Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hampton Hill

Doctors in Hampton Hill often juggle far more than a single payslip. NHS income, private fees, locum shifts, consultancy work and pension decisions can all sit side by side, and each element brings its own accounting and tax considerations. As specialist accountants for doctors in Hampton Hill, CruseBurke helps you make sense of Self Assessment, keep bookkeeping and records in order, understand what can legitimately be claimed as a professional expense, and plan ahead with confidence. Whether you are salaried, self-employed, in a partnership or running your own practice, we translate the tax rules into practical next steps so you can concentrate on 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?

We work with doctors across the full range of working arrangements, because the accounting questions rarely look the same from one clinician to the next. A GP partner with practice accounts, an NHS hospital doctor on a standard salary, a consultant building a private practice, a locum doctor invoicing through an agency, and a doctor combining NHS sessions with private work will each have a different mix of income, expenses and reporting obligations. Salaried doctors may simply need an efficient Self Assessment or a review of their pension position, while self-employed locum doctors usually need help with invoicing, record keeping and allowable costs such as medical indemnity and professional subscriptions. Those running a limited company, a partnership or a private clinic face questions about business structure, payroll, VAT registration and annual accounts. Because tax treatment depends on your employment status, income sources, business structure and personal circumstances, our role is to look at your situation as a whole rather than apply a one-size-fits-all approach. If your circumstances change — a new private clinic, a move from salaried to locum work, or a first partnership — the accounting support can change with you.

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 support for doctors is shaped by the way medical income actually arrives. That typically starts with Self Assessment, where we bring together NHS income, private medical income, locum and consultancy fees, and any other earnings into one accurate tax return. Alongside that, we provide bookkeeping that keeps income and expenses recorded properly throughout the year, so the year-end position is never a scramble. For doctors in a limited company or running a private practice, we prepare annual accounts and deal with Corporation Tax, payroll for staff and clinicians, VAT registration and returns where turnover requires it, and management accounts that help you see how the practice is performing. Doctors in partnerships may need partnership accounts and allocation of profits between partners, while those with mixed income often benefit from tax planning that considers timing of income, pension contributions and the interaction between employment and self-employment. We also advise on allowable professional expenses — medical indemnity, professional subscriptions, training and professional development, equipment, and travel and mileage for legitimate business journeys — and on business structure, including whether a limited company or partnership suits your circumstances. Every service is matched to your circumstances, not applied indiscriminately.

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 rarely produce a simple tax picture. Income arrives from several directions at once, expenses are specific to the profession, and the deadlines keep coming regardless of how busy the clinical diary is.

  • Multiple income sources in one return: NHS salary, private fees, locum shifts and consultancy income may all need reporting together, and missing or duplicating a source can lead to an incorrect return or a query from HMRC.
  • Distinguishing employment from self-employment: PAYE income and self-employed earnings are taxed differently, and the boundary can blur for doctors who are salaried part of the week and invoicing privately the rest.
  • Allowable expenses and the risk of over- or under-claiming: medical indemnity, professional subscriptions, training and development, equipment and business mileage are common considerations, but the rules around what qualifies are specific and worth getting right.
  • Pension considerations: NHS pension contributions, annual allowance questions and any private pension arrangements can interact in ways that affect both tax and long-term planning.
  • Record keeping across the year: receipts, invoices, mileage logs and bank transactions need to be captured as they happen, not reconstructed months later when the return is due.
  • Deadlines and payment on account: Self Assessment filing dates, payments on account and any Corporation Tax obligations do not move to suit a rota, so planning ahead matters.
  • Business structure decisions: moving from sole trader to limited company, or joining a partnership, changes how profits are taxed, how accounts are prepared and what reporting is required.
  • Practice and partnership finances: profit shares, drawings, practice overheads and VAT on private work all need clear accounting treatment, particularly where several clinicians are involved.

Why Doctors Choose CruseBurke

Doctors choose CruseBurke because they want an accountant who recognises the shape of a medical career rather than treating them as a generic taxpayer. That means understanding how NHS income, private fees, locum work and consultancy income sit together, and knowing which professional costs are genuinely allowable. It also means clear communication: explaining what is required, why it matters and what happens next, in plain language rather than jargon. We keep financial records organised and compliance deadlines on track, so nothing is left to the last minute, and we tailor the level of support to your circumstances — from a straightforward Self Assessment for a salaried doctor to annual accounts, payroll and VAT for those running a practice or company. Where your plans change, whether that is reducing NHS sessions, expanding private work or restructuring, the advice moves with you. Our aim is practical, dependable accounting support that leaves you better informed about your own tax position.

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 an already full schedule. In the first step, we take time to understand your circumstances: how you are employed, where your income comes from, and whether that includes NHS salary, private fees, locum shifts, consultancy work, partnership profits or company income. In the second step, we review your accounting and tax requirements, looking at your current records, deadlines, expenses and any structures already in place, and identify what needs attention or improvement. In the third step, we put appropriate support in place — whether that is preparing a Self Assessment, setting up bookkeeping, handling payroll and VAT, preparing annual accounts or providing ongoing tax planning advice — and explain how the arrangement will work going forward. From there, we keep in touch as your circumstances change, so your accounting keeps pace with your career.

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 apart is the way we approach medical income as a whole rather than as separate boxes. A doctor’s tax position is often influenced by several factors at once — employment status, the balance between NHS and private work, pension contributions, expenses that are particular to clinical practice, and whether income is earned personally or through a partnership or limited company. We look at how those elements interact before advising, which means the Self Assessment, annual accounts, bookkeeping or payroll we prepare reflects your actual circumstances. That approach also helps with decisions that go beyond compliance, such as whether a limited company structure makes sense for private or locum work, how to record expenses in a way that stands up to scrutiny, and how to keep management information useful for planning. Where tax treatment depends on individual factors, we explain the position clearly rather than offering blanket assurances. The result is accounting and tax support that is specialist, organised and straightforward to work with, whether you are a salaried hospital doctor, a locum, a consultant building a private list, or a GP partner.

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, but many benefit from one. If your only income is a single NHS salary taxed through PAYE and you have no additional earnings, your tax affairs may be straightforward. The picture changes quickly once you have private fees, locum or consultancy income, a partnership profit share, a limited company, or pension contributions that need reviewing. In those situations, an accountant can help ensure the return is complete, that allowable expenses are claimed correctly, and that deadlines are met. Even salaried doctors sometimes want a second pair of eyes on their position, particularly when their circumstances change.

NHS salary is usually taxed through PAYE and reported on the return, while private fees, locum income and consultancy earnings are typically self-employed or miscellaneous income. We collect the figures from your payslips, invoices, bank statements and any records you hold, then report each source correctly and make sure expenses and pension contributions are attributed to the right stream. Because the interaction between employment and self-employment can affect the tax due, it is worth reviewing the overall position rather than treating each source in isolation.

Locum doctors generally need a clear record of every assignment, the income received and the expenses incurred in carrying out that work. Common considerations include medical indemnity cover, professional subscriptions, travel and mileage for legitimate business journeys, and equipment or training costs, though whether each item is allowable depends on the facts. Keeping invoices, receipts and a mileage log through the year makes the tax return much easier to prepare and reduces the risk of missing something.

There is no universal list, because allowability depends on your work and the purpose of the cost. Costs that doctors often ask about include medical indemnity, professional subscriptions, training and professional development, specialist equipment, and travel and mileage for business journeys. Some items are clearly allowable, others only in certain circumstances, and personal or commuting costs generally are not. We review your spending and explain what can be claimed and why, so your return reflects the rules rather than guesswork.

It depends on your income level, how you work and your wider plans. A sole trader arrangement is simpler to run, while a limited company can suit some doctors with substantial private, locum or consultancy income, subject to the additional reporting, payroll and accountancy obligations that come with it. There can also be tax considerations around extracting profits and pension planning. Business structure advice is specific to your circumstances, so we look at the numbers and the practical implications before recommending a route.

VAT treatment in healthcare is not straightforward, and some medical services are exempt while others are not. Whether you need to register depends on your turnover and the nature of the services you provide, including any non-medical work such as cosmetic or advisory services. If registration is required, we can handle the returns and set up records that make the ongoing administration manageable.

Yes to both. Much of the accounting process can be handled remotely using digital records and secure document sharing, with conversations by phone or video at times that suit your rota. If you already have an accountant, changing over is usually a matter of us contacting them for the relevant information and records, then picking up your accounting from an agreed point. We will talk you through what is needed so the transition is orderly.

Start with a conversation about your circumstances. Tell us how you work — salaried, locum, private practice, partnership or a combination — where your income comes from, and what you need help with, whether that is a Self Assessment, bookkeeping, payroll, VAT, annual accounts or general tax planning. From there we will outline what is required, what information we need from you, and how the arrangement will work. If your circumstances are unusual, we will say so and explain the options rather than offer a generic answer.

Speak to an Expert

Take the guesswork out of tax with specialist accountants for doctors in Hampton Hill. Clear advice, organised records and support that fits how you actually work.

If your income comes from more than one place — NHS salary alongside private fees, locum shifts or consultancy work — the tax position can become harder to follow than it needs to be. CruseBurke helps doctors in Hampton Hill bring those strands together through accurate Self Assessment and well-kept bookkeeping, so allowable expenses such as medical indemnity and professional subscriptions are recorded properly and deadlines are met without a rush. Whether you are salaried, self-employed or running your own practice, the first step is simply a conversation about your circumstances and what would make your accounting easier to manage.