Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Gerrards Cross

Specialist accounting support for doctors in Gerrards Cross, built around the way you actually work. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, we help you keep your records in order, understand your tax position and meet your Self Assessment obligations across NHS income, private medical income and everything in between.

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 neatly into one box, and their accounting needs tend to reflect that. A salaried hospital doctor paying tax through PAYE has a very different position from a locum working through several agencies, a consultant building a private practice alongside an NHS post, or a GP partner with a share of practice profits. We support GPs and GP partners, hospital doctors and consultants, salaried doctors with additional private income, locum doctors, private practitioners, and doctors who combine NHS work with private or medico-legal income. The right approach depends on your income sources, your employment arrangements, whether you operate as a sole trader, partner or limited company, and the professional costs you incur along the way. Because those factors vary so much from doctor to doctor, we take the time to understand your circumstances before recommending a way forward.

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 for doctors centres on making sure your tax position is properly understood and your records are in shape. That often begins with Self Assessment, particularly where you have income beyond a single salary — private consultations, locum shifts, medico-legal reports, teaching, or NHS pension income. We prepare and file tax returns that reflect all of your income sources, and we look carefully at the expenses you can legitimately claim, such as medical indemnity insurance, professional subscriptions and registration fees, training and continuing professional development, specialist equipment, and travel or mileage for work-related journeys. For doctors running a private practice or consultancy, we can handle bookkeeping, annual accounts, management accounts and financial reporting, along with VAT where your turnover and activities mean registration is required, and payroll if you employ staff or pay yourself through a company. We also advise on business structure — sole trader, partnership or limited company — and on partnership accounts where you share profits in a practice. Where Corporation Tax applies, we deal with the filings and the planning around director remuneration and profit extraction. The overall aim is straightforward: accurate compliance, clear figures, and tax planning that fits your circumstances rather than a one-size-fits-all template.

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

Doctors frequently end up with a more complicated financial picture than their payslips suggest. These are some of the areas where specialist support tends to make the biggest difference.

  • Multiple income streams arriving in different formats. A salary, locum shifts, private fees and pension income may each be reported differently, which makes it easy to overlook something at tax return time. Bringing them together properly reduces the risk of errors and unexpected tax bills.
  • Knowing which expenses are genuinely allowable. Medical indemnity, GMC and royal college fees, specialist equipment, professional development and work travel are commonly claimed — but the detail matters, and HMRC expects the link to your professional work to be clear. Getting this wrong in either direction costs you.
  • Record keeping through a busy clinical week. Receipts, mileage logs and income summaries tend to pile up when you are working long days. Poor records make Self Assessment slower, more expensive to prepare and harder to defend if HMRC asks questions.
  • Choosing the right business structure for private work. Whether private income should sit in your own name, in a partnership or in a limited company depends on your level of earnings, your NHS position and your long-term plans. The wrong structure can create unnecessary cost and complexity.
  • Understanding pension implications. NHS pension contributions, annual allowance considerations and the interaction with private income can make tax planning genuinely technical. This is an area where assumptions are risky and personalised advice matters.
  • Managing payment on account and cash flow. Where tax is collected through Self Assessment rather than PAYE, payments on account can create significant cash flow pressure. Planning ahead smooths this out considerably.
  • Practice and partnership finances. GP partners and doctors in partnership need profit shares, drawings, practice accounts and partnership tax returns handled accurately, alongside the individual returns for each partner.
  • Keeping pace with deadlines while working full time. Filing and payment dates do not move for clinical rotas. Diarising obligations and preparing figures early removes a recurring source of stress.

Why Doctors Choose CruseBurke

Doctors often come to us because their circumstances have outgrown a generalist approach. A single salary with no other income is fairly straightforward; locum work, private practice, partnership profit shares, pension complexity and multiple income sources are not. We take the time to understand how you actually earn, then build the accounting and tax support around that. In practice, that means clear explanations rather than jargon, organised records that hold up if questions are asked, returns filed on time, and practical advice on legitimate expenses and tax planning. We work with doctors in different arrangements — salaried, locum, private, partnership and limited company — and we adapt our support to suit. If you would rather deal with an accountant who understands the vocabulary of medicine as well as the language of tax, that is the gap we aim to fill.

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 the right accounting support in place does not need to be complicated. First, we start with a conversation about your circumstances — your NHS post or practice, any private or locum income, consultancy or medico-legal work, how you are currently structured, and what is causing you difficulty. Second, we review your accounting and tax requirements: what needs to be filed, by when, what records you already have, and where there are gaps, including expenses you may not be claiming, VAT considerations or structure questions worth exploring. Third, we put the appropriate support in place, which might mean taking over your Self Assessment, setting up bookkeeping for private practice income, preparing accounts and returns, or advising on partnership or company matters. From there, we keep things running and stay in touch as your working arrangements change.

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 doctors’ finances as the specialist area they are. NHS income, private fees, locum timesheets, consultancy arrangements and pension considerations all interact, and the tax outcome depends heavily on how they are handled together rather than in isolation. We look at the whole picture — employment status, income sources, business structure, allowable professional expenses and the timing of tax payments — and we explain what we find in plain terms. Bookkeeping, Self Assessment, annual accounts, Corporation Tax, VAT and payroll are handled as connected pieces rather than separate chores. Where a decision has long-term consequences, such as whether to incorporate private work or how to structure a partnership, we set out the practical implications so you can make an informed choice. And because medical careers change, the support is designed to move with you as your circumstances evolve.

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

It depends on your circumstances. If you are employed on a single salary with no other income and straightforward tax affairs, your PAYE position may be simple enough to manage yourself. But many doctors have income that goes beyond one payslip — locum shifts, private consultations, medico-legal work, teaching, or a share of practice profits — and that usually means a Self Assessment return, questions about allowable expenses and tax to plan for. An accountant is most valuable where there are multiple income sources, a business structure to consider, or a tax position that would be costly to get wrong.

Common claims include medical indemnity insurance, GMC registration and royal college or specialist society subscriptions, professional development and training that maintains or updates your existing skills, specialist equipment and reference materials, and business travel or mileage for work-related journeys. What qualifies depends on whether the cost is genuinely incurred wholly and exclusively for your professional work or business, and on your employment status — the rules differ between employed and self-employed income. Because the detail matters, we review expenses individually rather than applying a generic list.

Your NHS salary is normally taxed through PAYE, while private income is usually reported through Self Assessment. The two interact, particularly when it comes to your overall tax position, payments on account, and pension considerations. We look at both together so the return reflects the full picture and you are not caught out by an unexpected liability later in the year.

Locum work is often treated as self-employment, which means reporting income and expenses through Self Assessment and potentially registering for VAT depending on your turnover and the nature of the work. Many locum doctors find it helpful to have bookkeeping in place from the start, since agency statements, timesheets and expenses need to be reconciled before the return can be prepared accurately. There can also be questions about whether a particular engagement looks more like employment, which is worth reviewing.

Yes. Where private medical work is carried out through a limited company, we can handle annual accounts, Corporation Tax filings, payroll for directors and staff, VAT where applicable, and advice on how to take money out of the company tax-efficiently. Whether incorporation is the right structure depends on your level of private income, your NHS position and your longer-term plans, so we look at that before recommending an approach.

We do. GP partners need practice accounts and a partnership tax return prepared, alongside individual Self Assessment returns for each partner reflecting their profit share. Drawings, capital accounts and the allocation of profits all need to be handled consistently, and partner circumstances often differ enough that individual tax planning is worthwhile alongside the partnership filings.

Many doctors find remote working suits a clinical schedule better, since documents can be shared securely and meetings arranged around rotas rather than office hours. However you prefer to communicate, the process is the same: we gather your income and expense information, prepare and review your figures, and file what is needed. If you are changing accountants, we can also help coordinate the handover of information from your previous adviser.

It begins with a conversation about your circumstances — how you are employed or self-employed, what income you receive, how your affairs are currently structured and what you need help with. From there we set out what needs to be done and when, then put the appropriate support in place. If you are partway through a tax year or have outstanding filings, we can factor that into the plan.

Speak to an Expert

Take the Guesswork Out of Your Tax Position with Accountants for Doctors in Gerrards Cross

Juggling NHS income, private fees and locum work can make it hard to know whether your tax affairs are actually in order. CruseBurke helps doctors bring their income sources together, claim the professional expenses they are entitled to, and keep Self Assessment and bookkeeping under control, with accounts and tax returns prepared around the realities of clinical work. If you would like a clearer picture of where you stand, get in touch and we will talk through your circumstances.