Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Adlington

Specialist accounting support for doctors in Adlington, built around the way medical careers actually work. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, we help you keep on top of Self Assessment, NHS and private income, professional expenses, bookkeeping and tax compliance, so your finances stay accurate, organised and filed on time.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Jamie Fletcher profile picture
Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman profile picture
Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Muna Mohamoud profile picture
Muna Mohamoud
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I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail. Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable. I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
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Sergey M profile picture
Sergey M
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I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
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Ebba Qureshi profile picture
Ebba Qureshi
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Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
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Mael Leboucher profile picture
Mael Leboucher
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We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did. Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly. Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible. Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow. I would 100% recommend them.
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3rd Hub profile picture
3rd Hub
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Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
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Martin Tyrrell profile picture
Martin Tyrrell
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I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free. A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently. I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
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Matthew Lyon profile picture
Matthew Lyon
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Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
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Which Doctors Do We Support in Adlington?

Doctors rarely have a single, straightforward income stream, and their accounting needs tend to reflect that. We support GPs and GP partners, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners running their own clinics or practices, and doctors who combine NHS work with private or medico-legal income. A salaried hospital doctor with a modest amount of private work may simply need a well-prepared Self Assessment tax return and help claiming the right professional expenses. A GP partner, by contrast, may need partnership accounts, profit allocation advice and support with practice finances. A locum doctor often has several paymasters, irregular income, and questions about whether a limited company or partnership is worth considering. Consultants with private practice income, medical indemnity costs and substantial pension contributions face a different set of considerations again. Because tax treatment depends on your employment status, income sources, business structure and individual circumstances, we take the time to understand your particular position 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 in Adlington

Our accounting support is designed around the realities of medical work rather than a one-size-fits-all template. That typically includes Self Assessment tax returns covering NHS income, private medical income, locum earnings, consultancy fees and other professional income, along with careful attention to the expenses doctors can genuinely claim. We can help with bookkeeping and record keeping, so that income and costs are captured accurately throughout the year rather than reconstructed at the deadline. Where a doctor runs a private practice, a clinic or a consultancy, we can prepare annual accounts and financial statements, and where the business is incorporated, deal with Corporation Tax, payroll for staff and VAT registration and returns. GP partners and others in partnership arrangements may need partnership accounts and guidance on profit shares and drawings. Beyond compliance, we look at tax planning — for example how business structure, pension contributions and the timing of income or expenditure may affect your overall position — always based on your own circumstances rather than generic assumptions. Management accounts and periodic reporting are available where you want a clearer picture of how a practice or private business 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 Often Face

Medical careers generate financial complexity that generalist accountants can easily overlook. The points below are common considerations for doctors, though how much any of them affects you will depend on your contract, income sources and business structure.

  • Multiple income streams to reconcile. A single doctor may receive NHS salary or practice income, locum payments from several agencies or trusts, private consultation fees and medico-legal or teaching income, each reported differently and each with its own records, making accurate tax reporting more involved than a single payslip.
  • Self Assessment deadlines and registration. Doctors with private income, locum earnings, partnership profits or untaxed income usually need to register for Self Assessment and file a return each year. Missing a registration or filing deadline can trigger penalties and interest, even where the underlying tax position is straightforward.
  • Identifying allowable professional expenses. Medical indemnity insurance, professional body subscriptions, required training and continuing professional development, specialist equipment, professional journals and certain travel costs may be allowable, but the rules are specific and depend on whether the cost was incurred wholly and exclusively for your work.
  • Travel, mileage and temporary workplace questions. Doctors who move between sites, cover clinics, or work at temporary locations often have questions about what travel can be claimed and whether a location counts as a permanent or temporary workplace. The treatment is not always intuitive.
  • Pension considerations. NHS pension arrangements interact with tax in ways that can surprise higher earners, and additional private pension contributions, annual allowance matters and contribution relief all need to be considered alongside your income level and structure.
  • Choosing the right business structure. Whether to operate as a sole trader, a partnership or through a limited company is a genuine decision with tax, administrative and contractual implications, and it can change as your private income grows.
  • Partnership and practice finances. GP partners and others in partnerships need to deal with profit shares, drawings, capital accounts and practice-level accounts, all of which affect both the practice and each partner's personal tax position.
  • Keeping records organised throughout the year. With irregular locum income, multiple paymasters and private fees, keeping receipts, invoices, mileage logs and expense records in order makes filing far smoother and reduces the risk of missing a legitimate claim.
  • VAT and payroll obligations. Doctors running a private practice or clinic may cross VAT registration thresholds or need to run payroll for practice staff, and both bring ongoing reporting obligations that need to be managed carefully rather than left until year end.

Why Doctors in Adlington Choose CruseBurke for Accounting Support

Doctors choose CruseBurke because we understand how medical income actually arrives and how it needs to be reported. We take time to map out your employment, self-employment, partnership and private income, then build an approach that reflects your real position rather than a generic checklist. You get straightforward explanations of what is being filed, why, and what it means for your tax position, along with practical guidance on the expenses doctors can reasonably claim, such as medical indemnity, professional subscriptions and approved training costs. We keep your records and deadlines organised so that Self Assessment, annual accounts, payroll and VAT obligations are handled without last-minute scrambling. And because doctors work in very different ways — salaried, locum, partner, private practitioner or a mix — the support is shaped around your circumstances, not a fixed template.

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 the right accounting support in place does not need to be complicated. First, we start with a conversation about your circumstances: how you work, where your income comes from, whether that includes NHS salary or practice income, private fees, locum work, consultancy or medico-legal income, and what structure you currently operate under. Second, we review your accounting and tax requirements, looking at your current records, filing position, expense claims, pension arrangements and any partnership or company obligations, and we highlight anything that needs attention. Third, we put the appropriate support in place, whether that is preparing and filing your Self Assessment return, setting up bookkeeping, handling annual accounts and Corporation Tax, running payroll, or providing ongoing tax planning and advice as your circumstances change. From there, we keep things running in an organised way so you can focus on your clinical work.

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 work apart is the focus on doctors as a distinct group with distinct financial patterns. Rather than squeezing medical income into a standard template, we look at the whole picture: NHS and private income together, locum earnings from multiple sources, consultancy and medico-legal fees, partnership profit shares and practice-level accounts, or a limited company structure where that suits your circumstances. We pay close attention to the detail that drives the numbers — professional expenses, medical indemnity, subscriptions, training costs, equipment, travel and mileage — and explain clearly how each is treated and why. Compliance work such as Self Assessment, annual accounts, Corporation Tax, VAT and payroll is handled accurately and on time, while bookkeeping and management reporting keep your records in a state that supports both filing and decision-making. Throughout, our advice is practical and specific to your situation, and where the tax treatment depends on factors such as your employment status or business structure, we say so plainly rather than offering blanket answers.

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. A salaried doctor with only PAYE income and no untaxed earnings may have little need for specialist support. Once you add locum income, private fees, consultancy work, partnership profits, rental income or significant pension contributions, the reporting becomes more involved, and the risk of overpaying tax or filing incorrectly increases. An accountant can help you claim the expenses you are entitled to, keep records in order and make sure deadlines are met.

It depends on your circumstances. If all your income is taxed through PAYE and there is nothing else to report, you may not need to file. Doctors with private medical income, locum earnings paid without tax deducted, partnership profits, consultancy or medico-legal fees, or untaxed investment or rental income usually do need to register and file. HMRC can also require a return for other reasons, so it is worth checking your position rather than assuming.

Potentially allowable costs often include medical indemnity insurance, professional body subscriptions, required training and continuing professional development, professional journals, and certain equipment, travel and mileage costs. The key test is generally that the expense was incurred wholly and exclusively for the purposes of your work, and treatment can differ depending on whether you are employed, self-employed or operating through a company. Records matter, so keep receipts and a clear note of what each cost relates to.

Yes. Combining NHS salary or practice income with private fees is one of the most common situations we deal with. The two income streams are reported differently, and the interaction between them can affect your overall tax position, your pension contributions and how much tax is payable through Self Assessment. We look at both together rather than treating them in isolation.

Locum work usually means multiple sources of income, sometimes with tax already deducted and sometimes without. You will typically need to report all of it, keep careful records of payments received, and track expenses such as travel and indemnity cover. Depending on how you work and how much you earn, it may also be worth reviewing whether operating through a limited company or another structure would suit you better — though that decision depends on your individual circumstances and contractual arrangements.

There is no universal answer. A limited company can be appropriate for some doctors with substantial private or consultancy income, but it brings additional obligations including annual accounts, Corporation Tax, payroll and possible VAT registration, and it may not suit everyone's contractual or pension position. We assess the numbers and the practical implications for your situation before recommending anything.

Yes. Much of the accounting work we carry out for doctors is handled remotely, using secure document sharing and digital records to keep everything moving. If you prefer to meet in person, that can be arranged as part of the way we work together. The approach is built around what is practical for you.

Switching is usually more straightforward than doctors expect. We ask for details of your current accountant and your filing position, then handle the professional clearance and records transfer on your behalf. We review your existing accounts, tax returns and bookkeeping so that nothing is missed, and once everything is in place we take over the ongoing compliance and advisory work.

Speak to an Expert

Take the Stress Out of Your Medical Income and Tax Reporting

If you are juggling NHS pay, private fees, locum income or partnership profits alongside a demanding clinical schedule, keeping on top of Self Assessment, expense claims and bookkeeping can slip down the list. CruseBurke provides accounting support for doctors that covers tax return preparation, bookkeeping and ongoing tax planning, with advice shaped around how you actually work. Get in touch to talk through your circumstances and find out what the right next step looks like for you.