and what administrative obligations apply.
- Practice and partnership finances: where profits are shared, the accounting needs to be accurate and transparent, and decisions about drawings, capital and reinvestment need proper records behind them.
Why Doctors Choose CruseBurke
Doctors come to CruseBurke for accounting support that recognises the reality of medical working patterns rather than forcing them into a generic template. We take the time to map out exactly where your income comes from, how it is taxed and what records you need to keep, then build an approach that fits around your working life. That means clear explanations rather than jargon, practical advice on expenses and structures, and a reliable process for meeting filing deadlines so nothing is left to chance. Whether you are a salaried doctor with a small private income or a locum juggling several contracts, we aim to make your financial position easier to understand and easier to manage, with communication that is straightforward and responsive.
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 accounting support in place does not need to be complicated. First, we spend time understanding how you work and where your income comes from, whether that is NHS salary, private medical fees, locum sessions, consultancy work or a combination of several streams. Second, we review your current accounting and tax position, looking at records, previous returns, business structure, expenses and anything that may need attention. Third, we put the right support in place and agree how we will work together going forward, covering the returns, accounts, bookkeeping or payroll you actually need, and the points in the year where your input will be required.
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 how doctors earn. Rather than treating your tax return as a single annual event, we look at the whole picture: NHS income alongside private fees, professional expenses that are quietly being missed, records that are harder to pull together than they need to be, and structural questions about how your private work is set up. We explain the reasoning behind our advice so you can make informed decisions, and we keep the practical side of compliance, such as bookkeeping, Self Assessment, VAT and payroll, running smoothly in the background. The result is accounting support that is specific to medical careers and adaptable as your role, income and responsibilities change.
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. If all your income is taxed through PAYE and you have no private, locum or consultancy earnings, you may not need to file a Self Assessment return at all. However, once you take on private work, locum sessions, consultancy, or income from a practice or partnership, the reporting position becomes more involved and professional support can save considerable time and reduce the risk of errors.
Yes. We bring together your NHS employment income, private medical fees, locum earnings and any other taxable income into a single return, making sure each source is reported correctly and that payments already made through PAYE are properly accounted for. The exact treatment depends on how your private work is structured and how you receive payment.
Commonly claimed items include medical indemnity insurance, professional body subscriptions, registration fees, certain professional development costs, specialist equipment and business travel or mileage. What is allowable depends on whether the cost is wholly and exclusively for your professional work, whether it relates to employment or self-employment, and whether your employer has already reimbursed it. We review your circumstances rather than working from a fixed list.
Locum income is generally reported through Self Assessment, and fluctuating earnings mean tax bills can be difficult to anticipate. Keeping accurate records of each contract, expenses and travel helps ensure the return is correct and that you are setting aside an appropriate amount through the year. Your precise position also depends on whether you work through an agency, directly for a trust, or through your own company.
Not automatically. Whether a limited company, partnership or sole trader arrangement is appropriate depends on your level of private income, how many people are involved, your pension position and your wider financial goals. There are administrative obligations attached to running a company, including annual accounts, Corporation Tax, and possibly payroll and VAT. We can talk through the trade-offs before you commit.
Yes. We can maintain your bookkeeping so records stay current, prepare management and annual accounts, handle payroll for practice staff, and advise on VAT where your private income and turnover make registration relevant. The scope of support is agreed around what your practice actually requires.
Many medical services are exempt from VAT, but the position can be different where you supply non-medical services, sell goods, or run a practice with significant private turnover. Whether you need to register and how you account for VAT depends on the nature and value of your supplies, so it is worth reviewing rather than assuming.
Yes, we work with doctors remotely as well as meeting where convenient, so your location within the Lydney area is not a barrier. If you are moving from another accountant, we can help with the handover, including requesting professional clearance and obtaining your records, so the transition is handled properly and deadlines are not missed.
Speak to an Expert
Take the Pressure Off Your Tax Affairs With Accountants for Doctors in Lydney
If your income now comes from more than one direction, whether that is NHS salary alongside private fees, locum sessions or consultancy work, keeping on top of Self Assessment and the records behind it can quickly become a second job. CruseBurke can help you bring those income streams together, prepare accurate tax returns and organise your bookkeeping so the figures are ready when you need them. Get in touch to talk through your circumstances and find out how our accounting support for doctors can be shaped around the way you actually work.