29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Marple
Doctors in Marple may have NHS salaries, private practice fees, locum shifts, consultancy income, or a mix of all of these — and each income stream can bring its own tax and record-keeping responsibilities. Specialist accounting support helps you keep your finances organised, understand allowable professional expenses, and stay on top of Self Assessment and other filings, so you can focus on your medical work with confidence.
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Which Doctors Do We Support?
Our accounting support is designed for doctors across a range of working arrangements, including GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners, and those who combine NHS and private work. The right approach depends on your circumstances: a salaried hospital doctor with occasional locum income may need different support from a GP partner running a practice, or a consultant building a private practice. We consider your income sources, employment status, business structure, and professional activities — whether that means Self Assessment, partnership accounts, limited company compliance, or practical bookkeeping — so the advice fits how you actually work.
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 in Marple
We provide accounting and tax services that reflect the realities of medical work. For doctors with NHS income and private earnings, that often means preparing and filing Self Assessment tax returns that bring together salary, pension, locum fees, consultancy income, and private practice profits. Depending on your circumstances, support may include annual accounts, bookkeeping, management accounts, payroll, VAT returns, Corporation Tax returns, partnership accounts, and tax planning. If you run a medical practice or operate through a limited company, we can help with financial reporting and business structure advice. The aim is straightforward: accurate records, timely compliance, and a clear view of your tax position.
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 Faced by Doctors
Doctors often have financial lives that are more complex than a single salary, and that complexity can create tax and accounting challenges. The following are common considerations — though the exact treatment always depends on your individual circumstances, employment status, and income sources.
- Multiple income sources: NHS salary, pension contributions, private practice fees, locum shifts, and consultancy income may each be taxed differently and need to be reported correctly. Keeping track of what has already been taxed and what still needs to be declared is essential to avoid errors.
- Self Assessment obligations: If you have income outside of PAYE — for example private fees or locum work — you may need to register for Self Assessment and file a tax return. Missing deadlines can lead to penalties, even when the tax itself is straightforward.
- Allowable professional expenses: Costs such as medical indemnity cover, professional subscriptions, training and continuing professional development, equipment, and travel or mileage may be claimable in some circumstances. The rules can differ between employed and self-employed doctors, so expenses need to be reviewed carefully.
- Medical indemnity and professional subscriptions: These are common costs for many doctors, but whether they can be deducted from tax depends on your employment status and how the expense relates to your work. Recording them properly helps ensure nothing is missed or wrongly claimed.
- Record keeping and bookkeeping: Mixed income streams generate more paperwork — invoices, receipts, bank transactions, mileage logs, and expense records. Keeping these organised throughout the year makes tax returns easier and supports any claims you make.
- Pension considerations: The NHS Pension Scheme and any private pension arrangements can affect your tax position, particularly if your income varies. Pension contributions and annual allowance matters can be complex, so it is worth reviewing how they interact with your overall earnings.
- Business structure and partnership finances: If you are a GP partner, run a private practice, or operate through a limited company, the structure you use affects how you are taxed and what compliance work is required. Partnership accounts, profit shares, and Corporation Tax obligations all need to be handled correctly.
- VAT and practice income: Some private medical services may be exempt, while others can bring you closer to the VAT registration threshold. Monitoring your turnover and understanding which services fall where can help you avoid unexpected VAT obligations.
Why Choose CruseBurke for Doctor Accounting?
Doctors may choose CruseBurke because we understand that medical income rarely fits a standard template. We take the time to understand your mix of NHS and private work, locum shifts, consultancy income, or practice profits, and we explain the accounting and tax implications in plain English. Our approach is practical: we help you keep your records organised, meet your filing obligations, and make informed decisions about expenses, business structures, and tax planning. Whether you are a salaried doctor with a small private income or a partner in a medical practice, we aim to provide clear, reliable support that reflects your circumstances.
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 be complicated. We start with a conversation to understand your circumstances — your NHS income, private work, locum shifts, consultancy fees, or practice profits — along with how your finances are currently managed. Next, we review your accounting and tax requirements, identifying what needs attention, such as Self Assessment, bookkeeping, business structure, or compliance deadlines. From there, we put the appropriate support in place, whether that means taking over your bookkeeping, preparing your tax return, or providing ongoing advice as your medical career develops. The aim is a straightforward, organised transition with no unnecessary fuss.
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 CruseBurke apart is a focus on the financial patterns that doctors experience. We help with multiple income sources, from NHS salaries and pension contributions to private fees, locum work, and consultancy income. That means we can help you make sense of allowable professional expenses, keep your bookkeeping in order, and approach Self Assessment with confidence. We also recognise that your circumstances may change — moving between salaried and locum work, starting a private practice, or forming a partnership or limited company. Our support is designed to adapt with you, providing clear guidance and practical accounting help rather than a one-size-fits-all service.
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 needs an accountant, but many find one helpful once their financial affairs go beyond a single salary. If you have private practice income, locum work, consultancy fees, a partnership, or a limited company — or if you simply want to make sure your Self Assessment and expenses are correct — an accountant can help you stay compliant and organised. The right answer depends on your circumstances.
If you have untaxed income such as private fees, locum payments, or consultancy earnings, you will usually need to register for Self Assessment and file a tax return each year. NHS salary is normally taxed through PAYE, but it still needs to be included on the return. Your accountant can combine all income sources, apply the relevant allowances and expenses, and calculate what is owed or repayable.
Potentially allowable expenses include medical indemnity cover, professional subscriptions, training and professional development, equipment, and travel or mileage where relevant to your work. However, the rules are not the same for everyone — employed doctors face stricter tests than self-employed ones, and private and NHS work can be treated differently. An accountant can review your expenses and confirm what can be claimed.
Medical indemnity insurance is often treated as an allowable expense, but the position can vary depending on whether you are employed, self-employed, or working through a limited company. It is important to have the cost properly recorded and classified so it is claimed correctly. Your accountant can advise based on your specific working arrangements.
Whether a limited company is right for you depends on your level of private income, your NHS work, your pension position, and your plans for the future. Operating through a company can offer different tax and administrative outcomes, but it also brings additional compliance responsibilities such as annual accounts, Corporation Tax returns, and payroll. It is worth discussing the pros and cons with an accountant before making a change.
Yes. Locum doctors often receive income that has not been taxed through PAYE, which means it needs to be recorded and reported through Self Assessment. We can help you keep track of locum invoices and expenses, maintain accurate bookkeeping, and include the income correctly on your tax return. If you also have NHS or private income, we can bring everything together.
Some private medical services are exempt from VAT, while others are not. Even if your services are exempt, you may still need to monitor your turnover against the VAT registration threshold if you provide other taxable services. The rules can be complex, so it is best to review your specific activities with an accountant who understands medical practices.
Changing accountants is usually straightforward. We can contact your current accountant to request the relevant handover information, review your existing records, and confirm what needs to be done next. Whether you are moving because of a change in circumstances, poor communication, or simply a desire for more specialist support, we aim to make the transition smooth and well organised.
Speak to an Expert
Take Control of Your Medical Income with Specialist Accountants for Doctors in Marple
If you are juggling NHS income, private fees, locum work, or consultancy earnings, keeping your tax position clear can feel like a challenge. CruseBurke can help with Self Assessment, bookkeeping, and practical tax planning tailored to doctors, so your records stay organised and your filings are handled properly. To discuss how we can support your circumstances, get in touch with our team.