29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Maesteg
Specialist accounting support for doctors in Maesteg, designed around the way medical careers actually work. Whether you are a salaried hospital doctor, a GP, a locum, a consultant with private work, or a doctor combining NHS and private income, our doctor accountants help you make sense of Self Assessment, multiple income sources, allowable professional expenses, bookkeeping and ongoing tax compliance — so your financial affairs stay organised, accurate and clearly explained.
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Which Doctors Do We Support?
Doctors are not a single, uniform group, and their accounting needs rarely look the same. We support GPs working within practices or as partners, hospital doctors and consultants on salaried contracts, locum doctors moving between assignments, doctors with private practices or private patient income, and clinicians who combine NHS employment with private or consultancy work. A salaried doctor may primarily need a straightforward Self Assessment and help claiming the right professional expenses, while a locum doctor faces fluctuating income, expenses spread across multiple engagements, and the challenge of keeping records complete throughout the year. A GP partner or practice owner has an added layer of partnership or company accounting, payroll and pension considerations. Doctors with private income may need support with invoicing, VAT registration questions, annual accounts and tax planning across several income streams. Because each arrangement carries different tax treatment, we look at your individual circumstances — your employment status, income sources, business structure and professional activities — before recommending an approach, rather than applying a one-size-fits-all template.
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 and Tax Services for Doctors in Maesteg
Our services are built around the practical accounting and tax work doctors need, depending on how and where they earn. For doctors with NHS employment income, private medical income, locum income or consultancy fees, we can prepare and file Self Assessment tax returns, calculate liabilities and help you understand what is due and when. Where records need tightening, we provide bookkeeping support so income and expenses are captured accurately across the year. For doctors running a private practice, partnership or limited company, we can prepare annual accounts, partnership accounts and financial reporting, handle Corporation Tax, and advise on business structure where a change may be worth considering. We also support payroll for practice staff or for doctors who pay themselves through a company, and VAT registration and returns where a medical or consultancy business exceeds the relevant threshold. Throughout the year we can provide management accounts, tax planning and practical advice on the treatment of professional expenses such as medical indemnity, professional subscriptions, training and professional development, equipment, and travel or mileage. Because treatment often depends on your contract, business structure and personal circumstances, we set out the options and implications before anything is submitted.
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 careers generate a distinctive mix of tax and accounting issues. These are the areas doctors most often ask us about, though the detail always depends on your own contracts, income sources and circumstances.
- Multiple income sources to reconcile. Combining NHS salary, private fees, locum shifts or consultancy work in one year means several sets of figures must be pulled together accurately for Self Assessment, and it is easy for a payment or a set of records to be overlooked.
- Knowing which expenses are allowable. Medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, mandatory training and professional development costs, and equipment used for work may be claimable, but the rules are specific and depend on whether the cost relates to your employment, your self-employment or both.
- Variable or irregular income. Locum doctors and those with private or consultancy income can see earnings rise and fall considerably between months, which makes cash flow planning, payment on account and budgeting for tax bills more difficult.
- Record keeping across the year. Receipts, mileage logs, invoices and bank transactions mount up quickly when you are working across several locations or roles, and reconstructing a year of expenses at the filing deadline is far harder than maintaining records as you go.
- Tax deadlines and payments on account. Self Assessment carries fixed deadlines and, for many doctors with untaxed income, payments on account towards the following year. Missing or underestimating these can lead to avoidable interest and penalties.
- Business structure decisions. Whether to operate as a sole trader, in partnership or through a limited company affects how income is taxed, how accounts are prepared and what compliance obligations apply — and the right answer depends on your income mix and plans.
- Partnership and practice finances. GP partners and doctors in practice ownership deal with profit shares, practice accounts, staff payroll and pension arrangements, which sit alongside their own personal tax position rather than replacing it.
- Pension considerations. NHS pension contributions, annual allowance questions and private pension arrangements can interact with your taxable income, so it helps to consider pension decisions alongside your wider tax planning rather than in isolation.
Why Doctors Choose CruseBurke
Doctors choose CruseBurke because they want an accountant who recognises the shape of a medical career rather than asking them to fit into a standard template. We take the time to understand how you earn — NHS employment, private practice, locum sessions, consultancy work, or a combination — and then build the accounting and tax support around it. That means clear explanations of what is allowable and why, organised records that stand up to scrutiny, and returns prepared and filed on time so deadlines do not become a source of stress. We communicate in plain language, flag issues before they become problems, and keep the process practical: you supply the information, we handle the technical detail. Whether you are newly qualified, newly self-employed, taking on private work for the first time, or reviewing an existing arrangement, we aim to give you confidence that your tax position is accurate, your affairs are in order, and you have someone to ask when a financial decision needs a second opinion.
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 should feel organised, not overwhelming. First, we start with a conversation about you — your role, your contracts, and every source of income you receive, whether that is NHS salary, private fees, locum shifts, consultancy work or a mixture of several. Second, we review your accounting and tax requirements against those circumstances: what needs to be reported, which expenses may be claimable, what records you already hold, and where there are gaps or deadlines approaching. Third, we put the appropriate support in place, which might mean preparing your Self Assessment, setting up bookkeeping, handling payroll or VAT, preparing annual or partnership accounts, or advising on business structure and tax planning. From there we keep things running, checking in as your circumstances change and keeping you informed of what is needed 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 for Doctors
What sets our approach apart is the way we connect the different parts of a doctor’s financial life instead of treating them as separate jobs. A single Self Assessment can involve NHS employment income, private practice profits and locum earnings, each with its own rules and records — and the treatment of expenses such as medical indemnity, professional subscriptions or training costs can differ depending on which income stream they relate to. We work through those distinctions carefully, keeping your bookkeeping, tax returns, annual accounts and any VAT or payroll obligations aligned with one another. For doctors running a practice, in partnership or through a limited company, we also look at how the business structure affects both the practice accounts and your personal tax position, and we raise planning points — around pension contributions, profit extraction or the timing of income — while there is still time to act on them. The result is advice that is specific to doctors rather than generic, backed by clear communication and a preference for explaining the reasoning behind each recommendation so you can make informed decisions.
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, but many benefit from one. If all of your income is taxed through PAYE and you have no untaxed income, expenses to claim or other complications, your tax affairs may be straightforward. Doctors who usually gain the most are those with locum or private income, those claiming professional expenses such as medical indemnity or subscriptions, GP partners and practice owners, and anyone with multiple income sources. The starting point is always your own circumstances rather than a general rule.
It depends on your income. Salaried doctors whose tax is fully collected through PAYE may not need to file, but a return is usually required if you have self-employed locum or private income, untaxed income from other sources, significant investment or rental income, or high income where additional tax is due. HM Revenue & Customs will normally tell you if they expect a return. If you are unsure, it is worth checking before the deadline rather than after it.
NHS employment income is generally taxed through PAYE, with tax deducted at source, while private practice or consultancy income is usually self-employed income reported on a Self Assessment tax return, with tax and National Insurance paid separately. Where you have both, they appear on the same return but are calculated under different rules, and expenses must be attributed to the correct income stream. Keeping those records separate throughout the year makes the return far more straightforward.
Locum doctors who are self-employed can often claim expenses that are wholly and exclusively incurred for their work. These may include medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, mandatory training and continuing professional development, equipment and specialist clothing, and travel between assignments, including a mileage claim where a personal vehicle is used. The rules are specific and not every cost qualifies, so it is worth reviewing your expenditure rather than assuming everything is allowable.
Medical indemnity and professional subscriptions are among the most commonly claimed expenses for doctors, and they are often allowable where they relate to your work. The position can differ depending on whether you are employed, self-employed or both, and whether an employer reimburses you. Where a cost relates partly to employed and partly to self-employed work, it may need to be apportioned. We check how each item applies to your situation before including it.
It depends. A limited company can suit some doctors with substantial private or consultancy income, bringing different tax and National Insurance treatment along with additional obligations such as annual accounts, Corporation Tax returns and Companies House filings. For others, sole trader or partnership status remains simpler and more appropriate. The right choice depends on your level of profits, how you draw income, your pension position and your longer-term plans, so it is a decision worth discussing rather than assuming.
Yes. Much of the accounting and tax work doctors need — bookkeeping, Self Assessment, annual accounts, payroll and VAT returns — can be handled remotely, with documents shared securely and meetings held by phone or video call. What matters most is that information flows reliably between us and that you know what is due and when. If you prefer to meet in person, that can be discussed as part of getting started.
Changing accountants is usually more straightforward than doctors expect. We begin with a conversation about your role, your income sources and what you currently have in place, then review your existing records and filings to identify anything outstanding. With your authorisation we contact your previous accountant for the information we need, and HMRC is updated so that correspondence comes to us. From there we agree a scope of support and get your accounting and tax affairs onto a clear footing.
Speak to an Expert
Make Sense of Your Income, Expenses and Tax Deadlines in Maesteg
Juggling NHS salary, private fees and locum income while trying to keep on top of Self Assessment is a lot to manage alongside a demanding clinical career. CruseBurke provides accounting support for doctors in Maesteg, including Self Assessment preparation and advice on allowable professional expenses such as medical indemnity and professional subscriptions, so your records stay organised and your tax position is clear. If you would like a straightforward conversation about how your own circumstances are treated, get in touch with our team and we will take it from there.