Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Gwynedd

Specialist accounting support for doctors in Gwynedd, covering Self Assessment, NHS and private income, locum and consultancy work, bookkeeping and tax compliance. Whether you are a GP, hospital doctor, consultant or private practitioner, an accountant who understands medical careers can help you keep your financial affairs organised, meet your filing obligations and make informed decisions about tax and business structure as your circumstances change.

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⭐ 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?

Accountants for Doctors in Gwynedd need to understand that medical careers rarely follow a single, tidy path. We work with doctors across a wide range of working arrangements, including GPs in practice or working as locums, hospital doctors and consultants with NHS contracts, salaried doctors with additional private work, private practitioners running their own clinics, and doctors who combine several streams of medical income at once. Each of these situations can bring different accounting and tax considerations. A salaried doctor with a modest private practice may simply need a Self Assessment tax return that captures the right expenses, while a GP partner may need partnership accounts, profit allocation and pension record-keeping. A locum working through several NHS trusts might need help tracking travel, indemnity cover and irregular income, and a consultant operating through a limited company may need advice on business structure, payroll and Corporation Tax. The right approach depends on your employment status, your income sources, how your work is structured and your individual circumstances, so we take the time to understand your position 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.

Our Accounting Services for Doctors

Our accounting and tax services are built around the realities of medical work, where income can arrive from several directions and expenses are not always straightforward. For doctors completing Self Assessment, we can prepare and file tax returns that properly reflect NHS income, private fees, locum payments and consultancy income, while making sure allowable professional expenses are claimed where they apply. Where you run a private practice or provide medical services through a limited company, we can assist with annual accounts, Corporation Tax, payroll for you and any staff, bookkeeping and VAT where your turnover and activities bring you within scope. GP partners and doctors in other partnerships may need partnership accounts, profit share calculations and support with the records that feed into pension declarations. Alongside compliance work, we can provide management accounts, tax planning and business structure advice, helping you weigh up the implications of moving between sole trader, partnership and limited company arrangements as your private work grows or changes. Some doctors also want help pulling together the figures behind their annual pension certificates, and while pension rules and contribution limits are complex, we can help you keep the underlying income records accurate and consistent.

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

Medical careers can create accounting and tax complications that a generalist accountant may not anticipate. The challenges below are common considerations for doctors, though the exact impact depends on your working arrangements and income sources.

  • Multiple income streams arriving with different tax treatment. NHS salary, private fees, locum payments and consultancy income may each be taxed differently, and without a clear picture of the total, you risk underpaying tax or paying more than necessary through your PAYE code.
  • Self Assessment deadlines and record keeping. Many doctors must file a tax return even when tax is already collected through PAYE, and gathering payslips, locum schedules, fee statements and expense receipts throughout the year is far easier than reconstructing them at the last minute.
  • Claiming the right professional expenses. Medical indemnity cover, professional subscriptions such as GMC and royal college fees, training and continuing professional development costs, specialist equipment, mileage and travel between sites can all be relevant, but only where the expense meets the rules for your circumstances.
  • Pension annual allowance and record accuracy. Complex rules around pension contributions mean the income figures reported on your tax return need to be accurate and consistent with the information you provide for pension purposes.
  • Choosing the right business structure. Whether private or locum work is best held personally, within a partnership or through a limited company depends on your level of income, your plans and the tax and administrative trade-offs involved.
  • Practice and partnership finances. GP partners and doctors in other partnerships must deal with profit shares, drawings, capital accounts and practice overheads, which need careful bookkeeping and clear reporting to all partners.
  • Keeping on top of VAT and payroll obligations. Where private work, aesthetic services or other non-NHS activity pushes you into VAT registration, or where you employ staff or pay yourself through a company, the compliance requirements become more involved.

Why Doctors Choose CruseBurke

Doctors choose CruseBurke because they want an accountant who recognises the difference between a straightforward salary and a career that combines NHS employment, private practice, locum work and possibly a company structure. We take a practical approach: understanding how your income actually arrives, what you spend on indemnity, subscriptions, training and equipment, and what you are trying to achieve financially over the next few years. From there, we handle the compliance work — tax returns, accounts, payroll, VAT where relevant — and explain the numbers in plain English rather than jargon. Communication matters to doctors working long or unpredictable hours, so we aim to be clear about what we need from you, when we need it and why. We also work with doctors at different stages, from those taking on their first locum shifts to established consultants and practice partners, and we adapt our support to your circumstances rather than applying a one-size-fits-all service.

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 should not add to the pressure of a demanding medical career. Our process begins with a conversation about your circumstances: whether you are salaried, self-employed as a locum, running a private practice, working as a consultant, holding a partnership role or combining several of these. From there, we review what you currently have in place — existing records, previous tax returns, business structures, payroll arrangements and any areas where you are unsure — and set out the accounting and tax requirements that apply to you. The final step is putting that support in place, which may mean taking over your Self Assessment and bookkeeping, preparing annual accounts or payroll, or advising on structure and tax planning. The aim is to leave you with a clear, organised set of records and a reliable process for staying compliant as your work evolves.

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 focus on the way medical income actually behaves. Rather than treating NHS pay, private fees, locum work and consultancy income as separate boxes, we look at the whole picture and consider how it interacts with your tax position, your expenses and your long-term plans. That means paying attention to the details that matter in medicine — indemnity cover, professional body subscriptions, training and CPD, equipment, travel between sites, pension reporting and the record-keeping needed to support all of it. We also recognise that doctors may move between arrangements over time, adding private work to an NHS role, going fully private, joining or leaving a partnership, or setting up a limited company. When that happens, the accounting and tax consequences need to be thought through rather than discovered later. Our role is to keep your compliance obligations under control and to give you clear, proportionate advice on the decisions that affect your tax position, so you can focus on your clinical work.

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

Many doctors can complete a straightforward tax return, but the picture becomes more complicated once you have a mix of NHS employment, private fees, locum income, consultancy work or a partnership. An accountant can help identify allowable expenses you may be missing, make sure the figures on your return are consistent with what you report elsewhere, and flag issues such as pension annual allowance considerations or the point at which a limited company might be worth exploring. If your affairs are genuinely simple, we would rather tell you that than sell you unnecessary services.

Locum work is often treated as self-employment, which means you may need to register with HMRC, keep records of your fees and expenses, and file a Self Assessment tax return. If you also hold an NHS salaried post, you will have employment income alongside your self-employed income, and both need to be reported. Related costs such as indemnity cover, travel between sites, professional subscriptions and training can be relevant, but the rules depend on whether each expense is genuinely incurred in the course of your work. We can review your circumstances and help you report the position correctly.

Commonly claimed items include medical indemnity or defence union subscriptions, GMC and royal college fees, certain training and CPD costs, specialist equipment or reference materials, and travel or mileage where it relates to your work. What is allowable depends on your employment status, whether the expense is incurred wholly and exclusively for your work, and whether you are claiming against employment income or self-employed profits. Keeping receipts and a clear record of business journeys throughout the year makes this much easier to support.

Yes. This is one of the most frequent situations doctors face, and it usually means both PAYE income and self-employed or partnership income appearing on the same tax return. We look at how the different streams are taxed, how expenses should be allocated, whether you need to make payments on account and how your position interacts with pension reporting. Getting this right helps avoid unexpected tax bills and reduces the risk of queries from HMRC.

That depends on your level of income, how much you rely on the work, your long-term plans and the additional administrative obligations that come with running a company. A limited company can be suitable in some cases but is not automatically the most tax-efficient or practical option, particularly if your income is modest or irregular. We can talk through the trade-offs, including payroll, Corporation Tax, dividend treatment and the responsibilities of being a director, before you make a decision.

Partnerships need accounts that allocate profits accurately between partners, and those figures feed into your personal tax return as well as the practice's wider reporting. Support typically covers bookkeeping for the practice, preparation of partnership accounts and profit shares, help with capital account movements and drawings, and making sure the income figures you report are consistent with what you submit for pension purposes. Because each partnership agreement and practice structure differs, we start by understanding how your practice is set up.

Yes. Much of the information we need can be shared securely online, and many doctors prefer to handle their accounting that way around busy clinical schedules. We can hold meetings by phone or video, exchange documents electronically and use cloud bookkeeping where it suits you. What matters most is that you have a clear way of getting records to us and that you understand what is being submitted on your behalf.

Switching is usually more straightforward than doctors expect. We would ask for your permission to contact your existing accountant, obtain the relevant records and information, and take over the filings that are due. It helps to have details of your income sources, previous returns and any outstanding HMRC correspondence, but we can guide you through gathering those. Being clear about what you need — whether that is faster responses, better explanation or more proactive tax planning — makes the handover smoother.

Speak to an Expert

Get Accounting Support That Fits Around Your Medical Career

If your income comes from more than one direction, your Self Assessment can quickly become difficult to manage alone. CruseBurke helps doctors in Gwynedd bring their tax returns, bookkeeping and reporting into order, whether you are a locum tracking irregular fees, a consultant with private income, or a GP partner dealing with partnership accounts. We take the time to understand how you work and then handle the compliance side, so you have accurate records and someone to turn to when your circumstances change. Get in touch and we will talk through what you need.