29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Marlborough
CruseBurke provides specialist accounting and tax support for doctors in Marlborough, whether you are a GP, hospital doctor, consultant, locum or private practitioner. From Self Assessment and multiple income sources to NHS and private medical earnings, bookkeeping and staying on top of tax compliance, we help you keep your financial affairs organised, accurate and clearly explained — so you can focus on patients rather than paperwork.
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Which Doctors Do We Support?
Doctors rarely fit into a single financial mould. A salaried hospital doctor on PAYE has very different accounting needs from a locum working through several contracts, a consultant building a private practice alongside NHS commitments, or a GP partner sharing responsibility for practice finances. Equally, a doctor running a limited company for private or consultancy work may need annual accounts, Corporation Tax and payroll support, while someone with a modest private income may simply need a well-prepared Self Assessment tax return. The doctors we support typically include GPs, hospital doctors and consultants, locum and salaried doctors, private practitioners, and those combining NHS income with private medical work or consultancy. Because tax treatment depends on factors such as your employment status, income sources, business structure and individual circumstances, the right approach is worked out case by case rather than assumed. If your working arrangements change — a new contract, a move into private practice, a partnership, or additional income streams — your accounting and tax position can change with it, and it is worth reviewing regularly.
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 Marlborough
Our accounting services for doctors are built around the way medical professionals actually earn. For doctors with multiple income sources — NHS salaries, locum shifts, private fees, consultancy work or medico-legal income — we prepare and file Self Assessment tax returns, making sure all income is accounted for and that allowable professional expenses are treated correctly. Where you run a limited company or a medical practice, we handle annual accounts, Corporation Tax computations, financial reporting and management accounts that give you a clearer view of how the business is performing. Bookkeeping support keeps records tidy and up to date across the year, which makes tax deadlines far less stressful, and payroll services can cover both practice staff and, where relevant, your own salary and dividends. VAT registration and returns are handled where your activities require it, and partnership accounts are prepared for doctors working in shared arrangements. Alongside compliance, we offer practical tax planning and business structure advice, looking at whether your current setup still suits your mix of NHS and private work, and flagging pension considerations where they affect your planning. Not every service is relevant to every doctor, so we focus on what genuinely applies to your circumstances.
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 straight line, and the accounting side often reflects that. These are some of the areas where doctors commonly need clarity.
- Multiple income sources in one tax year. A doctor may receive an NHS salary, locum payments, private fees and consultancy income at the same time. Each source can be taxed differently, and the interaction between PAYE and Self Assessment needs to be handled carefully to avoid errors or unexpected tax bills.
- Self Assessment deadlines and record keeping. Gathering payslips, locum statements, invoices and expense receipts after the year end is time-consuming. Keeping records organised during the year makes the return more accurate and reduces the risk of missing income or claiming expenses incorrectly.
- Allowable professional expenses. Claiming for medical indemnity, professional subscriptions, training and professional development, equipment, travel and mileage is not simply a case of listing everything paid for. Whether a cost is allowable depends on why it was incurred and how your work is structured, so expenses need reviewing rather than assuming.
- NHS and private income combined. Consultants and private practitioners often need to separate NHS duties from private medical income, both for record keeping and for understanding which expenses relate to which stream of work.
- Locum and consultancy income. Locum work and consultancy arrangements can look like employment on the surface but be treated as self-employment, which affects registration, expense claims and payment on account. Getting the classification right early avoids problems later.
- Choosing the right business structure. Whether to work as a sole trader, in a partnership or through a limited company depends on your income levels, contract arrangements and long-term plans. Corporation Tax, dividend treatment and partnership profit shares all come into the decision.
- Partnership and practice finances. GP partners and doctors in shared practices deal with profit shares, practice expenses, drawings and partnership tax returns, which require clear accounting records and agreed treatment between partners.
- Pension considerations. Annual allowance and contribution questions can affect how much private income it makes sense to take in a given year. These are planning matters rather than simple compliance points, and they benefit from being considered before the year ends rather than after.
Why Doctors Choose CruseBurke for Accounting Support
Doctors come to CruseBurke because they want an accountant who recognises the difference between a straightforward PAYE return and the layered financial picture many medical professionals actually have. We take the time to understand how you work — salaried, self-employed, in a partnership, through a limited company, or a combination — before recommending how your accounts and tax position should be handled. That means clear explanations in plain English rather than jargon, practical advice on expenses and record keeping, and organised bookkeeping that keeps your files in good shape throughout the year. We help you stay compliant with Self Assessment, VAT, payroll and company filing obligations, while keeping an eye on planning opportunities that suit your circumstances. Whether your income comes mainly from the NHS, largely from private practice, or from a mix of both, the support is tailored to your situation, and we review it as your career and finances evolve.
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 your accounting support in place should not add to an already busy schedule, so we keep the process straightforward. First, we start with a conversation about your circumstances — how you are employed or self-employed, whether you have NHS income, private medical income, locum work, consultancy income or other professional earnings, and what you currently do about tax and record keeping. Second, we review your accounting and tax requirements, identifying what needs to be filed, which expenses may be allowable, whether your current business structure still fits and where there may be gaps in your records or deadlines you need to plan around. Third, we put the appropriate support in place, agreeing what we will handle — from Self Assessment and bookkeeping to annual accounts, payroll, VAT or partnership accounts — and how and when we will communicate with you during the year. From there, we keep things running, updating your position as your work arrangements change.
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
What sets our work with doctors apart is an appreciation that medical income rarely arrives in one neat stream. NHS pay, private fees, locum shifts, consultancy arrangements and medico-legal work each carry their own record-keeping and tax implications, and they often overlap within the same tax year. We map that out before advising, so the accounting treatment reflects reality rather than an assumption. That approach feeds through into everything from Self Assessment returns that properly account for every income source, to expense reviews that consider medical indemnity, professional subscriptions, training, equipment and travel in the right context. Where a doctor operates through a limited company or partnership, we handle the resulting accounts, Corporation Tax, payroll and reporting requirements, and we advise on structure when circumstances change. Underpinning it all is clear, responsive communication: you should understand what has been filed, why a figure is what it is, and what needs to happen next — without needing a tax background to follow 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
Not every doctor does. If your only income is a straightforward NHS salary taxed through PAYE and you have no untaxed income or complex expenses, your tax may largely take care of itself. The picture changes once you have private medical income, locum or consultancy earnings, a limited company, a partnership interest or significant professional expenses. At that point, an accountant can help make sure income is reported correctly, allowable expenses are claimed appropriately and deadlines are met.
It depends on your circumstances. Many doctors with only a salaried NHS role do not need to file, but a return is usually required if you have untaxed income such as private fees, locum earnings, consultancy income, rental income or significant savings and dividend income. Higher earners may also be brought into Self Assessment through income thresholds or child benefit charges. We can review your position and confirm whether a return is required.
NHS salary is normally taxed through PAYE, with tax deducted at source. Private medical income is often treated as self-employment or, where a limited company is involved, through company profits and any salary or dividends you take. The two sit side by side on your tax return, and your tax position reflects the combined total. Because expenses and allowances can apply differently to each stream, keeping them clearly separated in your records helps.
Medical indemnity insurance and professional body subscriptions are commonly claimed by doctors, and for many they are a significant annual cost. Whether a particular payment is allowable depends on your employment or self-employment position and how the cost relates to your work, so it is worth checking rather than assuming. Where an expense is allowable, it reduces the taxable profit or is claimed through the appropriate route.
Locum doctors working on a self-employed basis may be able to claim expenses directly related to their work, which can include travel between assignments, professional subscriptions, indemnity cover, training and some equipment costs. The key is that costs must be incurred wholly and exclusively for the purposes of the work, and ordinary commuting rules still apply. Records and receipts are essential if an expense is ever queried.
There is no single answer. A limited company can suit some doctors with substantial private or consultancy income, but it brings additional responsibilities such as annual accounts, Corporation Tax returns, payroll and company filing obligations. It can also be unsuitable for certain NHS or locum contract arrangements because of IR35 and off-payroll rules. The right structure depends on your income sources, contracts and longer-term plans, so this is a discussion to have before making a change.
Most medical services provided by registered health professionals are exempt from VAT, which means many doctors do not need to register. However, VAT can become relevant where you provide non-exempt services, sell goods, or where your income exceeds the registration threshold for taxable supplies. If you are unsure whether your private work falls within the exemption, it is worth reviewing before you invoice.
Yes. Much of the accounting process can be handled remotely, with documents shared securely and meetings held by phone or video, which suits doctors working irregular hours. If you already have an accountant, moving across is usually straightforward: we can contact your existing firm for the necessary information and records, and we take on the handover so you are not left chasing paperwork. It helps to make the change outside your busiest filing periods where possible.
Speak to an Expert
Take the Stress Out of Your Tax Position with Accountants for Doctors in Marlborough
If your income comes from more than one place — an NHS salary alongside private fees, locum shifts or consultancy work — keeping track of what is taxable, what is allowable and what is due can quickly become a burden. CruseBurke supports doctors in Marlborough with Self Assessment, bookkeeping and tax planning that reflect the way medical professionals actually earn, so your records stay organised and your returns are prepared with care. Speak to our team about your circumstances and we will explain how the right accounting support can make your financial affairs easier to manage.