29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Market Deeping
Specialist accounting support for doctors in Market Deeping, from GPs and hospital doctors to locums, consultants and private practitioners. Whether your income comes from NHS work, private practice, locum shifts or a mix of all three, we help you keep your records in order, understand your Self Assessment position and stay on top of your tax and filing responsibilities — with advice shaped around how you actually work.
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Which Doctors Do We Support?
Doctors rarely fit into a single financial box. A salaried hospital doctor on PAYE has a very different accounting picture from a locum working through several contracts, or a consultant building a private practice alongside NHS commitments. We support GPs — including partners, salaried GPs and locums — hospital doctors and consultants, private practitioners, doctors with portfolio careers, and those earning from NHS work, private medical work, medico-legal or consultancy income, teaching, or any combination of these. Their accounting needs differ depending on employment status, how income is received, whether they operate as a sole trader, partner or limited company, and the level of expenses they incur. Some need straightforward Self Assessment support, others need partnership accounts, payroll, VAT registration or help deciding on the right business structure. We take the time to understand which of these applies to you before recommending anything.
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 built around the realities of medical work, where income can arrive from multiple sources and expenses are often profession-specific. We prepare and file Self Assessment tax returns covering NHS income, private practice fees, locum earnings, consultancy and medico-legal income, and other professional receipts, making sure each source is treated correctly. For doctors in private practice or running a medical business, we handle annual accounts, bookkeeping and management accounts, Corporation Tax where a limited company is involved, and partnership accounts where you work alongside other practitioners. We can also support payroll for practice staff or for your own salary, VAT registration and returns where turnover requires it, and tax planning around profit extraction, pension contributions and the timing of income and expenditure. If you are weighing up whether to work through a limited company, join a partnership or remain a sole trader, we can talk through the practical and tax implications for your circumstances. Everything is underpinned by clean, well-organised records — because the quality of your bookkeeping directly affects how straightforward your year-end and tax position will be.
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 Often Face
Medical careers generate financial complexity that a generalist accountant may not anticipate. These are some of the areas doctors most often need help with.
- Multiple income streams in one tax year. NHS salary, private fees, locum shifts and consultancy income can all be taxed differently and reported separately, so keeping track of what has been earned, deducted and declared is rarely straightforward.
- Self Assessment accuracy and deadlines. Even where PAYE has been operated, additional income and expenses usually still need to be reported. Missing or misreporting figures can lead to enquiries, penalties and unnecessary stress.
- Identifying allowable professional expenses. Medical indemnity cover, professional body subscriptions, registration fees, specialist equipment, training and continuing professional development costs, and travel between sites can all be relevant — but only where the rules are met, and the treatment is not always obvious.
- Mileage and travel records. Doctors frequently travel between hospitals, surgeries, clinics and home visits. Without consistent records, legitimate claims can be lost or become difficult to support.
- Pension considerations. NHS pension arrangements, annual allowance issues, contribution decisions and the interaction with private income can be complex and often need to be reviewed alongside your overall tax position rather than in isolation.
- Choosing and running the right business structure. Sole trader, partnership or limited company each bring different filing obligations, tax outcomes and administrative requirements. The right answer depends on your income levels, plans and appetite for admin.
- Bookkeeping and record keeping under pressure. Rotas, on-call commitments and unpredictable hours make it easy to fall behind on receipts, invoices and expenses — which then complicates year-end accounts, VAT returns and tax filings.
- Practice and partnership finances. Doctors involved in partnerships, practices or shared premises may need help with profit allocation, partner drawings, staff payroll and reporting that keeps all partners aligned.
Why Doctors Choose CruseBurke
Doctors choose CruseBurke because we understand that medical income does not arrive in a neat, single format. We take time to map out where your income comes from, how it is taxed and what can legitimately be claimed, then put practical processes in place so your records stay accurate throughout the year rather than being reconstructed in a rush before a deadline. Our advice is clear and jargon-free: we explain what needs to be filed, why it matters and what options you have, so you can make informed decisions about your finances without taking time away from clinical work. We support doctors with a single salaried role as well as those juggling NHS work, private practice, locum contracts and consultancy income, and we adapt our approach to your structure — whether that is PAYE employment, sole trader income, a partnership or a limited company. Good organisation sits at the heart of it: reliable bookkeeping, well-prepared accounts, accurate returns and clear communication when something needs your attention.
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 should not add to an already full workload. First, we start with a conversation about how you work and where your income comes from — NHS salary, private fees, locum work, consultancy, teaching, medico-legal work or a combination. We ask about your employment status, your business structure, any partnerships and your pension arrangements so nothing is missed. Second, we review your accounting and tax position: what has been filed previously, how your records are kept, which expenses you incur and where there may be gaps or compliance risks. Third, we set up the support that fits — whether that is preparing your Self Assessment return, taking over bookkeeping, handling payroll or VAT, preparing annual or partnership accounts, or advising on structure and tax planning. From there, we keep things running with clear communication and reminders ahead of your filing obligations.
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 us apart is the way we connect the different parts of a doctor’s financial life rather than treating each in isolation. Your NHS income, private earnings, locum receipts and consultancy fees all interact, and so do the decisions you make about expenses, pension contributions and business structure. We look at the whole picture and explain how each element affects the others, so you are not making choices in the dark. We are comfortable working with the profession-specific details that matter — medical indemnity, professional subscriptions, registration and appraisal costs, specialist equipment, training and CPD, and travel between clinical settings — and we apply the rules carefully rather than assuming a cost is claimable simply because it is work-related. Just as importantly, we keep the administrative side in order. Accurate bookkeeping, tidy records, prepared accounts and returns filed on time reduce the risk of queries and give you a reliable view of your income and tax position during the year, not just after it. The result is accounting support that is genuinely useful to a working doctor: specialist, organised and explained in plain English.
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 a salaried doctor with no other income, your tax is usually handled through PAYE and you may only need to file a return in certain situations. Once you take on locum work, private practice income, consultancy or medico-legal fees — or become a GP partner or company director — the reporting becomes more involved and professional support is usually worthwhile. An accountant can help you claim the expenses you are entitled to, report each income source correctly and avoid errors that lead to enquiries or penalties.
Your NHS salary is normally taxed through PAYE, while private fees, locum earnings and consultancy income are usually reported through Self Assessment. The return needs to bring these together accurately, account for tax already paid through PAYE and calculate any further liability. Where income is received gross, you may also need to consider payments on account. We prepare the return, check that all sources are included and explain what you owe and why.
Locum doctors are commonly engaged in a way that means income is not taxed at source, so Self Assessment is usually required. You will need to keep records of each contract, the income earned and the expenses directly related to that work. Depending on how you are engaged and the nature of your arrangements, there may also be questions about employment status and whether working through a limited company is appropriate — an area where specialist advice is valuable.
Commonly considered expenses include medical indemnity insurance, professional body subscriptions, registration fees, specialist equipment, training and CPD costs, and travel between clinical sites or to temporary workplaces. Whether a particular cost is allowable depends on the rules and your individual circumstances — for example, ordinary commuting is not generally claimable, and some training costs are treated differently from others. We review your outgoings and confirm what can be claimed and how it should be recorded.
VAT registration depends on your taxable turnover and the nature of your services, and some medical services are exempt while others are not. It is not simply a case of the total income you receive. If you are approaching the registration threshold, or you provide a mix of exempt and standard-rated services, it is worth reviewing your position before you register so that the implications are understood.
There is no single right answer. Sole trader status is simpler to administer, partnerships suit doctors working together in a practice, and a limited company can offer different tax and profit-extraction options but brings additional filing and compliance obligations. The best structure depends on your income levels, how you work, your plans and how much administration you want to take on. We can talk through the practical implications of each before you commit.
Yes. Pension contributions, NHS pension arrangements and the interaction between pension position and private income can all affect your tax position, and it is often sensible to look at them together rather than separately. We can factor pension matters into your tax planning discussions and flag areas where you may want to seek specialist pension advice.
Switching is usually straightforward. Once you decide to move, we can contact your existing accountant to request the information we need, review your previous filings and records, and confirm what still needs to be done for the current year. You do not need to wait until the end of a tax year or your accounting period, and we will explain each step so nothing falls through the gap. If you are unsure whether a change is worthwhile, we are happy to have an initial discussion about your situation first.
Speak to an Expert
Take the Pressure Out of Your Tax and Accounting Responsibilities
If your income arrives from several directions — NHS salary, private fees, locum contracts or consultancy work — keeping every figure accurate and every deadline met can quickly become a job in itself. CruseBurke provides specialist accounting support for doctors, from Self Assessment and tax returns through to bookkeeping, payroll and advice on the right business structure for your circumstances. Get in touch to talk through how you work and what you need, and we will explain how we can help.