Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Guildford

If you are a doctor working in Guildford, your financial affairs are rarely straightforward. NHS income, private fees, locum shifts and consultancy work can arrive from several directions at once, each with its own tax treatment and record-keeping demands. Specialist accountants for doctors in Guildford can bring order to that picture — preparing accurate Self Assessment returns, keeping bookkeeping up to date, identifying allowable professional expenses such as medical indemnity and professional subscriptions, and planning ahead so tax does not become a January surprise. Whether you are salaried, self-employed or a mix of both, the aim is clear, compliant and well-informed accounting support built around how you actually work.

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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?

Accounting support for doctors is not a single service, because doctors do not all earn in the same way. A salaried hospital doctor on PAYE with a small private practice has very different reporting needs from a full-time locum working through several agencies, or a GP partner sharing practice profits and liabilities with colleagues. We work with the breadth of that spectrum: GPs and GP partners, hospital doctors and consultants, locum doctors, salaried doctors with additional private income, private practitioners running their own clinics, and doctors who combine NHS work with private or medicolegal income. Your circumstances shape the advice. Employment status, the number of income sources, whether you operate as a sole trader, a partnership or through a limited company, and how much you spend on indemnity cover, registrations, training and equipment all affect what needs to be declared and what can legitimately be claimed. Where a doctor holds a directorship, receives rental income, or has income from teaching and examining, that too forms part of the wider picture. The starting point is always a proper conversation about how you work and what you want your finances to achieve.

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 accounting services for doctors are designed to cover both the compliance essentials and the planning that sits behind them. Self Assessment is usually central, particularly for doctors with locum income, private fees, consultancy work or untaxed NHS earnings to report. Alongside that, we can prepare annual accounts and tax returns for sole traders, partnerships and limited companies, including practice and partnership accounts where profits must be allocated between partners. Day-to-day bookkeeping and management accounts keep income and expenses visible through the year, which matters when you are tracking private fees, locum payments and practice drawings rather than a single monthly salary. Payroll support can be relevant where a doctor employs practice staff, a receptionist, a secretary or a locum, and VAT advice may be needed where private medical services, cosmetic or medico-legal work push turnover towards registration thresholds. Corporation Tax and company compliance apply if you operate through a limited company, while tax planning looks at how income is structured, how pension contributions interact with your tax position, and how to avoid unnecessary liabilities as your career changes. Business structure reviews are especially useful when a doctor moves from salaried employment into private practice, joins a partnership or sets up a company — the right answer depends on your income mix, your plans and your individual circumstances.

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 Face

Doctors often find that the complexity of their tax affairs creeps up gradually rather than arriving all at once. A few locum shifts here, a private clinic session there, and suddenly there are several income streams to report and a growing pile of receipts. The challenges below are common considerations for doctors, though the exact impact depends on your employment status, income sources and business structure.

  • Untangling multiple income sources: NHS salary, locum payments, private fees, teaching income and medicolegal work may all arrive separately, and each needs to be recorded and reported correctly. Missed or duplicated income is one of the most frequent causes of amended returns.
  • Judging what counts as an allowable expense: Medical indemnity cover, professional body subscriptions, revalidation costs, specialist equipment and necessary travel are all areas where the rules are specific. Claiming too little costs money; claiming the wrong thing invites questions.
  • Getting Self Assessment right on time: Payment on account, registration deadlines and the interaction between PAYE and self-employed income can catch doctors out, particularly in the first year of private or locum work when the tax bill can feel disproportionate to the income earned.
  • Keeping records through a busy clinical week: Theatre lists, on-call rotas and clinic sessions leave little time for filing receipts or reconciling bank statements. Poor record keeping tends to surface as lost expenses and rushed returns.
  • Pension considerations: Annual allowance charges, carry forward and the way contributions interact with your taxable income can create unexpected liabilities, and the position differs sharply between doctors with steady NHS earnings and those with variable private income.
  • Choosing the right business structure: Sole trader, partnership or limited company each carry different tax and administrative consequences. A structure that suits a locum working occasional shifts may be unsuitable for a consultant with substantial private practice income.
  • Partnership and practice finances: GP partners and doctors in partnership need clarity on profit shares, drawings, capital accounts and joint liabilities, which is difficult to manage without proper accounting records.
  • Separation of personal and professional spending: Mixed bank accounts and personal cards used for practice costs make it far harder to evidence expenses and to see whether the private side of your work is actually profitable.

Why Doctors Choose CruseBurke

Doctors tend to want the same things from an accountant: someone who understands how medical income works, who explains things in plain language, and who keeps the compliance side running quietly in the background. That is the approach we take. We start by understanding your working arrangements — whether you are on a hospital salary, running a private practice, taking locum bookings, or doing a combination — and then build the accounting and tax work around that. That means Self Assessment prepared from organised records rather than last-minute guesswork, expenses reviewed properly so you claim what you are entitled to, and clear explanations of why a particular treatment applies to your situation. Because doctors’ circumstances change, we can adapt as you move between roles, take on partnership responsibilities, set up a company or scale private work up or down. You will deal with people who speak about tax in terms you can act on, and who understand that your time is better spent on patients than on spreadsheets.

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 sorted should not add another layer of stress to an already full working week, so we keep the process straightforward. First, we take the time to understand your circumstances — your employment status, your NHS and private income, any locum or consultancy work, and how you currently keep records. Second, we review what you actually need: which returns and accounts are required, what expenses are relevant to your work, whether your current structure still fits, and where there may be gaps or deadlines to address. Third, we put the appropriate support in place, whether that is ongoing bookkeeping, Self Assessment preparation, partnership or company accounts, payroll, VAT or periodic tax planning. From there, we keep in touch as your circumstances change and as deadlines approach, so your financial position stays organised rather than reactive.

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 work with doctors apart is the willingness to look at the whole financial picture rather than just filing a return. A doctor’s tax position is rarely static: one year may be mostly PAYE with a small private element, the next may involve locum work across several practices, a partnership share, or income from a limited company. We are comfortable working across those arrangements and can advise on how they interact. That includes reviewing whether expenses such as indemnity cover, professional subscriptions, training and equipment are being captured correctly, keeping bookkeeping and records organised so returns are accurate, managing Self Assessment alongside PAYE income, and considering business structure decisions with a view to both tax and practical administration. We also recognise that treatment depends on individual factors — your income mix, your employment status, your future plans and your pension position all matter, and we will say so rather than offer a one-size-fits-all answer. The result is accounting support that is technical where it needs to be and clear where it counts.

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 are a salaried doctor with no additional income, straightforward PAYE may be all you need. Once you take on locum shifts, private fees, consultancy work, medicolegal income, a partnership share or a directorship, however, the reporting requirements multiply and the scope for error grows. An accountant can help make sure all income is declared, relevant expenses are claimed and deadlines are met.

Locum income is usually taxed through Self Assessment rather than PAYE alone, even when tax has been deducted at source. You will need to record your locum earnings and related expenses, and the interaction with your employed income can affect how much tax you pay overall. It is worth reviewing before the first year is over, because payment on account can make the initial bill feel considerably higher than expected.

Commonly claimed items include medical indemnity cover, professional body subscriptions, registration fees, mandatory training and continuing professional development, specialist equipment and uniforms, and travel to temporary or locum workplaces. The rules are specific, and whether something qualifies depends on your employment status and the purpose of the cost. Keeping clear records throughout the year makes this far easier to substantiate.

Indemnity cover is a professional expense that doctors frequently claim, but the exact treatment can differ between employment and self-employment, and depends on what the cover relates to. It is one of the areas where a quick review of your policy and working arrangements is worthwhile rather than an assumption either way.

There is no universal answer. Sole trader or partnership arrangements are common for locum and private work, while a limited company may suit doctors with substantial private or consultancy income who want flexibility over how profits are taken. The right choice depends on your income levels, your NHS position, your pension circumstances and your plans, and it is worth reviewing periodically as things change.

Yes. A mixed-income position is one of the most common we see, and it usually means keeping PAYE records and self-employed records side by side, tracking private fee income separately, and making sure expenses are allocated to the right income stream. Getting the structure right from the start makes each subsequent return simpler.

Partnership accounts, allocation of profits between partners, capital account records, drawings and the partners' individual tax returns are all part of the picture. Practice finances often involve additional considerations such as premises, staff costs and VAT, so it helps to have records maintained consistently rather than reconstructed at year end.

Doctors are busy, and remote working suits many of them well — records can be shared securely online and meetings arranged around clinic or theatre commitments. If you are moving from another accountant, we can help with the handover, including obtaining the information needed to pick up your affairs cleanly. The simplest way to start is a conversation about how you work and what currently needs attention.

Speak to an Expert

Stop Letting Multiple Income Streams Complicate Your Tax Position

If your income arrives as NHS salary, private fees, locum payments and consultancy work, keeping track of it all while staying compliant can feel like a second job. CruseBurke provides accounting support for doctors that brings that picture under control — from Self Assessment and bookkeeping through to tax planning around your wider income and pension position. If you would like your affairs reviewed with the care your career deserves, get in touch and we can talk through how you work and what needs attention.