Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hadlow

Specialist accounting support for doctors in Hadlow, covering Self Assessment, NHS and private medical income, locum and consultancy earnings, bookkeeping and tax planning. Whether you work as a GP, hospital doctor, consultant or private practitioner, CruseBurke helps you keep your financial affairs organised, understand your tax position and meet your filing obligations with confidence, so you can focus on your patients rather than paperwork.

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, uniform group when it comes to tax and accounting. A salaried hospital doctor on PAYE, a GP partner, a locum working through several agencies and a consultant building a private practice all face different reporting requirements, expense rules and planning opportunities. GPs in partnership may need partnership accounts alongside their personal tax returns, while doctors with a mix of NHS and private income often need help separating and recording each stream accurately. Locum doctors frequently need to track travel, indemnity and administrative costs across multiple engagements, and consultants running their own practice may need to consider bookkeeping, VAT, payroll and the most suitable business structure. Salaried doctors with modest additional income may simply need a straightforward Self Assessment return and reassurance that their expenses are being claimed correctly. Because circumstances vary so widely, the right approach depends on your employment status, income sources, business structure and individual financial position, which is why we take the time to understand your particular situation before advising.

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 for Doctors

CruseBurke provides accounting and tax support shaped around the way doctors actually earn. That starts with Self Assessment, which is central for any doctor with income outside PAYE, including locum fees, private consultations, NHS work not taxed at source, consultancy income, teaching, medico-legal work or rental income. We prepare and file tax returns, review the expenses being claimed and help you build a record-keeping routine that stands up to scrutiny. For doctors in private practice or running a medical business, we can handle annual accounts, bookkeeping and management accounts so you always have a clear view of income, costs and profitability. Where a limited company is used, we look after statutory accounts, Corporation Tax computations and confirmation statement filings, and we can advise on whether a limited company, partnership or sole trader structure suits your circumstances. Payroll support is available for practices employing staff, or for doctors paying themselves a salary, and VAT registration, returns and Making Tax Digital compliance can be managed where turnover or activities make VAT relevant. Partnership accounts, profit share calculations and capital account tracking are available for GP practices and other medical partnerships. Alongside compliance, we provide tax planning that considers your income mix, pension contributions, allowable professional expenses such as medical indemnity and professional subscriptions, equipment, training, and travel and mileage claims, so that your affairs are arranged sensibly rather than reactively.

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 heavier administrative load than their PAYE counterparts, and the tax rules that apply to their income are not always straightforward. These are the areas where specialist support tends to make the biggest difference.

  • Multiple income streams arriving from different places. NHS salary, locum shifts, private fees, consultancy, teaching and medico-legal work can each come with separate payslips, invoices or statements, making it difficult to know what has already been taxed and what still needs to be declared.
  • Self Assessment deadlines and record keeping. Once you have untaxed income, registration and filing obligations apply, and gathering accurate figures across a tax year takes organisation. Poor records can mean missed expenses or, worse, inaccurate returns.
  • Knowing which professional expenses are allowable. Medical indemnity insurance, professional body subscriptions, revalidation and CPD costs, specialist equipment, reference materials and travel between sites may all be claimable, but the treatment depends on whether the cost relates to employed or self-employed work.
  • Travel and mileage complexities. Doctors frequently move between hospitals, surgeries, clinics and home visits, and distinguishing ordinary commuting from business travel is a common source of error.
  • Pension considerations. Annual allowance charges and the interaction between NHS pension contributions and private income can affect tax positions, and the interaction is rarely identical from one doctor to the next.
  • Choosing the right business structure. Whether to operate as a sole trader, within a partnership or through a limited company depends on your income levels, risk profile and plans, and the decision is worth revisiting as your work changes.
  • Practice and partnership finances. GP partners and doctors in medical partnerships need accurate profit shares, drawings records, capital accounts and timely accounts for the partnership as well as for themselves.
  • VAT and payroll responsibilities. Private practice income, cosmetic or procedural work and employed staff can bring VAT registration and payroll obligations into play, each with its own filing requirements.

Why Doctors Choose CruseBurke

Doctors choose CruseBurke because we understand that medical income rarely fits a single template. We take time to map out how you earn, whether that is NHS salary, locum work, private fees, consultancy or a combination, and then build an approach that reflects the reality of your working life. You get practical advice rather than jargon, clear explanations of what needs to be filed and when, and support in keeping your financial records in a state that makes tax returns straightforward rather than stressful. We handle the compliance work, including Self Assessment, annual accounts, Corporation Tax, VAT and payroll where relevant, and we look for legitimate ways to organise your affairs more efficiently, such as reviewing allowable professional expenses or considering whether your current business structure still suits you. Communication matters to us, so you will know what is happening with your accounts and why. And because doctors’ circumstances change, whether through a new role, a growing private practice, a partnership move or retirement planning, we aim to be a consistent point of contact who already knows your financial history.

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 Three-Step Process

Getting the right accounting support in place does not need to be complicated. First, we start with a conversation about you: how you work, where your income comes from, whether you are employed, self-employed or both, and what is already in place. That might include NHS salary, private medical fees, locum shifts, consultancy work, partnership profit share or income from a limited company, and it helps us understand the full picture rather than just one part of it. Second, we review your accounting and tax requirements, looking at existing returns, bookkeeping records, expense claims and filing deadlines, and identifying anything that needs attention or could be better organised. Third, we put the appropriate support in place, whether that is preparing your Self Assessment return, setting up bookkeeping, managing payroll or VAT, handling company or partnership accounts, or providing ongoing tax planning. From there, we keep things running with clear communication and agreed timescales, and you can contact us whenever your circumstances change.

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 CruseBurke apart is the way we approach the detail. Doctors rarely have one simple income source, and the accounting work follows from that: separating NHS and private income, reconciling locum payments across multiple agencies, tracking expenses such as medical indemnity, professional subscriptions, equipment, training and mileage, and making sure everything flows correctly into your tax return and, where relevant, your company or partnership accounts. We look at your position as a whole, including whether your business structure still makes sense, whether VAT registration is required, whether payroll arrangements are efficient, and whether pension contributions are being handled in a way that fits your overall tax picture. Just as importantly, we explain our reasoning in plain English, so you understand the choices being made rather than simply receiving a set of figures. For doctors who prefer to work remotely, we can manage the relationship digitally, and for those who want to sit down and talk things through, we are happy to do that too. The result is accounting support that is accurate, well organised and genuinely useful when you need 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

Not every doctor does. If you are employed on PAYE with no other income, your tax is usually handled through your salary, although you may still benefit from advice on pension contributions, expenses or planning. An accountant becomes considerably more valuable once you have income that is not taxed at source, such as locum fees, private practice income, consultancy work or medico-legal fees. In those situations you will usually need to register for Self Assessment, declare all your income correctly and claim the expenses you are entitled to, and getting that wrong can lead to interest or penalties.

Your NHS salary is normally taxed through PAYE, and your private or locum income is generally reported through Self Assessment, where it is taxed alongside your employed income. You may also be asked to make payments on account towards the following year's tax bill, depending on your liability. The practical challenge is keeping accurate records of both streams and making sure expenses are allocated to the right source, since the rules differ between employed and self-employed work. We handle that reconciliation as part of preparing your return.

It depends on whether the cost relates to employed or self-employed work. For self-employed doctors and locum work, medical indemnity insurance, professional body subscriptions, revalidation and CPD costs, specialist equipment, reference materials, administrative support and business travel can often be claimed, provided they are wholly and exclusively for the purpose of the work. For employed doctors, the rules are tighter, and typically only costs that are necessary for the job and not reimbursed by the employer qualify. We review your actual outgoings rather than applying a blanket list.

Locum doctors often travel between multiple sites, and the tax treatment of that travel depends on the pattern of your work rather than simply the distance covered. Journeys between separate locum engagements or to temporary workplaces can sometimes be treated as allowable business travel, while ordinary commuting is not. Keeping a clear mileage log with dates, destinations and purposes gives you a defensible record and makes the year-end process far easier. We can help you set up a simple system for capturing this throughout the year.

There is no single right answer. Sole trader status is simpler and involves less administration, while a limited company can offer different tax treatment and limited liability in some circumstances. The most suitable option depends on your level of private or locum income, whether you have partners or associates, your appetite for administration, and your longer-term plans. It is also worth revisiting as your income mix changes. We can talk through the practical implications of each structure before you commit.

Many medical services are exempt from VAT, but that does not automatically mean VAT is irrelevant to your practice. The position depends on the specific services you provide, whether you supply any goods, and whether you have non-medical income streams. If you are registered or required to register, Making Tax Digital rules apply to your record keeping and returns. We can assess whether VAT applies to your activities and, if so, manage the registration and filing obligations for you.

Yes. Many doctors prefer to manage their accounting digitally, particularly when working shifts or moving between sites. We can handle document sharing, queries and sign-offs remotely, while still providing the same level of review and advice. If you would rather discuss matters in person, we are happy to arrange that as well, so the working arrangement suits you rather than the other way around.

It is usually more straightforward than people expect. We start by understanding your current position, including your income sources and existing records, and then we contact your previous accountant for the relevant handover information and professional clearance. Once we have your records and any outstanding filings are up to date, we agree how the ongoing relationship will work. If there is anything urgent, such as an approaching filing deadline, we will flag it early so nothing is missed during the transition.

Speak to an Expert

Bring Your Medical Income Under Control with Accountants for Doctors in Hadlow

If juggling NHS salary, private fees, locum payments and consultancy work has left your records scattered and your tax position unclear, CruseBurke can help. We prepare Self Assessment returns and manage bookkeeping so that every income stream is captured accurately and the expenses you are entitled to claim, from medical indemnity to professional subscriptions, are properly accounted for. Get in touch with our team to talk through your circumstances and find out how straightforward specialist accounting support can be.