Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Fetcham

Doctors in Fetcham often juggle far more than a single payslip. NHS income, private practice fees, locum shifts, consultancy work and pension decisions can all land in the same tax year, and each one carries its own reporting and record-keeping requirements. Specialist accounting support helps you keep those strands organised, understand what you can legitimately claim, and file Self Assessment and other returns accurately and on time. Whether you are salaried, self-employed, in a partnership or running a limited company, the aim is straightforward: clear figures, sensible tax planning and fewer administrative headaches so you can focus 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.

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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?

Accounting needs vary enormously across the medical profession, and two doctors on similar incomes can face very different tax positions depending on how their work is structured. We support GPs, hospital doctors and consultants, locum and agency doctors, salaried doctors, private practitioners running their own clinics, and doctors who combine NHS roles with private or medico-legal work. A salaried hospital doctor may only need help with Self Assessment, professional expenses and pension allowances, while a GP partner needs partnership accounts, profit allocation and possibly VAT and payroll for practice staff. Locum doctors often need guidance on expenses, mileage and whether to operate through a limited company, and private practitioners may need support with bookkeeping, invoicing, VAT registration and management accounts. Because treatment depends on employment status, income sources, business structure and individual circumstances, we take the time to understand your particular mix 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

Our work with doctors centres on the areas that cause the most confusion and consume the most time. That typically includes Self Assessment tax returns covering NHS income, private medical fees, locum earnings, consultancy income and any other sources in one coherent picture, along with advice on allowable professional expenses such as medical indemnity cover, professional subscriptions, training and continuing professional development, equipment, and business travel and mileage. For doctors who are self-employed or in partnership, we prepare annual accounts, partnership accounts and profit allocations, and can advise on business structure — sole trader, partnership or limited company — where this is relevant to your circumstances. Where a limited company or practice is involved, we can assist with annual accounts, Corporation Tax, payroll, VAT registration and returns, bookkeeping and management accounts so that you have reliable figures throughout the year rather than a scramble at the deadline. We also support tax planning around multiple income sources and pension considerations, bearing in mind that annual allowance rules and contribution limits depend on your individual position and should be reviewed alongside your overall financial planning rather than in isolation.

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

Doctors rarely have a simple tax affairs profile. The challenges below come up regularly, and they tend to become more complex as income sources multiply or working arrangements change.

  • Multiple income streams in one tax year: NHS salary, private fees, locum shifts and consultancy income may all need reporting together, and keeping track of what has already been taxed at source can be genuinely difficult without organised records.
  • Knowing what counts as an allowable professional expense: medical indemnity and defence union subscriptions, professional body memberships, required training and CPD, specialist equipment, and travel to temporary workplaces are often claimable, but the rules are detailed and depend on whether you are employed or self-employed.
  • Distinguishing between employment and self-employment: locum work in particular can sit awkwardly between the two, and the tax treatment, expense rules and National Insurance position differ depending on how the engagement is structured.
  • Pension considerations: NHS pension contributions, annual allowance implications and any private pension arrangements interact in ways that can affect your tax position, and these are best reviewed with proper advice rather than assumptions.
  • Choosing the right business structure: whether to operate as a sole trader, within a partnership or through a limited company affects how you are taxed, what you can claim, and how much administration is involved.
  • Practice and partnership finances: GPs and practice owners often deal with partnership profit shares, staff payroll, VAT and practice expenses, which need accurate ongoing bookkeeping rather than an annual afterthought.
  • Record keeping and deadlines: receipts, mileage logs, invoices and bank transactions mount up quickly, and missing or disorganised records make returns slower, more costly and more stressful to complete.
  • Changing circumstances mid-year: a move between trusts, a new private clinic, a period of maternity or sick leave, or a switch from salaried to locum work all create knock-on effects for tax reporting and planning.

Why Doctors Choose CruseBurke

Doctors come to us because they want an accountant who already understands the shape of medical income, rather than one who needs the basics explained each year. We work with the realities of NHS pay, private fees, locum engagements, consultancy arrangements and practice finances, and we translate that into practical steps: what to record, what to claim, what to set aside, and which deadlines apply to you. Just as importantly, we communicate in plain English. You should not need a tax qualification to understand your own accounts, so we explain the position clearly, flag issues before they become problems, and keep your records organised so that returns and accounts are based on accurate information. Because doctors work in so many different arrangements, we tailor our support to your circumstances instead of applying a one-size-fits-all approach, and we are happy to work with you remotely or however suits your schedule.

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 should not feel like extra work. First, we take time to understand your circumstances — how you are employed, whether you have NHS income, private fees, locum work or consultancy earnings, what business structure applies and what your main concerns are. Second, we review your accounting and tax requirements, including your Self Assessment position, allowable professional expenses, bookkeeping arrangements and any partnership, company, payroll or VAT obligations, and we explain what needs to happen and when. Third, we put the appropriate support in place, agree how records will be shared and how often we will be in touch, and set up the processes needed to keep your filings accurate and your tax position under review. From there, we remain available for questions as your working arrangements evolve.

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

The difference lies in how we approach medical income. Rather than treating each tax return as an isolated task, we look at the whole picture: salary, private fees, locum income, consultancy work, practice profits and pension contributions, and how they interact. That perspective matters when expenses need to be allocated correctly between employed and self-employed work, when income has been taxed at source and must not be taxed twice, or when a change in working pattern makes a different structure worth considering. We also place real emphasis on the unglamorous foundations — clean bookkeeping, organised receipts, sensible record-keeping systems — because reliable accounts depend on reliable records. Alongside compliance, we provide commentary that helps you plan: understanding your effective tax position, avoiding surprise liabilities, and making informed decisions about how you take income. Our advice is always framed around your individual circumstances, since tax treatment depends on factors such as employment status, income sources, business structure and personal situation.

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

Some doctors with a single salaried role and straightforward affairs manage their own returns, but complexity tends to build quickly. Once you add private fees, locum work, consultancy income, a practice partnership or a limited company, the reporting, expense rules and timing get considerably more involved. An accountant can help ensure income is reported correctly, expenses are claimed appropriately and opportunities are not overlooked. Many doctors also value the reassurance that deadlines are being monitored on their behalf.

Commonly claimed items include medical indemnity and defence union subscriptions, professional body memberships, required training and CPD costs, specialist equipment and, in some cases, travel to temporary or temporary-ish workplaces such as locum assignments. What you can claim depends on whether the cost relates to employed or self-employed work, whether it was incurred wholly and exclusively for that work, and your individual circumstances. We review your spending and identify what is appropriate to claim.

Both sources generally need to be reported on your Self Assessment return. NHS salary is usually taxed through PAYE, so the key is making sure the figures are captured correctly and that any private fees, which typically have no tax deducted, are included in full. Where income has already been taxed at source, it should not be taxed twice. We reconcile the two so the return presents an accurate overall picture of your taxable income.

Not necessarily. Whether a limited company is beneficial depends on your level of earnings, how your engagements are structured, IR35 considerations and your wider financial plans. Some locums operate very successfully as sole traders, while others find a company offers advantages. This is a decision worth discussing in detail rather than assuming, because the administration, payroll and filing obligations differ significantly between structures.

Pension contributions can influence your tax position, and for doctors the interaction between NHS pension accrual, annual allowance rules and any private pension arrangements can be complex. The treatment depends on your total income, contribution levels and individual circumstances, so it is worth reviewing rather than relying on general guidance. We can factor pension considerations into your broader tax planning and highlight where specialist financial advice may be appropriate.

Yes. GP partners and practice owners have accounting needs that go beyond a personal tax return, including partnership accounts and profit allocations, practice bookkeeping, staff payroll and VAT where registration applies. We can support the practice side while also handling the individual partners' Self Assessment and related tax matters, so the numbers stay consistent across both.

It is usually more straightforward than doctors expect. We will need professional clearance from your existing accountant along with your prior returns, accounts and records, and we handle that correspondence for you. Once everything is in place, we review the position and confirm what is required going forward. If a deadline is approaching, it helps to make the switch sooner rather than later.

Many doctors prefer to work remotely, and that can function smoothly using secure document sharing and scheduled calls around clinical rotas and on-call commitments. If you would rather meet in person, that can also be arranged. Either way, the service is the same: organised records, clear explanations and timely submissions. If you are unsure what you need, a conversation about your circumstances is a sensible starting point.

Speak to an Expert

Get Your Doctor-Specific Tax Affairs in Order with Accountants for Doctors in Fetcham

Juggling NHS payslips, private fees, locum invoices and practice accounts makes it easy for records to slip and deadlines to creep up. CruseBurke can help you bring everything into one clear picture, from Self Assessment and claimable professional expenses through to bookkeeping and business structure advice. If your circumstances have changed or you simply want to know your figures are right, talk to us and we will take it from there.