Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Great Milton

Specialist accounting support for doctors in Great Milton, built around the way you actually work. Whether you are a salaried hospital doctor, a GP partner, a locum, a consultant with private practice income, or you combine NHS and private work, the tax and accounting picture can look quite different from a standard employee’s. CruseBurke helps doctors make sense of Self Assessment, multiple income sources, allowable professional expenses, bookkeeping and record keeping, so that deadlines are met and your financial affairs stay organised, with advice that reflects your own circumstances rather than a one-size-fits-all 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 do not all have the same financial profile, and the accounting support that suits one clinician may not fully fit another. We work with GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners, and doctors who combine NHS roles with private or medico-legal work. A salaried doctor may mainly need a straightforward Self Assessment return covering employment income, medical indemnity and professional subscriptions. A locum doctor is more likely to need help with recording income across multiple engagements, tracking allowable expenses and understanding how their working pattern affects their tax position. A GP partner or a doctor running a private practice introduces practice accounts, profit shares, partnership or company structures, payroll and possibly VAT. Consultants mixing NHS work with private practice, teaching, research or expert witness work may have several income streams to bring together. If your circumstances sit somewhere between these, or change from year to year, that is entirely normal, and accounting advice should adapt with you.

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 support is shaped around the income sources, business structures and professional costs that doctors typically deal with. For doctors with employment or NHS income alongside private or locum earnings, we can prepare and file Self Assessment tax returns, review the expenses you are claiming, and help you keep the records needed to support them. Where you run a private practice, provide consultancy services, or work through a limited company, we can assist with annual accounts, Corporation Tax computations, bookkeeping, payroll and VAT registration or returns where these apply. Doctors in partnership, such as GP practices, may need partnership accounts, profit allocation and support with how drawings and tax payments are planned through the year. We can also prepare management accounts and financial reporting for those who want a clearer view of practice performance, and provide business structure advice where you are weighing up sole trader, partnership or limited company arrangements. Because treatment often depends on your employment status, contracts and the balance of NHS and private work, we take the time to understand your position before recommending a route.

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 deal with a mix of income streams, professional costs and deadlines that do not fit neatly into a standard personal tax return. These are the areas where specialist accounting support tends to make the biggest difference.

  • Multiple income sources in one tax year. NHS salary, private practice fees, locum shifts, consultancy work, teaching or expert witness income can all land in the same return, which makes accurate record keeping and correct categorisation of each stream essential.
  • Getting Self Assessment right and filed on time. Payment on account, pension contributions and changing income levels can affect what you owe, so it helps to plan the cash flow rather than discover the position at the filing deadline.
  • Identifying allowable professional expenses. Medical indemnity, GMC and royal college subscriptions, professional body fees, specialist equipment, journals and certain training costs may be claimable, but only where the rules and your circumstances support the claim.
  • Travel, mileage and the difference between sites. Doctors often travel between hospitals, surgeries, clinics and home visits, and the tax treatment of that travel can depend on whether the journey is ordinary commuting or undertaken in the course of your work.
  • Record keeping across busy working weeks. Receipts, timesheets, rota records and invoices are easy to lose track of when clinical work takes priority, yet they are what underpins an accurate return if HMRC asks questions.
  • Pension considerations and annual allowance questions. NHS pension accrual, additional contributions and any private pension arrangements can interact with your overall tax position, which is why pension planning often needs to sit alongside tax planning rather than separately.
  • Choosing and maintaining the right business structure. Locum work, private practice and consultancy can be run as a sole trader, through a partnership or via a limited company, and each route carries different reporting, tax and administrative obligations.
  • Practice and partnership finances. GP partners and practice owners have to deal with profit shares, drawings, practice overheads, staff payroll and VAT where applicable, all of which need consistent accounting records and timely reporting.
  • Keeping up with HMRC correspondence and deadlines. Notices, penalties and queries are stressful when you are already stretched clinically, so having an accountant manage submissions and correspondence on your behalf removes a layer of pressure.

Why Doctors Choose CruseBurke

CruseBurke provides accounting and tax support designed for the realities of medical careers, from a first locum contract through to partnership, private practice or company ownership. What doctors tend to value is a clear explanation of how the rules apply to their situation, rather than jargon or generic checklists. We help you organise your records, understand which expenses you can legitimately claim, plan for tax payments and keep on top of filing obligations, while adapting the service when your working arrangements change. Communication is straightforward, whether you prefer to deal with us remotely alongside a demanding rota or sit down and work through the detail in person. Where your affairs involve a mix of NHS income, private fees, locum work or consultancy, we bring those strands together so that your accounts and returns reflect the full picture.

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 your accounting in order should not add to an already full workload, so we keep the process structured and easy to follow. First, we take the time to understand your circumstances, including your employment arrangements, income sources and any private, locum or consultancy work, along with your existing records and any deadlines already approaching. Second, we review your accounting and tax requirements, covering Self Assessment, expenses, bookkeeping, payroll, VAT or business structure questions where they apply, and identify the areas that need attention first. Third, we put the right support in place, from preparing and filing returns and maintaining your records through to ongoing tax planning and advice as your career develops. If you are moving between roles, taking on additional private work or setting up a new structure, we can adjust the support accordingly.

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

Much of the value an accountant brings to a doctor lies in understanding how medical income actually behaves. Rather than treating your affairs as a single salary, we look at the interaction between NHS income, private fees, locum earnings, consultancy work and any practice involvement, then build the accounting around that. That means expenses are reviewed in context, whether they relate to medical indemnity, professional subscriptions, training, equipment or travel between sites, and returns reflect the whole picture rather than just one income stream. We also focus on the practical side: bookkeeping systems that survive a busy rota, timely Self Assessment submissions, clear explanations of Corporation Tax or partnership profit allocations where relevant, and advice on structures that suit how you intend to work in future. When something in your tax position needs a decision, we explain the options in plain language so you can make it with confidence.

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 single salary taxed through PAYE and you have no significant additional income, expenses or investments, your affairs may be fairly simple. The picture changes once you take on locum shifts, private practice fees, consultancy work, medico-legal income, a partnership role or company directorship, or once you want to make sure you are claiming the professional expenses you are entitled to. At that point, specialist accounting support can help you keep accurate records, file correctly and understand what you will owe.

Common claims include medical indemnity insurance, GMC and royal college subscriptions, professional body fees, specialist equipment and, in certain circumstances, training and study costs that maintain or update skills in your existing specialty. Travel and mileage may also be claimable where the journey is undertaken in the course of your work rather than being ordinary commuting. The rules are specific, and whether a particular cost qualifies depends on your employment status, contract and the nature of the expense, so each claim should be considered on its own facts rather than assumed.

Salaried NHS income is normally taxed through PAYE, while locum payments you receive directly, rather than through payroll, usually need to be reported through Self Assessment. If you invoice agencies or practices as a sole trader, partnership or limited company, the reporting obligations and the way tax is calculated can differ again. Because locum work is often irregular, it can help to keep income and expenses recorded as you go, and to plan for tax payments rather than waiting until the return is due.

Yes. Combining NHS salary with private practice, consultancy or medico-legal income is common, and it usually means a Self Assessment return is required. We bring the different income streams together, review what expenses relate to each, and consider how pension contributions and payments on account may affect your overall position. The exact treatment depends on how your private work is structured, your contracts and whether you operate as an individual or through a company.

There is no single answer that suits every doctor. Sole trader or partnership arrangements tend to be simpler administratively, while a limited company can bring different tax and reporting obligations, including annual accounts, Corporation Tax and possible payroll and VAT registration. The right structure depends on your level of income, how many contracts you hold, whether IR35 or off-payroll rules could apply, and your longer-term plans. We can talk through the practical implications so you can choose with a clear understanding of the trade-offs.

Medical indemnity cover, GMC registration and subscriptions to professional bodies or royal colleges are typical costs for working doctors and are frequently claimed as allowable expenses where they relate to your professional role. The precise treatment can vary depending on whether the cost is met by you personally, reimbursed by an employer, or paid through a practice or company, so we check how each payment has been made before including it in your return.

Yes. Much of the work involved in preparing accounts and tax returns can be handled remotely, using secure document sharing and cloud-based bookkeeping, which tends to suit doctors working unpredictable rotas. We can also arrange to meet in person where that is more practical for you. What matters is that you have a clear route to ask questions, share records and understand your position.

Changing accountants is usually straightforward. We can liaise with your existing accountant to obtain the information needed, including professional clearance where required, and then review your records and current position before taking over filings. It helps to have your most recent accounts, tax return, HMRC correspondence and bookkeeping records to hand, but if anything is missing we can work through it with you.

Start by getting in touch and describing your situation, including your employment arrangements, any private, locum or consultancy income, and your current accounting or filing obligations. From there, we can review what is required, discuss whether Self Assessment, bookkeeping, payroll, VAT or business structure advice is relevant, and agree how the ongoing support will work. If you have a deadline approaching, mention it early so it can be prioritised.

Speak to an Expert

Take the Stress Out of Tax Season with Accountants Who Understand Medical Careers

Juggling NHS payslips, locum invoices, private practice fees and a box of unorganised receipts is no way to approach a tax deadline. CruseBurke helps doctors in Great Milton bring their income streams together, claim the professional expenses they are entitled to and stay on top of Self Assessment and bookkeeping throughout the year. If it would help to have your accounts handled with a clear understanding of how medical work is structured, get in touch with our team to talk through your circumstances.