Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Aylesbury

Specialist accounting support built around the way doctors actually earn. Whether your income comes from NHS employment, private practice, locum shifts or a mix of all three, our team helps make sense of Self Assessment, bookkeeping, allowable professional expenses and day-to-day tax compliance so you can spend less time on paperwork and more time on patients.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

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

Posted on Google Google
Jamie Fletcher profile picture
Jamie Fletcher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Mansur Liman profile picture
Mansur Liman
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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
Posted on Google Google
Muna Mohamoud profile picture
Muna Mohamoud
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Sergey M profile picture
Sergey M
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Ebba Qureshi profile picture
Ebba Qureshi
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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 .
Posted on Google Google
Mael Leboucher profile picture
Mael Leboucher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
3rd Hub profile picture
3rd Hub
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
Posted on Google Google
Martin Tyrrell profile picture
Martin Tyrrell
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Matthew Lyon profile picture
Matthew Lyon
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Which Doctors Do We Support?

Doctors are not a single group when it comes to tax. A salaried hospital doctor paid entirely through PAYE has a very different position from a locum consultant invoicing several trusts, or a GP partner sharing practice profits with colleagues. Our accounting support is designed for the full range of medical working arrangements, including GPs and GP partners, hospital doctors and consultants, locum and agency doctors, salaried doctors with additional private work, private practitioners running their own clinics or consulting rooms, and doctors who combine NHS income with private medical income. We also work with doctors who have income from medico-legal work, teaching, research or other professional activities. What they share is complexity: multiple income sources, expenses that need to be correctly categorised, pension considerations, and Self Assessment deadlines that do not move. Where relevant, we look at whether a partnership, limited company or sole trader structure suits your circumstances, how income should be reported, and which costs genuinely qualify for tax relief. Every doctor’s position depends on their employment status, contract terms, income sources and business structure, so advice is always shaped around your individual circumstances rather than a one-size-fits-all template.

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

Our accounting and tax services are tailored to the financial realities of medical work. For doctors with income beyond PAYE, Self Assessment is central, and we prepare and file tax returns that correctly report NHS income, private medical income, locum fees, consultancy income and any other professional earnings. We handle bookkeeping and record keeping so that income and expenditure are captured accurately throughout the year rather than scrambled together at the deadline. Where you operate through a limited company, we prepare annual accounts and Corporation Tax computations, and we can support company payroll and VAT registration, returns and compliance where your turnover or activities make that relevant. For partners in a medical practice, we prepare partnership accounts and allocate profit shares correctly, while sole traders and private practitioners receive support with trading accounts, expenses and profit reporting. We also provide tax planning around allowable professional expenses, medical indemnity, professional subscriptions, training and professional development costs, equipment, travel and mileage, along with management accounts and financial reporting where you want a clearer view of how your practice or private work is performing. Business structure advice sits alongside all of this, helping you consider whether your current arrangement still fits your income mix as your career develops.

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 rarely follow a single financial track, and the accounting complications tend to build up quietly over time. These are some of the issues doctors most often need help working through.

  • Multiple income sources in one tax year. Combining NHS salary, private fees, locum payments and perhaps teaching or medico-legal income means several sets of records feeding one Self Assessment return. Missed or duplicated figures are a common cause of incorrect returns and unexpected tax bills.
  • Understanding which expenses are allowable. Medical indemnity insurance, professional body subscriptions, required training and professional development, specialist equipment and clinical clothing can all be relevant, but the rules depend on whether the cost was incurred wholly and exclusively for your work and whether you are employed or self-employed.
  • Travel, mileage and location records. Doctors move between hospitals, surgeries, clinics and home visits, and the tax treatment of that travel differs depending on whether a journey is ordinary commuting or travel in the course of the work. Good records make the difference.
  • Record keeping across the year. Receipts, invoices, bank statements and expense claims accumulate quickly. Doctors who leave everything until January often pay more tax than necessary simply because legitimate costs cannot be evidenced.
  • Locum and consultancy income. Locum work can look straightforward but raises questions about employment status, agency arrangements, IR35 and whether expenses can be claimed against fees. Consultancy income brings similar considerations.
  • Pension considerations. Annual allowance charges, carry forward and contribution planning can affect doctors with high or irregular earnings, particularly where NHS pension growth combines with private income. This needs to be reviewed alongside your tax position rather than in isolation.
  • Choosing the right business structure. Moving from sole trader to limited company, or joining or leaving a partnership, changes how you report income and what compliance obligations apply. The right answer depends on your income levels, plans and existing arrangements.
  • Practice and partnership finances. GP partners and doctors running private practices deal with profit shares, practice expenses, staff costs, equipment purchases and capital allowances, all of which need accurate treatment in the accounts.
  • Keeping on top of deadlines. Registration, filing and payment dates arrive regardless of rota pressures. Late filings and missed payments create avoidable penalties and interest.

Why Doctors Choose CruseBurke

Doctors tend to come to us for one reason: they want an accountant who does not need the medical world explained from scratch. Our approach is to understand how you earn, where your income comes from, what you pay out professionally, and what you want your finances to look like over the next few years. From there, we handle the technical side — accurate Self Assessment returns, organised bookkeeping, annual accounts, Corporation Tax and payroll where relevant, and clear guidance on allowable expenses and structure. Communication matters as much as technical accuracy, so we explain things in plain terms and keep you informed about what is due and when. We also recognise that doctors work in very different ways: some are fully employed, some are fully self-employed, and many sit somewhere in between with NHS and private income running side by side. Support is shaped around your circumstances rather than squeezed into a standard package, and your records stay organised so that year-end work is smoother and your tax position is easier to understand.

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 the right accounting support in place should not add to your workload. First, we start with a conversation about your circumstances — your employment arrangements, whether you have NHS income, private medical income, locum work, consultancy fees or a combination, and any partnership or company involvement. Second, we review your accounting and tax requirements, looking at what has been filed previously, how your records are currently kept, what expenses you incur professionally, and whether your current structure still suits your income mix. Third, we put the appropriate support in place, covering the areas that matter for your position, whether that is Self Assessment, bookkeeping, annual accounts, payroll, VAT or ongoing tax planning, and set out clearly what we need from you and when. If you are moving from another accountant, we can manage the handover of information as part of that process. The aim is straightforward: a clear understanding of your position and a reliable routine that keeps your tax affairs in order.

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 way we connect the different strands of a doctor’s financial life. A tax return is not just a form — it reflects employment income, self-employment profits, partnership shares, private fees, pension contributions and a long list of professional costs, and each element affects the others. We look at the whole picture, including how NHS and private income interact, whether medical indemnity and professional subscriptions are being treated correctly, how equipment and travel costs are recorded, and whether your current business structure is still the most sensible one. For doctors running a practice or a limited company, that means accurate accounts, correct profit allocation, sensible payroll and VAT handling where it applies, and financial reporting you can actually use to make decisions. For doctors with simpler employed income plus some private or locum work, it means making sure nothing is missed and nothing is over-declared. We keep records organised, flag deadlines early, and explain the reasoning behind our advice so you are never left guessing why something has been treated a particular way.

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 your entire income is taxed through PAYE and you have no private work, no locum income, no untaxed income and no complex pension or expense position, your tax affairs may be manageable without one. The picture changes if you also earn private fees, work locum shifts, receive income from medico-legal or teaching work, or need to claim expenses that cannot be handled through your employer. In those situations, a Self Assessment return is usually required and specialist help is worth having.

NHS employment income is reported from your P60 and any private or locum income is reported separately, either as self-employment or as untaxed income depending on how the work is structured. We make sure each stream is categorised correctly, that expenses are matched to the right source, and that tax already paid through PAYE is properly credited. Getting this wrong is one of the most common causes of an incorrect return and an unexpected bill.

Common claims include medical indemnity insurance, professional body subscriptions, required training and professional development, specialist equipment, clinical clothing and relevant professional travel. Whether a specific cost qualifies depends on your employment status and whether it was incurred wholly and exclusively for your work, and employed doctors face stricter rules than the self-employed. We review your actual costs rather than applying a generic list.

Locum work raises questions about how your income is taxed, whether agency arrangements or contracts sit inside IR35, whether you should operate as a sole trader or through a limited company, and which expenses can be set against your fees. Travel between sites, equipment, indemnity cover and administrative costs all need consistent record keeping. The right structure depends on your volume of work, rates and long-term plans.

VAT depends on the nature of the services you provide and your taxable turnover. Many medical services are exempt from VAT, but not all activities related to private practice are treated the same way, and other income streams such as certain medico-legal or advisory services can be handled differently. The position needs to be assessed on your specific services rather than assumed.

Yes. Partnership work involves preparing accounts for the practice, agreeing how profits are shared between partners, and reporting each partner's share correctly on their individual return. Practice expenses, staff costs, equipment and capital allowances all feed into this. Accurate partnership accounts also make it easier for each partner to plan their own tax position.

Doctors in Aylesbury and the surrounding area can work with us in the way that suits their schedule. Many clients prefer to share documents and communicate digitally, which fits around clinical rotas, while others prefer meetings. Either way, the process is the same: secure sharing of records, clear explanations of your position, and organised filing of returns and accounts.

Switching is usually simpler than doctors expect. We need some basic information about your circumstances, your previous accountant's details where applicable, and your recent tax or accounting records. We can then handle the handover of information and confirm what we need from you going forward. Starting with a conversation about your income sources and current arrangements is the easiest first step.

Speak to an Expert

Make Your Tax Position Easier to Manage — Specialist Accountants for Doctors in Aylesbury

If your income comes from several places at once, or if Self Assessment has become a chore you would rather not face alone, CruseBurke can help bring it under control. We support doctors with Self Assessment, bookkeeping, allowable professional expenses, NHS and private income reporting, and structure advice where it is relevant to your circumstances. Starting with a straightforward conversation about how you work is often all it takes to get your affairs in order.