29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in March
Specialist accounting support built around the way doctors actually earn. Whether you are a GP, hospital doctor, consultant, locum or private practitioner in March, we help you make sense of Self Assessment, NHS and private income, bookkeeping and tax compliance, so your financial affairs stay organised and your tax position is properly managed.
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⭐ What Clients Say About Us
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Which Doctors Do We Support?
Doctors rarely have a simple tax position, and the accounting support that suits one clinician may be a poor fit for another. A salaried hospital doctor on PAYE with occasional locum shifts has very different requirements from a GP partner, a consultant running a private practice, or a doctor combining NHS work with medico-legal or consultancy income. We support GPs, hospital doctors and consultants, locum doctors, salaried doctors, private practitioners, and doctors who blend several types of medical work at once. Your accounting needs will depend on factors such as your employment status, how many income sources you have, whether you work through a partnership or limited company, and the professional costs you incur. Some doctors need straightforward support with a Self Assessment tax return and a clear record of allowable expenses, while others need help with practice or partnership accounts, payroll, VAT, or structuring private income sensibly. We take the time to understand your particular mix of work before recommending anything, because treatment that is right for one doctor can be quite wrong for another.
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
Our services are shaped around the financial realities of medical work, not a generic small business template. For doctors with self-employment or untaxed income, we prepare and file Self Assessment tax returns, bringing together NHS income, private medical fees, locum earnings, consultancy income and any other sources into one coherent picture. We handle bookkeeping and record keeping so that your income and expenses are captured properly through the year rather than reconstructed in a rush, and we prepare annual accounts for private practices, partnerships and limited companies. Where a doctor operates through a company, we look after statutory accounts, Corporation Tax and director reporting, and where a practice employs staff, we can support payroll and pension administration. VAT registration and returns are relevant to some doctors and not others — it depends on the nature and level of your private or consultancy work — so we assess whether it applies to you rather than assuming. Alongside compliance, we provide tax planning and business structure advice, helping you consider whether sole trader, partnership or limited company status fits your circumstances, how drawings and profit share should be handled, and how allowable professional expenses such as indemnity cover, professional subscriptions, training and equipment can be correctly treated. Management accounts and financial reporting are available for doctors who want a clearer view of how a practice or private venture is performing.
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 Face
Medical careers rarely follow a single financial track, and much of the difficulty doctors encounter comes from managing several income streams and expense types at once. These are some of the areas where specialist support tends to make the biggest difference.
- Combining NHS and private income: PAYE income is taxed at source, but private fees, medico-legal work and consultancy payments often are not, and the interaction between the two can affect the tax you owe.
- Multiple income sources on one return: Locum shifts, private practice, teaching, research and consultancy may all need reporting together, which makes accurate record keeping essential.
- Tracking allowable professional expenses: Medical indemnity, GMC and royal college subscriptions, specialist equipment, professional development and clinical travel can all be relevant, but only where properly documented and genuinely incurred for your work.
- Getting mileage and travel right: Moving between sites, practices and hospitals creates travel and mileage claims that are easy to under-record and easy to get wrong without consistent logs.
- Pension considerations: NHS pension membership, annual allowance questions and private pension arrangements can interact, and the right approach depends on your circumstances rather than a standard rule.
- Choosing the right business structure: Deciding between sole trader, partnership and limited company has consequences for tax, administration and how you take money out of the business.
- Practice and partnership finances: Profit shares, capital accounts, drawings and staff costs need careful handling, particularly where partners have different working patterns.
- Meeting filing and payment obligations: Self Assessment, company filing and VAT responsibilities carry different dates, and missing them can lead to avoidable penalties and interest.
- Keeping records organised through a busy clinical week: Without a simple system, receipts, locum statements and private invoices build up until deadline pressure makes everything harder.
Why Doctors Choose CruseBurke
Doctors choose CruseBurke because they want an accountant who recognises that medical income does not behave like ordinary business income. We understand how NHS pay, private fees, locum work and consultancy earnings sit alongside each other, and we explain what that means for your tax position in plain language rather than jargon. You get practical advice on the expenses you can legitimately claim, a proper structure for your bookkeeping and records, and support with Self Assessment and company or partnership filings so nothing is left until the last minute. We also recognise that doctors work long, unpredictable hours, so we keep communication straightforward and make it easy to share documents and ask questions when it suits you. Whether you are newly qualified, working as a locum, considering a limited company, or running a practice with employed staff, we tailor the support to your circumstances rather than applying a one-size-fits-all approach. Our aim is simple: to give you confidence that your accounting and tax affairs are accurate, well organised and being handled by people who understand your profession.
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 the right accounting support in place should not add to an already full workload. It starts with a conversation about how you work — whether that is NHS employment, private practice, locum shifts, consultancy, a partnership or a mix of several. From there, we review your current accounting and tax position: what income sources you have, how they are reported, what records you keep, and where the gaps or risks sit. We then set out the appropriate support, which might mean handling your Self Assessment tax return, putting bookkeeping in place, preparing annual accounts and Corporation Tax filings, running payroll, or advising on business structure and tax planning. Once everything is agreed, we put the arrangements in place and keep them running, so your records stay current and your deadlines are met without last-minute scrambling.
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 treat the detail of medical income and expenses. Rather than filing a return based on whatever figures are to hand, we look at how your NHS income, private fees, locum earnings and consultancy work fit together, and how each element should be reported. We examine the costs you incur as a doctor — indemnity cover, professional body subscriptions, training, equipment, travel and home office use where relevant — and make sure the allowable ones are captured correctly, with the records to support them. Where a practice or partnership is involved, we deal with profit allocation, drawings, staff costs and the reporting obligations that come with it. Where a limited company is the right structure, we handle company accounts, Corporation Tax and payroll requirements. And where VAT may apply to private or consultancy income, we assess whether registration is needed rather than leaving you exposed either way. The result is accounting support that reflects the reality of a medical career, with clear explanations of the options and the consequences of each.
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. If your income comes solely through PAYE and your tax code is straightforward, your position may be manageable on its own. However, once you take on locum shifts, private fees, consultancy or medico-legal work, you have income that is not taxed at source and a Self Assessment return to complete. An accountant can make sure everything is reported correctly, that legitimate professional expenses are claimed, and that you are not paying more tax than you need to.
We bring them together into one clear picture. NHS pay is taxed through PAYE, while private fees, locum income and consultancy payments usually need to be declared separately. The two interact, because your total income affects the tax you owe on the untaxed element. We reconcile the figures, apply the relevant allowances and reliefs where they are genuinely available, and file a Self Assessment return that reflects your full position rather than just part of it.
Commonly claimed items include medical indemnity cover, GMC and royal college or specialist society subscriptions, required professional development and training, specialist equipment and uniforms, and travel or mileage between work locations. Whether each item is allowable depends on your circumstances and on the records you keep, so we review your spending rather than assuming a standard list applies.
Locum work is often treated as self-employment, which means registering with HMRC, keeping records of fees and expenses, and completing a Self Assessment return. It also opens up the question of business structure, because some locums consider working through a limited company. The right answer depends on your level of income, how you want to be paid and your wider circumstances, and we can talk through the implications of each option.
For many doctors, VAT is not relevant, because most medical services are exempt. However, VAT can become an issue where you provide non-exempt services, sell goods, or run certain ancillary activities through a practice or company. We assess whether registration is required in your case, rather than treating VAT as something every doctor must deal with.
Yes. GP partnerships and private practices typically need annual accounts showing profit allocation between partners, alongside capital and current accounts, drawings and any employed staff costs. We prepare those accounts, handle the associated tax returns for the partnership and each partner, and support payroll where the practice employs people.
It depends. A limited company can suit some doctors with substantial private or consultancy income, but it brings extra administration, company accounts, Corporation Tax filings and payroll obligations, and it is not automatically more tax-efficient. We look at your income sources, how you take money out, and your longer-term plans before advising on structure.
Yes. Much of the process can be handled remotely, with documents shared securely and conversations arranged around your clinical commitments. Getting started usually means an initial discussion about how you work, the income sources you have, and what you currently do about tax and records. From there we can confirm the scope of support that fits your circumstances.
Speak to an Expert
Take the Guesswork Out of Your Medical Tax Affairs Get specialist accounting support in March, with clear answers on Self Assessment, expenses and multiple income sources.
Juggling NHS pay, private fees, locum income and a pile of receipts is where mistakes and missed claims usually start. CruseBurke helps doctors in March bring order to their finances through accurate Self Assessment tax returns and organised bookkeeping, so every income source is reported and every legitimate professional expense is accounted for. If you would like a clearer view of your tax position, our team is ready to talk through your circumstances.