29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Maida Vale London
Doctors in Maida Vale London often juggle more financial moving parts than most professionals — NHS salary, private fees, locum shifts, consultancy work and the tax reporting that comes with each. Our accounting support is built around that reality, helping you keep Self Assessment under control, understand what you can legitimately claim as professional expenses, and keep your bookkeeping and tax compliance in good order throughout the year rather than in a last-minute rush before a deadline.
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Which Doctors Do We Support?
Doctors rarely fit neatly into one category, and their accounting needs tend to follow the shape of their working life rather than their job title. A salaried hospital doctor on PAYE may only need help with a side income and a straightforward Self Assessment return, while a GP partner faces partnership accounts, profit allocation and practice-level reporting. Locum doctors typically deal with timesheets, agency income, expenses and often a limited company or umbrella arrangement. Consultants combining NHS work with private practice may need to separate employment income from self-employed fees and understand how each is taxed. Private practitioners running a clinic or clinic-based business have bookkeeping, VAT registration considerations, payroll for staff and annual accounts to think about. Many doctors also hold portfolio careers — part-time NHS roles alongside private work, teaching, medico-legal reports or appraisals — and the interaction between those income streams is where good advice tends to matter most. Because tax treatment depends on employment status, income sources, business structure and your individual circumstances, we take the time to understand your particular mix before recommending an approach.
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
We provide accounting and tax support shaped around how doctors actually earn. For those with NHS and private income, that usually means preparing accurate Self Assessment tax returns that bring employment income, self-employed fees and any other earnings together properly, and making sure the right expenses are captured rather than overlooked. Locum doctors often need help with bookkeeping for irregular income, agency payment records and decisions about whether to operate as a sole trader or through a limited company. Consultants and private practitioners may need annual accounts, Corporation Tax returns, payroll, VAT registration and returns, management accounts and financial reporting for their practice. Where doctors work in partnership — a GP partnership being the clearest example — we can help with partnership accounts, profit shares and the tax returns that follow. Beyond compliance, our work often includes tax planning around income timing, pension contributions, business structure reviews and remuneration strategy, plus business structure advice for doctors considering a company, incorporating or restructuring. Everything is grounded in your circumstances rather than a one-size-fits-all template.
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 tend to generate more financial complexity than the average tax return, and the pressure of clinical work often leaves little room for admin. These are some of the areas where doctors most often need support.
- Multiple income sources arriving in different formats. NHS payslips, private fee statements, locum agency remittances and consultancy invoices rarely align neatly, which makes it easy to miss income when completing a tax return or to double-count it.
- Understanding which professional expenses are genuinely allowable. Medical indemnity insurance, GMC and royal college subscriptions, specialist equipment, professional journals and certain training costs may be claimable, but the rules differ depending on whether the cost relates to employment or self-employment.
- Self Assessment deadlines and record keeping. Gathering payslips, invoices, bank statements and expense receipts months after the fact is stressful and error-prone, particularly for doctors with unpredictable rotas and little spare time.
- Distinguishing employment from self-employment. A doctor may be employed for one role and self-employed for another, and each income stream is taxed and reported differently, with different expense rules attached.
- Locum income and how it is structured. Working through an agency, as a sole trader or via a limited company each carries different reporting and tax consequences that are worth reviewing before commitments are made.
- Pension considerations. NHS Pension Scheme membership sits alongside any private pension arrangements, and annual allowance questions can affect higher-earning doctors or those with additional private income.
- Practice and partnership finances. GP partners and doctors in partnership deal with shared profits, practice overheads and partnership tax returns, which requires a clear allocation of income and costs between partners.
- Business structure decisions. Whether to stay a sole trader, form a limited company or join a partnership affects how income is taxed, how profits are extracted and what compliance obligations apply.
Why Doctors Choose CruseBurke
Doctors come to us because they want an accountant who already understands the vocabulary of their working life — NHS income, private fees, locum shifts, medico-legal work, partnership profits and the expense rules that sit around each. Rather than asking you to explain the basics, we start from what you earn and how you earn it, then build the accounting and tax support around that. In practice, that means clear communication without unnecessary jargon, records organised in a way that makes each deadline manageable, and a proactive approach to tax compliance so nothing is left to chance. We also recognise that doctors’ circumstances shift over time: a training post becomes a consultancy role, a part-time private practice grows, a locum arrangement becomes a limited company. Advice that was right two years ago may not be right now, so we review your position as things change and explain your options in plain terms so you can make informed decisions.
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 accounting support in place should not add to an already full schedule. In the first step, we sit down with you to understand your circumstances — whether you are salaried, self-employed, in partnership, working as a locum, running a private practice, or some combination of these, and where each income stream comes from. In the second step, we review your current accounting and tax position: how your records are kept, how Self Assessment is handled, whether professional expenses are being claimed correctly, and whether your business structure still suits how you work. In the third step, we put the right support in place — bookkeeping, tax returns, annual accounts, payroll, VAT or planning work as needed — and agree how we will work together going forward, including how information is shared and when. From there, the aim is steady, organised compliance rather than an annual scramble.
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 is in how we approach doctors’ finances as a whole rather than as isolated tax returns. A doctor with NHS employment income, private fees and a small limited company has three separate sets of reporting obligations that interlock, and treating them separately can lead to missed expenses, avoidable errors or planning opportunities that never get raised. We look at the complete picture: how income streams interact, which professional costs are allowable and where, whether your current structure is efficient, how bookkeeping can be simplified around irregular working patterns, and how Self Assessment fits with any company or partnership filings. We also keep the conversation practical. Rather than issuing technical explanations and leaving it there, we explain what a change would mean in plain terms so you can weigh it up against your wider career plans. That approach suits doctors at different stages — newly qualified, mid-career, approaching retirement or building a private practice alongside NHS work.
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 doctor with a single salaried NHS role and no other income may find PAYE handles most of their tax, though even then a Self Assessment return may be required in certain situations. Where things get more involved — private fees, locum work, consultancy income, partnership profits, a limited company, or high pension contributions — an accountant can help ensure income is reported correctly, allowable expenses are identified, and deadlines are met. Many doctors value the reassurance of having someone check the detail.
The two are taxed differently. NHS salary is normally taxed through PAYE, while private fees and self-employed medical income are usually reported through Self Assessment. When both exist, the tax already deducted through PAYE is offset against your overall liability, and payments on account may become relevant. Getting this right means keeping employment records and private income records clearly separated, and understanding which expenses relate to which stream.
Commonly claimed items include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional journals, and certain costs of training and continuing professional development. Equipment, mileage for work-related travel and a proportion of home office costs may also be relevant in the right circumstances. The rules differ between employment and self-employment, so what is allowable depends on how the income is earned and whether the cost was incurred wholly and exclusively for the work.
There is no single answer, because it depends on your level of earnings, how many contracts you hold, how you want to be paid and your wider financial plans. Operating as a sole trader is generally simpler, with straightforward Self Assessment reporting. A limited company can offer different tax treatment and flexibility over how you take money out, but it also brings additional compliance obligations such as annual accounts, Corporation Tax returns and payroll. We can talk through the trade-offs based on your situation.
Yes. Partnership work typically involves preparing partnership accounts, allocating profits between partners according to the partnership agreement, and completing both the partnership tax return and each partner's individual Self Assessment return. We can also assist with capital accounts, drawings, practice expenses and the tax implications of partners joining or leaving.
NHS Pension Scheme contributions and any private pension contributions can affect your tax position, and for higher earners the annual allowance rules can lead to an additional tax charge. The interaction between scheme membership, additional contributions and overall income can be complex, so it is normally worth reviewing before making changes or increasing contributions.
Yes. Much of the information an accountant needs — payslips, invoices, bank statements, expense receipts — can be shared securely online, and many doctors prefer this because it fits around clinical schedules. We agree at the outset how information will be exchanged and how often you would like to be in touch, so the arrangement works for your working pattern.
Changing accountants is usually straightforward. We will ask for details of your current accountant and your authorisation to contact them, then handle the professional handover of information such as prior returns, accounts and records. Once everything is in place, we review your position and confirm what needs to be filed and when.
Speak to an Expert
Take the Pressure Out of Your Tax and Accounting Admin
If your income arrives from several directions at once — NHS salary, private fees, locum shifts or consultancy work — keeping on top of Self Assessment, expense claims and record keeping can feel like another job on top of a demanding one. CruseBurke helps doctors bring that under control, with support across tax returns, bookkeeping and tax planning designed around how you actually work. Speak to us about your circumstances and we will explain what is needed and where you stand.