Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Fermanagh

Medical careers rarely fit neatly into one tax box. Between NHS payslips, private patient fees, locum shifts and occasional consultancy work, doctors in Fermanagh can quickly find themselves dealing with several income sources, one Self Assessment deadline and a growing pile of receipts. As accountants for doctors in Fermanagh, we help make sense of that picture — keeping your bookkeeping current, your tax position clear and your filing obligations on track, whether you work in a hospital, a GP practice, a private clinic or a mix of all three.

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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?

Our accounting support is designed for the wide range of working arrangements found across the medical profession. That includes salaried hospital doctors and consultants who pay tax through PAYE but also receive private or locum income, GPs working within a practice or partnership, locum doctors moving between sites and assignments, doctors running a private practice or clinic, and clinicians who combine NHS work with private consultations, medicolegal work or teaching. The accounting needs of each group differ. A salaried doctor with one employer may only need help tidying up a Self Assessment return and confirming which professional expenses are allowable, while a locum may need support with record keeping, travel and mileage, and payments on account. A GP partner or private practitioner is more likely to need partnership or company accounts, payroll, VAT advice and a longer-term view of tax planning. Much depends on your employment status, your income sources, your business structure and your individual circumstances, so the right approach is always tailored rather than assumed.

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

We provide accounting and tax support shaped around medical working lives. For doctors with additional income, that starts with Self Assessment — preparing and filing tax returns that bring together NHS pay, private fees, locum income, consultancy earnings and any investment or property income in one place, and helping you understand payments on account so they do not come as a surprise. Where you run a private practice or clinic, we can look after annual accounts, bookkeeping and management accounts, giving you a clear view of income, costs and cash flow through the year rather than a scramble at the year end. If you operate through a limited company, we can assist with statutory accounts, Corporation Tax, director payroll and dividend planning. VAT advice is available where your services or activities bring you within scope, including help understanding which medical services are treated as exempt and which may not be. For GPs in partnership or doctors in other shared arrangements, we can help with partnership accounts, profit allocation and the tax consequences for each partner. We also support payroll for practice staff, tax planning around pension contributions and profit extraction, and business structure reviews when you are deciding whether to work as a sole trader, in partnership or through a company.

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.

Common Accounting and Tax Challenges for Doctors

Doctors often face a set of financial pressures that general tax advice does not always address. The challenges below are common considerations across the profession, though how far each one affects you will depend on your employment status, income sources and business structure.

  • Income arriving from several directions. NHS salary through PAYE, private patient fees, locum shifts and consultancy or medicolegal work can each be taxed in different ways. Bringing them together accurately in one tax position is often the hardest part of a doctor's return.
  • Self Assessment and payments on account. Additional income usually means registering for Self Assessment, and HMRC may then ask for payments on account towards the following year. Understanding why the bill is larger than expected — and budgeting for it — matters more than reacting after the deadline.
  • Claiming the right professional expenses. Medical indemnity cover, professional body and GMC subscriptions, mandatory training, specialist equipment and mileage between sites can all be legitimate costs, but only where the rules are met and the expense relates to the work. Claiming too much and claiming too little are both costly.
  • Keeping records through a busy clinical week. Receipts, invoices, bank statements and mileage logs build up quickly when you are moving between hospital wards, practice surgeries and private clinics. Poor records tend to surface as missed relief or additional work at filing time.
  • Choosing the right business structure. Sole trader, partnership and limited company arrangements each carry different tax, National Insurance and administrative consequences. The right answer depends on your income level, your plans and how you want to be paid.
  • Pension considerations. Many doctors belong to the NHS pension scheme while also making private pension contributions. Annual allowance and contribution rules can be complex, and the figures involved change, so pension decisions are best reviewed with current guidance in front of you.
  • Locum and consultancy income. Locum work arranged through an agency is treated differently from direct engagements, and travel, equipment and administrative costs can be handled in more than one way depending on the arrangement.
  • VAT and practice income. Most medical care is exempt from VAT, but some services and non-medical activities are not, and turnover levels affect what applies. Getting this wrong can be an expensive correction to make.

Why Doctors Choose CruseBurke for Accounting Support

Doctors tend to come to us with the same underlying concern: that their finances have grown more complicated than their current accountant, or their own free time, can comfortably handle. CruseBurke offers accounting and tax support grounded in an understanding of medical working patterns — the way NHS income interacts with private earnings, why professional expenses need careful treatment, and how a change in role or contract can shift your tax position. We aim to communicate clearly, in plain language, without jargon or unnecessary complexity. Practically, that means well-organised records, tax returns prepared on time, and advice that reflects your actual circumstances rather than a template. Because doctors work in so many different ways, we take the time to understand whether you are employed, self-employed, in partnership or operating through a company before recommending anything. The goal is straightforward: fewer administrative loose ends, fewer surprises, and a clearer view of what you are earning, what you owe and what you could be doing differently.

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 proper accounting support in place does not need to be disruptive. First, we start with a conversation about how you work — your NHS role, any private or locum income, consultancy work, partnerships or company arrangements — along with how you currently keep records and what is causing you difficulty. Second, we review your accounting and tax position, looking at previous returns, bookkeeping, deadlines, pension and structure questions, and highlight anything that needs attention. Third, we put the right support in place for your circumstances, whether that is straightforward Self Assessment, ongoing bookkeeping and annual accounts, payroll, VAT or broader tax planning, and agree who does what and when. If you are moving from another accountant, we can manage the handover for you.

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 treat a medical career as what it usually is: a combination of arrangements that changes over time. A doctor might begin with a single NHS post, add locum shifts, take on private patients, join a partnership and later operate through a company. Each step brings different tax and accounting consequences, and advice that only looks at one year in isolation will miss them. We look across your income sources together — NHS, private, locum, consultancy — and consider how allowable professional expenses, pension contributions, structure and timing affect the overall position. We also place real emphasis on the unglamorous foundations: accurate bookkeeping, tidy records, sensible deadlines and returns that can be supported if HMRC asks questions. Where relevant, we can advise on partnership profit shares, company accounts and Corporation Tax, payroll for you or your practice team, VAT scope, and management accounts that give you a working picture of practice finances rather than a once-a-year snapshot. If your circumstances change, the advice should change with them.

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 you have a single NHS employment, your tax code handles your pay correctly and you have no other income, your tax affairs may be straightforward. An accountant becomes more valuable once you have private income, locum earnings, consultancy work, partnership profits, a company, or expenses you are unsure how to claim. Many doctors also value the reassurance that a return has been checked and deadlines are being met.

Your NHS salary is taxed through PAYE, and your private or locum income is usually reported through Self Assessment. The return brings both together, and HMRC may then request payments on account towards the following year. Getting the figures right depends on accurate records of private fees, expenses and any tax already deducted, which is where an accountant can save you both time and uncertainty.

Medical indemnity cover and professional body or GMC subscriptions are commonly claimed where they are required for your work and not reimbursed by an employer. The position can vary depending on whether you are employed, self-employed or working through a company, and on whether the cost relates to your professional practice. It is worth reviewing each expense against the rules rather than assuming it qualifies.

Locum income is often treated as self-employment, which means you may need to register for Self Assessment, keep records of income and costs, and potentially pay Class 2 and Class 4 National Insurance. Travel between sites, equipment and administrative costs may be allowable depending on the arrangement, and whether you work through an agency or directly with a practice can change the picture.

It depends on your circumstances. A limited company can suit some private practitioners and consultants, while others are better served as a sole trader or within a partnership. Factors include your income level, how you are engaged, IR35 considerations, pension arrangements and how much administration you are willing to take on. A structure review is usually more useful than a general answer.

Keeping bank statements, invoices for private or locum work, receipts for indemnity cover, subscriptions, training, equipment and a mileage log will make your return far easier to prepare and support. Records also matter if HMRC queries a return later. Digital bookkeeping tools can simplify this considerably, particularly if income arrives from several sources.

Yes. Partnership arrangements involve allocating profits between partners, preparing partnership accounts and reporting each partner's share, which raises questions about profit share agreements and tax planning. Private practices bring additional considerations around bookkeeping, management accounts, payroll for staff and whether VAT applies to particular services.

It is usually straightforward. We ask for details of your current accountant, contact them for the relevant records and files with your authority, review your previous returns and bookkeeping, and confirm anything outstanding with HMRC. We can handle the handover and set up the ongoing support you need, so you are not managing the transition yourself.

Speak to an Expert

Stop Juggling Payslips, Receipts and Tax Deadlines on Your Own — Accounting Support for Doctors in Fermanagh

If your income comes from more than one place — an NHS post alongside private patients, locum shifts or consultancy work — it is easy for Self Assessment, allowable expenses and record keeping to slip down the priority list. CruseBurke can take that on, preparing and filing your tax return, keeping your bookkeeping organised and helping you understand what you owe and when. Speak to our team about your circumstances and we will walk you through the practical next steps.