Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Alford

Specialist accounting support for doctors in Alford, whatever your working arrangements look like. Whether you’re a GP, hospital doctor, consultant, locum or private practitioner, we help you keep your financial affairs in order — from Self Assessment and multiple income sources through NHS and private earnings to bookkeeping, allowable expenses and tax compliance. The aim is straightforward: clear records, accurate returns and practical advice that reflects how doctors actually earn and spend.

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?

Doctors rarely fit into one neat category, and their accounting needs usually reflect that. A salaried hospital doctor taxed entirely through PAYE has a very different position from a locum invoicing several trusts, a consultant with private practice income, or a GP partner sharing profits in a practice. We work with doctors across a range of arrangements, including GPs, hospital doctors and consultants, locum and agency doctors, salaried doctors, private practitioners, and those who combine NHS work with private or medicolegal income. Some may also run a limited company, take on teaching or advisory roles, or receive income from more than one source at once. Because of this, the level of support needed can vary considerably — depending on employment status, income sources, business structure and professional activities. We look at your circumstances individually rather than applying a one-size-fits-all approach, so the advice you receive is relevant to 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.

Accounting and Tax Services for Doctors

Our services are built around the financial realities of medical work. For doctors with NHS income alongside private earnings, that often starts with Self Assessment — preparing and filing tax returns that correctly bring together employment income, locum fees, consultancy work and private practice profits. We also handle bookkeeping and record keeping, so your income and expenses are captured properly throughout the year rather than reconstructed in a rush. Where a doctor operates through a limited company, we can prepare annual accounts, manage Corporation Tax and support payroll and VAT obligations where they apply. For those in a partnership or practising with colleagues, we can help with partnership accounts, profit shares and the associated reporting. Alongside compliance, we offer tax planning, management accounts and business structure advice — useful when you’re weighing up whether sole trader status, a partnership or a limited company suits your circumstances. If you’re considering a change in how you work, or your income mix is shifting, we can help you understand the accounting and tax consequences before you commit.

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 rarely follow a single, predictable financial path. Doctors frequently move between roles, take on locum shifts, build private practice income or hold several positions at once — and each of those arrangements carries its own accounting and tax considerations.

  • Multiple income sources under one tax return — combining NHS employment income with locum fees, private practice, consultancy or teaching can make a Self Assessment return more involved, and it's easy to overlook a source or report it in the wrong place.
  • NHS and private income together — employment income is usually taxed through PAYE, while private and self-employed earnings sit outside it. Getting the interaction right matters, particularly where payments on account or coding adjustments are involved.
  • Allowable professional expenses — medical indemnity cover, professional subscriptions such as GMC registration and royal college fees, training and continuing professional development, equipment and mileage may all be relevant, but only where the expense meets the rules and you have the records to support it.
  • Record keeping and deadlines — receipts, mileage logs, invoices and bank statements need to be maintained through the year. Poor records don't only slow down the return; they can mean legitimate expenses go unclaimed because there's no evidence to back them up.
  • Choosing the right business structure — sole trader, partnership or limited company each carry different administrative, tax and reporting obligations. The right answer depends on your income levels, how you work and your longer-term plans.
  • Pension considerations — for doctors with higher earnings or multiple income sources, pension contributions and annual allowance matters can be complex and may need reviewing alongside your tax position rather than in isolation.
  • Partnership and practice finances — GP partners and those in shared practices deal with profit shares, drawings, capital accounts and practice-level reporting, which require a different approach from straightforward personal tax compliance.

Why Doctors Choose CruseBurke

Doctors tend to come to us because they want an accountant who understands the shape of a medical career — not one who needs the difference between NHS employment and private practice explaining from scratch. That understanding makes conversations quicker and advice more practical. We focus on keeping your affairs organised: accurate bookkeeping, returns filed correctly, and expenses considered properly so nothing obvious is missed. Just as importantly, we explain things clearly. Tax rules affecting doctors can be intricate, and you shouldn’t need a tax background to follow what we’re telling you or why it matters. We also recognise that doctors work in very different ways. A locum with irregular income needs different support from a partner in a practice or a consultant running a limited company, and we adapt our approach accordingly rather than forcing your circumstances into a 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

Getting your accounting sorted shouldn’t be a lengthy or confusing exercise. It starts with a conversation about how you work — whether that’s NHS employment, private practice, locum shifts, consultancy, or a combination of several. From there, we review your accounting and tax requirements, looking at your income sources, existing records, business structure, expense claims and filing obligations, and flagging anything that needs attention. The final step is putting the right support in place, whether that’s bookkeeping, Self Assessment, payroll, company accounts or ongoing tax planning, along with a clear idea of what’s needed from you and when. You’ll know where you stand at each stage.

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?

A lot of accounting firms can prepare a tax return. Fewer are comfortable with the detail that sits behind a doctor’s finances — employment income taxed through PAYE alongside self-employed locum earnings, private practice profits, consultancy fees, pension contributions and a long list of professional expenses that need to be evidenced properly. That’s where we add value. We look at the whole picture rather than treating each income stream in isolation, which helps avoid the inconsistencies that can arise when returns are prepared piecemeal. We’re equally comfortable advising on business structure — whether remaining a sole trader makes sense, how a partnership should be organised, or when a limited company might be worth considering. And because compliance obligations don’t stop at the tax return, we can support bookkeeping, payroll, VAT and management reporting where those apply to your circumstances. The result is accounting support that fits the way doctors genuinely work, with advice that’s practical rather than theoretical.

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 all of your income is taxed through PAYE and you have no other earnings, your affairs may be relatively straightforward. But many doctors have complications that make professional support worthwhile — private practice or locum income, consultancy work, medicolegal fees, a partnership share, pension contributions to review, or simply a stack of professional expenses to claim. Where any of those apply, an accountant can help ensure your return is accurate and that legitimate claims aren't missed.

Locum income is usually treated as self-employment, which means registering with HMRC, keeping records of fees earned and expenses incurred, and reporting the profit through Self Assessment. Many locums also hold separate employment contracts, so both sets of income may need to be brought together on the same return. Mileage between sites, medical indemnity cover and professional subscriptions are common claims, but they depend on your specific circumstances and the quality of your records.

Yes. This is one of the most common situations we deal with. NHS earnings are typically taxed through PAYE, while private practice, locum or consultancy income is reported separately. The two need to be combined correctly on your Self Assessment return, and adjustments such as payments on account or changes to your tax code can follow. Getting the interaction right helps avoid unwelcome surprises later.

It depends on your circumstances. Expenses that may be relevant include medical indemnity insurance, professional body and registration subscriptions, certain training and continuing professional development costs, professional equipment, and business travel or mileage. The general principle is that an expense must be incurred wholly and exclusively for the purposes of your professional income, and you'll need records to support it. We can talk through what applies to you rather than working from a generic checklist.

There's no universal answer — it depends on your income levels, how much you work privately, your plans for the future and how a company structure would affect your overall position. A limited company brings its own obligations, including annual accounts, Corporation Tax and potentially payroll and VAT. For some doctors it's a sensible structure; for others, remaining a sole trader or working through a partnership is more appropriate. We can discuss the trade-offs based on your situation.

Many doctors won't need to register, because medical services are often exempt. However, VAT can become relevant in certain circumstances — for example where you provide non-exempt services, sell goods, or your taxable turnover crosses the registration threshold. It's worth reviewing rather than assuming, particularly if your work includes activities outside standard clinical services.

Yes. Accounting work is largely digital these days, and documents can be shared securely online. Many doctors prefer to handle things remotely around clinical commitments, while others value the option of in-person discussions. Either way, the service and the attention to detail remain the same.

Changing accountants is usually simpler than people expect. We'll ask for some basic information about your current position, then liaise with your existing accountant to obtain the records we need — professional clearance is standard practice. Once everything is transferred, we'll review your affairs and take over the relevant filings. You don't need to manage the handover yourself.

Speak to an Expert

Let an Accountant Who Understands Doctors Take the Pressure Off Your Tax Affairs

Juggling NHS payslips, locum invoices, private practice income and a folder of expenses is a lot to manage alongside a clinical career. CruseBurke can bring order to that — preparing your Self Assessment return accurately, keeping your bookkeeping up to date and making sure the professional expenses you’re entitled to claim are properly supported. If you’d like to talk through how your income and circumstances are currently being handled, we’re happy to start with a straightforward conversation about where you are and what would help.