Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hackney

Specialist accounting support for doctors working in Hackney, whether you are a GP, hospital doctor, consultant, locum or private practitioner. As accountants for doctors in Hackney, we help you make sense of Self Assessment, NHS and private income, locum and consultancy earnings, bookkeeping and day-to-day tax compliance so that your financial affairs stay organised and you can focus on patient care. Our role is to explain your options clearly, keep records in good shape and make sure the right income and expenses are reported in the right place.

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 are not a single group when it comes to tax and accounting. A salaried hospital doctor with one employer faces a very different set of considerations from a GP partner with practice profits, or a locum working through an agency or their own limited company. Others combine NHS income with private work, run a consultancy, provide medico-legal reports or hold a portfolio of clinical and non-clinical roles. We support GPs, hospital doctors and consultants, locum and sessional doctors, salaried doctors, private practitioners, doctors running their own clinics, and those who combine several of these at once. What matters is not the job title but how your income arrives, how expenses are incurred, what business structure you use and what you are trying to achieve. Each of those factors affects how your affairs are reported and how tax planning should be approached. Because circumstances vary so widely, advice is tailored to your position rather than applied as a one-size-fits-all template.

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

We provide accounting and tax services built around the realities of medical work. For doctors with self-employment or untaxed income, that typically starts with Self Assessment, where NHS income, private fees, locum earnings and consultancy income all need to be captured correctly and deductions claimed where they are genuinely allowable. Where you operate through a limited company, we handle annual accounts, Corporation Tax, payroll for you and any staff, and the reporting obligations that come with running a company. For those in a practice or partnership, we prepare partnership accounts, allocate profits appropriately and support the individual partners with their own returns. Bookkeeping and record-keeping sit at the centre of all of this, whether you use software or prefer us to maintain the records for you. We also assist with VAT registration and returns where your activities make it relevant, management accounts if you want a clearer view of performance, business structure advice when you are weighing up sole trader, partnership or company arrangements, and tax planning around timing of income, pension contributions and allowable professional costs.

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

Medical careers rarely follow a straight line, and the tax consequences of that can catch doctors out. These are some of the areas that most often need careful handling.

  • Multiple income sources: NHS pay, private fees, locum shifts and consultancy work may all arrive through different routes, and each has to be reported correctly without double counting or missing income.
  • Self Assessment complexity: once you have untaxed income or higher earnings, a return is usually needed, and gathering the right figures from employers, agencies, practices and private work takes organisation.
  • Tracking allowable professional expenses: medical indemnity cover, professional subscriptions, CPD and training, specialist equipment and travel between sites can all be relevant, but only if they are properly evidenced and connected to your work.
  • Travel and mileage records: distinguishing ordinary commuting from legitimate business travel is a common sticking point, and poor records can mean losing deductions you were entitled to claim.
  • Locum and agency arrangements: depending on how you are engaged, tax may already be deducted at source, and working through your own limited company brings off-payroll and IR35 considerations into play.
  • Pension considerations: the interaction between pension contributions, tax relief and your overall income position is an area where doctors often want reassurance and forward planning.
  • Choosing the right structure: sole trader, partnership or limited company each brings different reporting duties and tax outcomes, and the right answer depends on your income mix and plans.
  • Practice and partnership finances: profit shares, drawings, capital accounts and practice overheads need to be tracked properly so that each partner's position is clear and consistent.

Why Doctors Choose CruseBurke

CruseBurke works with doctors who want their accounting handled by people who understand medical income, not just general business income. That means recognising how NHS pay, private fees, locum work and consultancy income sit alongside one another, and how professional costs such as indemnity cover, subscriptions and training fit into the picture. We aim to make the technical side straightforward: clear explanations rather than jargon, organised records rather than a scramble at year end, and deadlines managed so that Self Assessment, company filings and any VAT obligations are dealt with in good time. Because doctors work in so many different ways, our support is shaped around your circumstances rather than a fixed package, and we adapt as your career develops, whether you take on a partnership, start a company, reduce NHS sessions or expand private work. If you want an accountant who asks the right questions and keeps things running smoothly, we are here to help.

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 onto a sound footing should not feel like extra admin. The first step is a conversation about your circumstances: how you work, where your income comes from, whether that includes NHS pay, private fees, locum shifts, consultancy work or a practice share, and what is already in place. From there, we review your accounting and tax requirements, looking at your current structure, records, deadlines and any outstanding returns or filings, and identify where things could be organised more effectively. The third step is putting the right support in place, which might mean taking over your Self Assessment, setting up bookkeeping, handling company accounts and payroll, preparing partnership accounts, or simply providing ongoing advice as your work changes. The process is designed to be orderly and unhurried, so you know what is happening and what is expected of you at each stage.

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 us apart is the way we connect the technical side of accounting to the way doctors actually earn a living. Rather than treating a tax return as a form-filling exercise, we look at the whole picture: which income streams you have, how they are taxed, what expenses are genuinely allowable, and whether your current structure still suits what you do. That might mean reviewing whether income is better held personally or through a company, making sure bookkeeping captures private fees and locum income as well as NHS pay, or helping a partner understand practice accounts alongside their own return. We also keep an eye on the compliance side, from Self Assessment and Corporation Tax to payroll and VAT where it applies, so nothing is left to chance. The aim is practical, understandable advice that leaves you confident your affairs are in order and better placed to make decisions about your career and finances.

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 manage perfectly well with a straightforward PAYE position and no additional income, but the picture changes as soon as you have untaxed income, higher earnings, a limited company, a practice share or a mix of NHS and private work. That is where an accountant adds real value: making sure everything is reported correctly, deductions are claimed where they are genuinely allowable, and deadlines are met. Even where a return is not strictly required, advice on structure and planning can be useful.

Your NHS pay is normally taxed through PAYE, while private fees, locum income and consultancy earnings often need to be reported separately. The key is bringing those figures together accurately, avoiding double counting and claiming the expenses that relate to each income stream. How this applies depends on whether you are employed, self-employed, or working through a company, so the treatment is not identical for every doctor.

Commonly claimed costs include medical indemnity and defence organisation cover, professional subscriptions and registration fees, CPD, training and course costs that maintain or update your existing skills, specialist equipment and texts, and travel between work sites where it is not ordinary commuting. Whether a particular cost qualifies depends on your circumstances and how the expense relates to your work, so it is worth checking before assuming a claim is available.

Locum work can be paid in several ways. If you are engaged through an agency, tax may already be deducted at source, but you may still have costs to record and potentially a return to file. If you work through your own limited company, off-payroll and IR35 considerations can apply and the way contracts are structured matters. Because the rules differ between arrangements, it is worth reviewing how you are engaged before deciding on the most suitable approach.

Medical indemnity and defence organisation membership are generally treated as allowable professional expenses where they are incurred wholly and exclusively for your medical work. The position can differ slightly depending on whether you are employed, self-employed or operating through a company, and on the nature of the cover. Keeping the documentation together makes the claim straightforward when your return is prepared.

There is no single answer that suits every doctor. A limited company can be appropriate for some private practices, consultancy work and locum arrangements, but it brings additional reporting, payroll and filing obligations, and off-payroll rules may affect whether it is beneficial. The right structure depends on your income levels, how you are engaged, your wider financial plans and your attitude to administration, so it is a decision worth taking advice on rather than assuming.

Yes to both. Much of the work involved in preparing returns, accounts and bookkeeping can be handled remotely, with documents shared securely and conversations held by phone or video, while still providing the same level of support as an in-person arrangement. If you are already working with another accountant, the changeover can usually be managed smoothly: we contact them on your behalf, obtain the records and professional clearance needed, and pick up your filing position from there.

Partnership accounts bring together the practice's income and costs, then allocate profits between the partners according to the agreed profit-sharing arrangement. Each partner still needs their own Self Assessment return covering their share of profits alongside any other income, and capital accounts, drawings and practice overheads need to be tracked consistently. Getting the allocation and the underlying records right makes both the practice accounts and the individual returns far easier to prepare.

Speak to an Expert

Straightforward Accounting Support for Doctors in Hackney: Keep Your Tax Affairs Under Control and Your Focus on Medicine

If your income comes from several directions, such as NHS pay alongside private fees, locum shifts or consultancy work, keeping track of what needs reporting can quickly become a burden. CruseBurke helps doctors in Hackney with Self Assessment, bookkeeping and the treatment of professional expenses, so that your records stay organised and your returns are prepared on time and with the right information. Whether you are newly self-employed, running a limited company or joining a practice partnership, we can talk through your situation and explain what is involved before you commit to anything.