Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Ashton-under-Lyne

Specialist accounting support for doctors in Ashton-under-Lyne — whether you are a GP, hospital doctor, consultant, locum, salaried clinician or private practitioner. From Self Assessment and multiple income sources to bookkeeping, NHS and private income reporting and ongoing tax compliance, we help you keep your financial affairs organised and understand what you owe, why you owe it, and when it needs to be dealt with. Medical careers rarely follow a single, tidy financial path, and your accounting should be built around that reality rather than forced into a template.

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 come to accounting with very different financial lives, and the right support depends on how you work. GP partners and practice-based doctors often need partnership accounts, profit shares and practice finance reporting, while salaried GPs and hospital doctors may be dealing mainly with PAYE income alongside smaller private earnings that still need to be declared. Consultants frequently combine NHS employment with private practice, medico-legal work or teaching, which can create several income streams with different tax treatments. Locum doctors typically invoice agencies or trusts directly and may need help with registration, expenses, invoicing and Self Assessment. Private practitioners running clinics or sole trader practices often need bookkeeping, VAT advice and business structure guidance, and some doctors trade through a limited company. Others combine locum shifts, NHS sessions and private work in the same tax year. Because employment status, income sources, business structure and individual circumstances all affect the position, we tailor the approach to your situation rather than assuming every doctor’s tax affairs look the same.

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 work with doctors is built around the practical accounting and tax tasks that medical careers generate. Self Assessment is often the starting point, particularly where private consultations, locum income, consultancy fees, teaching or medico-legal work sit alongside NHS pay, and we handle the preparation and filing of returns with the supporting records behind them. Where you run a private practice, clinic or consultancy, we can prepare annual accounts, maintain bookkeeping, produce management accounts and financial reporting, and advise on how income and costs should be recorded and presented. For incorporated practices and consultancies we deal with Corporation Tax, company accounts and director-related compliance, while for partnerships and GP practices we prepare partnership accounts and allocation of profits. Payroll support is available where you employ staff, such as practice administrators, receptionists, nurses or associates, and VAT advice is relevant for some clinics and consultancy arrangements where the VAT treatment of medical and non-medical services needs to be considered carefully. Alongside this, we look at allowable professional expenses — medical indemnity, professional subscriptions, relevant training, equipment, travel and mileage — along with pension considerations, business structure reviews and forward tax planning, so that decisions are made with an eye on the current year and the years ahead.

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

Medical careers generate a distinctive mix of tax and accounting issues, and these often build up quietly over several years. A few of the areas doctors most commonly need help untangling include the following.

  • Multiple income sources in one tax year. NHS employment, private consultations, locum shifts, medico-legal reports and teaching can all arrive through different routes and be taxed in different ways. Keeping each stream correctly recorded is essential to filing an accurate return and avoiding queries later.
  • Self Assessment and registration. Doctors with private income, locum earnings, consultancy fees or other untaxed amounts usually need to be registered for Self Assessment, even when they also pay tax through PAYE on a salary. The rules around when registration is required depend on your circumstances, so it is worth checking early rather than assuming salary alone settles everything.
  • Identifying allowable professional expenses. Medical indemnity cover, professional subscriptions such as GMC and royal college fees, training relevant to your current role, specialist equipment and business mileage can all potentially be claimed where the rules are met. These are frequently missed, and incomplete records are usually the reason.
  • Pension considerations and annual allowance questions. NHS pension scheme membership, contribution relief and the interaction between pension growth and private earnings can complicate your tax position considerably. The treatment depends on your individual circumstances, and a proactive review is generally more useful than a retrospective one.
  • Choosing the right business structure. Working as a sole trader, as a partner in a practice, or through a limited company affects how income is taxed, how accounts are prepared and what compliance obligations apply. There is no single structure that suits every doctor, and changing circumstances can justify revisiting the decision.
  • Bookkeeping and record keeping through the year. Locum timesheets, private invoices, practice drawings, expense receipts and mileage logs all need to be captured as they happen. Leaving everything until filing time makes errors more likely and deductions easier to overlook.
  • VAT and practice or clinic finances. Some medical services are exempt from VAT while others are not, and the position can differ between practices, clinics and consultancy arrangements. Getting the VAT treatment wrong can be costly, so it is usually worth confirming before invoicing or restructuring.

Why Doctors Choose CruseBurke for Accounting Support

Doctors choose CruseBurke because they want an accountant who understands how medical income actually works rather than one who needs the basics explained every year. We take the time to map out where your income comes from — NHS employment, private practice, locum shifts, consultancy, teaching or a combination — and then build the accounting and tax work around that picture. That means Self Assessment returns that reflect the real position, allowable expenses that are properly identified and supported, and clear explanations of what is being claimed and why. We keep your financial records organised and your compliance obligations tracked, so filing dates and reporting requirements do not creep up unnoticed. Because doctors work in such varied arrangements, we adapt our support to your structure, whether you are a salaried doctor with a small private income, a locum invoicing several sources, a partner in a practice, or a director of your own company. Communication is straightforward and jargon-free, and the advice is practical — focused on what you need to do next, not just what has already happened.

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 Getting Started

Getting your accounting in order should not feel like an additional administrative burden. First, we start with a conversation about how you work and where your income comes from — NHS salary, private consultations, locum shifts, consultancy, partnership profit, company income or a blend of several. Second, we review your current accounting and tax position, looking at records, previous returns, business structure, expenses, pension arrangements and any outstanding compliance matters to identify what needs attention. Third, we put the appropriate support in place, covering the services that are relevant to you, agreeing how records will be shared and confirming who is responsible for what as the year progresses. Because doctors’ circumstances change — a move into private practice, an additional locum role, a new partnership or a company structure — the arrangement can be reviewed as your situation develops.

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 way we treat medical income as a set of connected financial decisions rather than a once-a-year filing task. A doctor moving between NHS sessions, private clinics and locum work faces questions that a standard tax return does not answer: whether expenses are genuinely allowable, how pension growth interacts with private earnings, whether a limited company structure makes sense, how partnership profits should be allocated, and how VAT applies to different services. We work through those questions with you, linking bookkeeping and record keeping to the returns and accounts they feed into, and keeping compliance obligations visible throughout the year. Our advice is grounded in the rules and tailored to your circumstances, and where the treatment depends on factors such as your employment status, income mix or business structure, we say so clearly rather than offering a one-size-fits-all answer.

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 only income is a salary taxed through PAYE and you have no untaxed income, investments or complex expenses, your tax affairs may be straightforward. Once private consultations, locum shifts, consultancy fees, medico-legal work, partnership profits or company income enter the picture, the position becomes more involved — and that is usually where professional support pays for itself in avoided errors and identified deductions.

Being employed does not automatically remove the need to file. Doctors with private income, locum earnings, consultancy fees, rental income or other untaxed amounts generally need to register for Self Assessment and declare all their income there. Higher earners with certain tax charges can also fall within the requirement. Whether it applies to you depends on your specific circumstances, so it is worth confirming rather than assuming.

NHS employment income is normally taxed through PAYE, with tax deducted at source. Private medical income — whether from consultations, procedures, medico-legal reports or clinic work — is generally reported through Self Assessment, and any tax due is settled separately. Where you have both, the two need to be brought together accurately so that the correct amount of tax is paid and no income is double-counted or missed.

Locum doctors may be able to claim expenses that are wholly and exclusively incurred for their work, which can include medical indemnity insurance, professional subscriptions, relevant training and professional development, specialist equipment, and travel to temporary workplaces, along with mileage where a personal vehicle is used. The rules around travel to regular workplaces are strict, so it is important to keep dated records and to check each expense against the conditions before claiming it.

Medical indemnity cover and professional subscriptions such as GMC and royal college fees are often allowable where they are required for your work, and they are among the most commonly missed deductions. The precise treatment can depend on your employment or self-employed status and whether the cost relates to your current role, so it is worth reviewing these items individually rather than assuming a blanket claim applies.

There is no single answer. Some doctors operating private practices or consultancies find a limited company structure suits their circumstances, while others are better served as a sole trader or partner. The right choice depends on your income levels, how you work, your pension position, your plans for the future and the additional compliance obligations a company brings. We review the options against your specific situation rather than recommending a structure by default.

Yes — this is a common mix. The work involves bringing each income stream together accurately, applying the correct treatment to each, checking that expenses and pension contributions are properly captured, and making sure the resulting Self Assessment return reflects the full picture. We also help with the record keeping that makes this manageable, so that the information is ready when the return needs to be prepared.

Remote working is entirely normal, and records can be shared securely without needing to visit an office. If you are already working with another accountant, we can handle the transition, including contacting your existing adviser for the information needed and confirming your position with HMRC so that filing obligations continue without interruption. Getting started usually begins with a conversation about how you work and where your income comes from.

Speak to an Expert

Accountants for Doctors in Ashton-under-Lyne — Get Your Tax Affairs Properly Organised. Whether you are balancing NHS pay with private work, locum shifts or practice profits, specialist support can make the whole process clearer.

Juggling NHS pay, private consultations and locum invoices can make your tax position genuinely hard to pin down, especially when expenses, pension contributions and filing obligations all interact. CruseBurke provides Self Assessment and bookkeeping support designed around how doctors actually earn, helping you keep records organised and returns accurate throughout the year. If you would like to talk through your circumstances and see how the right accounting support could work for you, we are ready to have that conversation.