29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Malmesbury
Specialist accounting and tax support for doctors working in Malmesbury and the surrounding area. Whether your income comes from NHS work, private practice, locum shifts or a mix of all three, the right accounting approach can keep your Self Assessment accurate, your records organised and your tax position clearly understood. From bookkeeping and tax returns to expense claims and business structure advice, CruseBurke helps doctors make sense of the financial side of their working life.
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Which Doctors Do We Support?
Doctors work in many different ways, and their accounting requirements rarely look the same from one person to the next. We provide accounting support to GPs, hospital doctors, consultants, locum doctors, salaried doctors and private practitioners, as well as doctors who combine NHS and private work or hold several roles at once. A salaried hospital doctor may have relatively straightforward tax affairs, while a consultant running a private clinic, a GP partner in a medical practice or a locum working through an umbrella arrangement or limited company may face far more involved bookkeeping, expense and tax reporting obligations. Because treatment can depend on your employment status, income sources, business structure and individual circumstances, we take the time to understand how you actually work before recommending how your accounts and tax returns should be handled.
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 Doctors
Our accounting services are designed for the way doctors earn. That includes Self Assessment tax returns covering NHS income, private medical fees, locum earnings and consultancy income, along with annual accounts and Corporation Tax where a limited company is involved. We can manage day-to-day bookkeeping, prepare management accounts, handle payroll and advise on VAT where your turnover or activities make registration relevant. For doctors in partnership or running a medical practice, we support partnership accounts, profit allocation and financial reporting. We also help with the detail that often gets overlooked — medical indemnity, professional subscriptions, training and professional development costs, equipment, travel and mileage, and pension contributions — and provide tax planning advice on matters such as business structure, income timing and the interaction between multiple income streams.
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 Commonly Face
Doctors often accumulate a more complex financial picture than their payslip alone suggests. These are some of the areas where specialist accounting input tends to make the biggest difference.
- Multiple income sources: combining NHS salary, private fees, locum shifts and consultancy work means several sets of figures that all need to be reported correctly and consistently in one tax return.
- Self Assessment obligations: many doctors fall outside PAYE-only taxation, and understanding which income streams must be declared, and when, is essential to avoiding unnecessary correspondence with HMRC.
- Allowable expenses: medical indemnity insurance, professional body subscriptions, required training and professional development, specialist equipment and business travel may be claimable, but only where the expense meets the relevant rules.
- Travel and mileage records: doctors who travel between sites, practices or clinics need reliable records to support a claim, and reconstructing journeys months later is rarely straightforward.
- Pension considerations: NHS pension contributions, annual allowance questions and private pension arrangements can all affect tax position, and the interaction between them is easy to misjudge without specialist input.
- Record keeping: receipts, invoices and bank transactions build up quickly across several income streams, and disorganised records tend to cost time and money at filing deadlines.
- Choosing a business structure: deciding whether to work as a sole trader, through a partnership or via a limited company has tax, administrative and practical consequences that vary by individual circumstances.
- Practice and partnership finances: partners in a medical practice must deal with profit shares, capital accounts and the reporting obligations that follow, which are quite different from personal tax returns.
Why Doctors Choose CruseBurke
Doctors generally have limited spare time and little appetite for deciphering tax legislation between clinics. Working with CruseBurke means having an accounting team that understands the language of medical income — NHS payslips, private fee schedules, locum timesheets, practice profit shares and the expenses that sit alongside them. We translate that into properly prepared accounts and tax returns, clear explanations of what is being claimed and why, and practical guidance on the decisions that affect your tax position. Communication is straightforward, deadlines are managed proactively, and your records are kept in a form that makes future filings simpler rather than more stressful. Because doctors work under so many different arrangements, we tailor our support to your circumstances rather than applying a single template to everyone.
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 Doctors
Getting your accounting in order does not need to be complicated. First, we start with a conversation about how you work and where your income comes from — NHS employment, private practice, locum work, consultancy, a practice partnership or a combination of these. Second, we review your existing accounting and tax position, looking at prior returns, records, business structure and any outstanding obligations, so we understand what needs attention. Third, we put the right support in place, whether that is preparing your Self Assessment return, setting up bookkeeping, running payroll, handling company accounts or providing ongoing tax planning. Throughout, we explain each step in plain terms so you know what is happening and why.
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 willingness to look at the whole picture rather than filing a return and moving on. Doctors frequently have income arriving from several directions at once, expenses spread across different categories, and structural decisions — sole trader, partnership or limited company — that carry long-term consequences. We work through those elements together, making sure allowable professional expenses are identified, bookkeeping keeps pace with activity, Self Assessment and any company filings are accurate, and the structure you operate through still suits how you work. Just as importantly, we explain our reasoning, so you can make informed decisions about your finances rather than simply accepting a figure on a form.
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 from one. If your income is entirely salaried and taxed through PAYE, your affairs may be relatively simple. However, once you add private fees, locum work, consultancy income, a practice partnership or a limited company, the reporting requirements increase considerably. An accountant can help ensure everything is declared correctly, that allowable expenses such as medical indemnity and professional subscriptions are claimed where they qualify, and that you understand your tax position rather than discovering problems later.
NHS employment income is usually taxed through PAYE, while private medical fees, locum payments and consultancy income often need to be reported separately through Self Assessment. The two must be brought together accurately in one return, and payments already made through PAYE are taken into account. Because the interaction between employed and self-employed income can affect the overall tax position, it is worth having the calculation reviewed rather than estimating it yourself.
Medical indemnity insurance and professional body subscriptions are commonly claimed by doctors, but whether a particular cost qualifies depends on the rules and on how it relates to your work. Professional development and training costs, specialist equipment and certain travel expenses may also be claimable in the right circumstances. We review expenses individually so claims are properly supported and defensible.
Locum income can be treated in different ways depending on whether you work through an agency, an umbrella company or your own limited company. Each route carries different tax, National Insurance and administrative implications, and the right choice depends on your circumstances and how you intend to work over the longer term. We can review your arrangements and advise on the structure that fits.
It depends. A limited company can suit some private practitioners, consultants and locums, while for others the additional compliance, payroll and filing obligations are not worthwhile. Factors include your level of private income, your NHS commitments, how profits are drawn and your longer-term plans. We look at your individual situation before recommending a structure rather than applying a blanket answer.
As a general guide, keep payslips and P60s for employed income, invoices and receipts for private or locum fees, bank and credit card statements for the business side of your activity, and documentation for expenses you intend to claim, including indemnity cover, subscriptions, training and travel. Maintaining records as you go is far easier than reconstructing them at the end of the tax year.
Yes. Many doctors prefer to handle their accounting digitally, sharing documents securely and communicating by email, phone or video call at times that fit around clinical commitments. The same applies whether you are based locally or work across different sites, and we can adapt how we work together to suit your schedule.
Switching is usually straightforward. We can contact your existing accountant for the information we need, review your prior returns and records, and confirm what remains outstanding before taking over. Once the handover is complete, we manage the ongoing accounts and tax work from there.
Speak to an Expert
Take the Stress Out of Your Tax Affairs With Accountants for Doctors in Malmesbury
Juggling NHS income, private fees and locum work while keeping on top of receipts, expenses and filing deadlines is a lot to carry alongside a demanding career. CruseBurke helps doctors bring order to that side of things, with Self Assessment preparation and bookkeeping support that keep your records accurate and your tax position clear. If your accounting arrangements could do with a fresh pair of eyes, get in touch and we will talk through how you work and what you need.