Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Gresford Wrexham

Specialist accounting support for doctors in Gresford Wrexham, designed around the way you actually work. Whether you are a salaried hospital doctor, a GP, a locum, a consultant with private practice income, or a mix of all of these, we help make sense of your income sources, Self Assessment obligations, allowable professional expenses and record keeping. The result is a clearer financial picture, fewer last-minute surprises and tax compliance handled properly throughout the year rather than scrambled together in January.

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 a single tax category, which is exactly why specialist accounting support matters. A salaried hospital doctor paying tax through PAYE has very different needs from a locum invoicing several trusts, and a GP partner’s position is different again from a consultant running a private practice alongside an NHS role. We support GPs and GP locums, hospital doctors, consultants, salaried doctors on the medical pay scales, private practitioners, doctors with wholly private income, and those combining NHS and private work in a single tax year. We also work with doctors who carry out medico-legal work, teaching, appraisals, or portfolio roles that generate additional income. Because accounting and tax treatment depends on your employment status, income sources, business structure and professional activities, the starting point is always your own circumstances rather than a template. Self Assessment, allowable expenses, pension contributions, practice or partnership finances and the question of whether a limited company suits you can all look very different from one doctor to the next.

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 Built Around Medical Careers

Our work for doctors starts with understanding where your income comes from and how it is taxed. For many doctors that means a Self Assessment tax return covering NHS income, private medical income, locum or consultancy fees, and other professional earnings, with allowable expenses identified properly along the way. We can handle the bookkeeping and record keeping that sits behind those returns, including regular bank reconciliation, invoicing and expense tracking, so the figures are accurate rather than estimated. Where a doctor runs a private practice, a limited company or a partnership, we prepare annual accounts, management accounts and financial reporting, and manage the associated Corporation Tax or partnership tax obligations. Payroll is relevant for practices and companies employing staff, and VAT may apply depending on turnover and the nature of the services provided, including whether medical services fall within an exemption. Beyond compliance, we provide tax planning and business structure advice: reviewing whether sole trader, partnership or limited company status suits your mix of work, considering pension contributions and their interaction with your tax position, and planning income sensibly across tax years. If you are a GP partner or a practice principal, we can also help with practice accounts and profit shares. The aim is simple: your returns and accounts are correct, your expenses are properly claimed, and decisions about your finances are made with the full picture in view.

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 often carry a level of financial complexity that payroll alone does not resolve. These are the areas that most frequently cause difficulty, and where specialist help tends to make the biggest difference.

  • Multiple income sources arriving in different formats. NHS payslips, trust locum payments, private invoices, medico-legal fees and teaching income can each be taxed differently, and pulling them into one accurate tax position is where mistakes usually creep in.
  • Claiming the right allowable professional expenses. Medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, mandatory training, and in some cases equipment, uniforms or mileage can all be relevant. Whether a cost is deductible depends on your employment status and how the expense relates to your work, so it needs proper consideration rather than guesswork.
  • PAYE alongside self-employment or private income. A salaried role does not remove the need for Self Assessment once you have private, locum or consultancy income, and PAYE can sometimes collect the wrong amount of tax when there are multiple sources.
  • Record keeping during a busy clinical week. Receipts, mileage logs, invoices and expense records are easy to postpone when clinics run late, yet poor records are the most common cause of missed claims and awkward questions from HMRC.
  • Understanding pension implications. Annual allowance charges and the interaction between pension contributions, your income level and your tax relief position can be complex, and the way a contribution is made or recorded affects how it is treated.
  • Choosing and reviewing a business structure. Locum work, private practice, medico-legal consultancy and portfolio careers can be run as a sole trader, through a partnership or via a limited company. Each option brings different tax, administrative and IR35 considerations, and the right answer changes as your work changes.
  • Locum and consultancy income specifically. Locum doctors frequently have several paymasters plus agency arrangements, and understanding what has already been taxed, what needs declaring, and what can be claimed takes careful reconciliation.
  • Partnership and practice finances. GP partners and practice principals deal with profit shares, drawings, capital accounts and practice-level reporting, which sit alongside their personal tax position and need to be handled together rather than separately.
  • Keeping pace with deadlines and compliance. Registration for Self Assessment, accurate submissions, payments on account and any VAT or payroll obligations all follow set timetables, and missing them can trigger avoidable penalties and interest. Planning across the year is generally more effective than reacting at the last moment.

Why Doctors Choose CruseBurke for Their Accounting and Tax Support

Doctors choose CruseBurke because they want an accountant who recognises the shape of a medical career, not one who treats them as a straightforward PAYE case. We take the time to understand how your income is earned, whether that is NHS employment, private practice, locum shifts, consultancy work or a combination of several strands, and we build the accounting around that reality. That means Self Assessment returns prepared with the full picture in mind, allowable professional expenses considered properly rather than missed, and clear explanations of anything that affects your tax position. Communication matters too: we explain what is required in plain terms, keep you informed about deadlines and payments, and respond to questions about your figures without jargon. For doctors running a limited company, a partnership or a private practice, we provide the annual accounts, management information and compliance support those structures require, alongside advice on how they interact with your personal tax position. Where appropriate, we can also support payroll and VAT obligations connected to your practice or company. Different working arrangements bring different requirements, and our aim is to provide organised, accurate and genuinely useful support that fits each doctor’s individual circumstances.

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 another administrative burden. It starts with a conversation: we ask about your clinical role, whether you are salaried, a locum, a GP partner, a consultant, a private practitioner or a combination, and we map out every income source including NHS pay, private medical fees, locum or agency income, consultancy work and any other professional earnings. From there, we review your accounting and tax position in detail — what you have already filed, what is outstanding, how your records are kept, whether a limited company or partnership structure is relevant, and where allowable professional expenses such as medical indemnity, registration and membership fees, training costs and travel are being captured correctly. The third step is putting appropriate support in place: agreeing how bookkeeping and record keeping will work day to day, setting up or confirming the right registrations, preparing returns and accounts, and building in sensible tax planning so decisions are made ahead of time rather than retrospectively. You will know what is happening, what is expected from you and when, with no surprises along the way.

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 applying accounting and tax knowledge to the specific patterns of medical work. Doctors often move between roles during a career — a training post one year, a locum period the next, a partnership or private practice further down the line — and each move changes how income is taxed and what can be claimed. We work with that variability rather than against it, reviewing how your mix of NHS and private income is taxed, making sure Self Assessment reflects every source accurately, and identifying allowable expenses such as medical indemnity, professional subscriptions, registration fees and genuine training or professional development costs. Where a limited company, partnership or private practice is part of the picture, we look after the annual accounts, Corporation Tax or partnership reporting, payroll and VAT considerations that come with it, and we advise on whether the structure still fits your work. Bookkeeping and record keeping are set up in a way that is realistic for someone working clinical hours, so information is captured as it happens rather than reconstructed months later. Throughout, you get clear communication, practical answers and a consistent point of contact, with advice tailored to your circumstances rather than a one-size-fits-all service.

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 begins with a conversation about your work and your finances. We will ask about your current roles, how your income is paid, whether you have any outstanding returns or registrations, and how your records are currently kept. From there we can set out what support is appropriate for your circumstances, whether that is a straightforward tax return or something more involved such as annual accounts, payroll or structure advice. If you are unsure whether you need help at all, that initial discussion is a sensible way to find out without committing to anything.

Speak to an Expert

Stop Juggling NHS Payslips, Locum Income and Private Fees on Your Own — Let Accountants for Doctors in Gresford Wrexham Take It From Here

When income arrives from several directions, keeping on top of Self Assessment, allowable professional expenses and accurate records can easily slip down the list behind clinics, rotas and on-call commitments. CruseBurke supports doctors with tax returns that bring every income source together correctly, along with bookkeeping that keeps your figures organised throughout the year rather than in a rush before the deadline. If you would like your medical income and tax affairs handled with proper care and a clear explanation of where you stand, get in touch and we will talk through your circumstances.