29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Mansfield: Specialist Tax and Accounting Support
Good accounting support should make your financial life simpler, not busier. As accountants for doctors in Mansfield, we help you bring NHS pay, private fees, locum income and consultancy work into one clear picture, so Self Assessment, bookkeeping and tax planning are handled properly and on time. Whether you are salaried, self-employed, a partner in a practice or running your own medical business, the aim is the same: accurate records, sensible tax positions and fewer surprises.
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
Which Doctors Can Benefit From Specialist Accounting Support?
Doctors rarely fit into one tidy category, and their accounting needs reflect that. A salaried hospital doctor with a straightforward PAYE position may simply want a Self Assessment return prepared correctly alongside private work, while a locum doctor moving between contracts needs help tracking income, expenses and mileage across the year. GPs and consultants in private practice often deal with practice accounts, partnership profit shares, overheads and VAT considerations. Others combine NHS employment with private patient fees, medico-legal reports, teaching or research income, which means several income streams reported in different ways. A doctor working through a limited company has Corporation Tax, payroll and dividend decisions to think about, while a sole trader or partner faces a different set of rules entirely. Because tax treatment depends on your employment status, income sources, business structure and individual circumstances, the right approach is built around how you actually work rather than a 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 Built Around Medical Careers
We provide accounting and tax support that reflects the way doctors earn and spend. That can include preparing and filing Self Assessment tax returns covering NHS employment income, private fees, locum income and consultancy earnings, and reviewing allowable professional expenses such as medical indemnity cover, professional body subscriptions, training and CPD costs, specialist equipment, and travel and mileage. For doctors in business, we can prepare annual accounts and Corporation Tax returns for limited companies, partnership accounts and profit allocations for practices, and bookkeeping that keeps records tidy throughout the year rather than in a rush before the filing date. Payroll support can cover salaries, dividend planning and pension contributions where relevant, along with VAT registration and returns where private income means a doctor needs to be registered. Beyond compliance, we can provide management accounts, business structure reviews, and forward-looking tax planning that considers multiple income sources, pension considerations and changes in working arrangements.
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.
The Accounting and Tax Challenges Doctors Commonly Face
Medical careers tend to produce complex finances, and the reasons are usually structural rather than careless. These are the areas where doctors most often need clarity.
- NHS and private income sit side by side. PAYE income from an NHS role and fees from private patients are taxed and reported differently, so it is easy to overlook a source or misjudge how much tax is already covered.
- Several income streams mean several sets of records. Locum shifts, consultancy work, medico-legal reports and private fees may all need reporting, each with its own paperwork and timing.
- Professional expenses are not always claimed. Medical indemnity, GMC and royal college subscriptions, specialist equipment, training and CPD costs may be allowable, but only where the rules are met and the expense relates directly to the work.
- Travel and mileage add up quickly. Doctors frequently move between sites, practices, hospitals and home visits, and without a consistent mileage log it is difficult to support a claim.
- Pension considerations can affect the wider tax picture. NHS pension arrangements and annual allowance questions often need to be looked at alongside your overall income position rather than in isolation.
- Business structure matters. Working as a sole trader, within a partnership or through a limited company produces different tax and administrative outcomes, and not every structure suits every doctor.
- Practice and partnership finances need accuracy. GP partners and consultants in private practice deal with shared overheads, profit shares and drawings that require careful allocation.
- Record keeping slips when clinical work is demanding. Rotas, on-call commitments and admin pressure push paperwork back, which increases the risk of missed filing deadlines or payments on account.
Why Doctors Choose CruseBurke
Doctors come to CruseBurke because they want an accountant who already understands how medical income works. That means recognising the difference between NHS employment income and private fees, knowing where locum and consultancy earnings fit, and being comfortable dealing with the expenses doctors genuinely incur in the course of their work. We focus on clear communication, so you understand what is being filed, why a particular treatment applies and what it means for your tax position. Records are kept organised throughout the year, which makes Self Assessment and any company or partnership filings far less stressful. Just as importantly, the advice is practical and tailored. A salaried doctor with a small amount of private work has different needs from a GP partner or a doctor running a limited company, and the support is shaped accordingly rather than applied as a one-size-fits-all service.
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 Getting Started
Getting the right accounting support should not add to your workload. In the first step, we take time to understand your circumstances, including how you are employed or self-employed, whether you have NHS income, private fees, locum work, consultancy income or a combination of these, and how you would like to work with us. In the second step, we review your accounting and tax requirements: what needs to be filed, what records you already hold, how your income is currently recorded, and where there may be gaps or opportunities to tighten things up. In the third step, we put the appropriate support in place, whether that is preparing Self Assessment returns, setting up bookkeeping, running payroll, handling company or partnership accounts, or providing ongoing tax planning. From there, we keep in contact as your working arrangements change, because medical careers rarely stay still.
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?
A lot of accountants can complete a tax return. Fewer take the time to understand why a doctor’s finances look the way they do. At CruseBurke, the starting point is your working pattern: employed, self-employed, a partner, a company director, or a mix of several at once. From there, we look at how each income source is taxed, which professional expenses can be claimed and how they should be recorded, and what structure makes sense for the way you practise now and in the future. Bookkeeping is set up to suit your reality, whether you would rather hand over receipts and statements or keep digital records yourself. Self Assessment, company accounts, partnership accounts and any VAT obligations are managed as a connected picture rather than isolated tasks, so decisions made in one area do not create problems in another. The result is accounting support that is responsive to the details of medical work, not a generic service with a doctor-shaped label on it.
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 you are employed on a straightforward PAYE contract with a single income source and no additional work, you may not need much support. Once private fees, locum shifts, consultancy income, a partnership share or a limited company enter the picture, the reporting becomes more involved, and the risk of overpaying tax or filing something incorrectly rises. Many doctors find that professional support pays for itself through accurate record keeping and a clearer understanding of what is genuinely claimable.
Yes. NHS employment income is normally taxed through PAYE, while private fees are usually reported through Self Assessment. The two need to be brought together correctly, because tax already paid through PAYE is offset against the total liability. We look at both sources alongside any additional income you receive, check that everything has been reported, and make sure your expenses and pension contributions are treated properly.
Locum work usually means several engagements across the year, sometimes through agencies and sometimes directly with practices or trusts. Accurate records of each engagement, the income received, tax already deducted where applicable, and the expenses you incurred are essential. Travel between sites, professional indemnity cover and equipment costs often come into the picture. Keeping this organised as you go makes the tax return far quicker to prepare.
Common examples include medical indemnity and insurance cover required for your work, professional body and royal college subscriptions, costs of training and CPD that maintain or update skills you already use, specialist equipment, and travel and mileage for work journeys. There are rules around each category, and an expense generally needs to be incurred wholly and exclusively for your profession. Personal costs, ordinary commuting, and training that qualifies you for a new role are usually not allowable.
There is no universal answer. Sole trader status is straightforward and suits many locums and private practitioners with modest turnover. Partnerships are common in general practice and bring their own profit allocation and reporting requirements. A limited company can be appropriate for some doctors with higher profits, but it introduces Corporation Tax, payroll and compliance obligations, and the tax treatment of dividends needs to be considered carefully. The right structure depends on your income level, working pattern and plans.
Yes. Partnership accounts for a practice involve allocating profits between partners according to the partnership agreement, accounting for shared overheads such as premises, staff and equipment, and preparing the partnership tax return alongside each partner's individual return. This is one area where accuracy between partners matters, particularly where profit shares change during the year.
Accounting work can generally be handled remotely, with documents shared securely and meetings held by phone or video call. Some doctors prefer that flexibility because of clinical schedules. If you would rather meet in person at certain points, that can be arranged. Either way, the process is structured around keeping your records current and filing on time.
Switching is usually more straightforward than people expect. We would ask for your permission to contact your current accountant for professional clearance and the information needed to take over, along with details of your income sources, previous filings and any outstanding matters. Once we have that, we review your position and set up the accounting and bookkeeping support appropriate to your circumstances, without disrupting your existing filing arrangements.
Speak to an Expert
Take the Pressure Out of Self Assessment With Accountants for Doctors in Mansfield
If your income arrives from several directions at once, from NHS pay to private fees, locum shifts or consultancy work, keeping track of what has been taxed, what is claimable and what still needs reporting can quickly become overwhelming. CruseBurke can simplify that with Self Assessment preparation that covers all your income sources and bookkeeping that keeps your records in order all year round. Talk to our team about how you work, and we will explain how specialist accounting support for doctors in Mansfield can fit around your clinical commitments.