Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Handcross

CruseBurke provides specialist accounting and tax support for doctors in Handcross, helping you make sense of Self Assessment, NHS and private income, locum and consultancy earnings, bookkeeping and day-to-day tax compliance. Whether you are salaried, self-employed, a partner in a practice or running your own limited company, we work to keep your records organised, your tax position clear and your financial decisions better informed.

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 in Handcross?

Medical careers rarely follow a single, tidy path, and the accounting needs of one doctor can look very different from another. We support GPs, hospital doctors and consultants, locum doctors, salaried doctors, private practitioners, and doctors who combine NHS work with private practice or other medical income. A salaried hospital doctor receiving a single PAYE income and a small private fee income has quite different requirements from a locum working through several agencies, a consultant running a private clinic, or a GP partner with a share of practice profits. Where you sit on that spectrum affects how your income is taxed, what expenses can be claimed, whether a partnership or limited company structure is worth considering, and how your records need to be kept. We also work with doctors who are new to private practice, returning to work after a career break, approaching retirement, or dealing with the administrative side of medical work for the first time. Because treatment depends on your employment status, income sources, business structure and individual circumstances, we start by understanding your particular situation rather than applying a one-size-fits-all approach.

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 in Handcross

Our work with doctors is built around the practical realities of medical income. We prepare and file Self Assessment tax returns covering NHS income, private medical fees, locum income, consultancy earnings, teaching, research and any other sources you may have. Where you run a practice or work through a limited company, we prepare annual accounts, management accounts and financial reporting, calculate and submit Corporation Tax returns, and handle bookkeeping so your records stay accurate and up to date throughout the year. We look after payroll, including PAYE for practice staff or company directors, and advise on VAT registration and returns where your private or consultancy income makes that relevant. Beyond compliance, we help with tax planning across the year, allowable professional expenses such as medical indemnity cover, professional subscriptions, training and professional development, equipment, travel and mileage, and pension considerations. We also advise on business structure, including whether to operate as a sole trader, partnership or limited company, prepare partnership accounts and profit shares, and support doctors reviewing their arrangements as their private work grows or changes. Every service is tailored to your circumstances, because the right approach depends on how your income is earned and how your work is organised.

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 deal with a more complicated financial picture than a single salary and a straightforward tax return. These are some of the areas where specialist support tends to make the biggest difference.

  • Multiple income sources: combining NHS salary, private fees, locum shifts, consultancy work and other income means several streams to track, and each can be taxed differently. Keeping them separate and correctly reported matters for both accuracy and tax planning.
  • Self Assessment and deadlines: entering private practice or locum work usually brings a tax return into play, even alongside a PAYE role. Missing filing or payment deadlines can lead to penalties that are entirely avoidable with organised records.
  • Allowable professional expenses: medical indemnity cover, professional subscriptions, training and professional development, specialist equipment and business mileage may be claimable, but only where the rules are met. Claiming too little costs you money; claiming incorrectly creates risk.
  • Travel and mileage: doctors frequently travel between sites, practices, hospitals and private clinics, and mixing business and commuting journeys can cause confusion. Clear records make it far easier to claim what is genuinely due.
  • Pension considerations: annual allowance and contribution questions, plus the interaction between NHS pension arrangements and private income, can affect both tax and long-term planning. These are areas where personalised advice is essential.
  • Record keeping: receipts, invoices, expense records and bank transactions need to be maintained in a way that stands up to scrutiny. Poor record keeping is one of the most common causes of stress at year end.
  • Business structures: choosing between sole trader, partnership and limited company status affects how you are taxed, what you pay in National Insurance and how much administration you take on. The right answer depends on your income levels, plans and personal circumstances.
  • Partnership and practice finances: GP partners and doctors in partnership arrangements deal with profit shares, practice expenses, drawings and partnership tax returns. Getting the allocation and reporting right requires care.
  • Locum and consultancy income: this income is generally taxed differently from employment income, and expenses, IR35-type considerations and record keeping all need attention.
  • Dividing time between NHS and private work: the split between employed and self-employed activity affects your tax position, your expense claims and how your accountant should approach your return.

Why Doctors in Handcross Choose CruseBurke

Doctors choose CruseBurke because we understand the shape of a medical career and the financial complexity that comes with it. We recognise that NHS income, private fees, locum work and consultancy earnings each have their own tax treatment, and that your position can change from year to year. Rather than simply processing a tax return, we take time to understand how you work, explain your options in plain English, and help you keep your records organised so deadlines never come as a surprise. We provide clear, practical advice on allowable expenses, business structures and tax planning, and we communicate in a straightforward way that fits around clinical timetables. Whether you are a salaried doctor with a small private income, a locum juggling several contracts, a consultant building a private practice, or a partner in a medical practice, we aim to give you accounting support that reflects your actual circumstances and gives you confidence that your tax affairs are properly handled.

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 for Doctors

Getting the right accounting support in place is more straightforward than many doctors expect. First, we have an initial conversation to understand how you work, what income you receive — NHS salary, private fees, locum shifts, consultancy work, partnership profits or a combination — and what you need from an accountant. Second, we review your current accounting and tax position, including your records, previous returns and any structure questions, and identify where your arrangements could be improved or where compliance needs attention. Third, we put the appropriate support in place, whether that means preparing your Self Assessment return, handling bookkeeping and accounts, running payroll, advising on VAT, or helping you plan ahead for the tax year. Throughout, we keep things clear and organised so you know what is happening, what is required from you and when.

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 how medical income actually behaves. We look at your income as a whole rather than treating each source in isolation, so NHS pay, private fees, locum income and consultancy earnings are considered together when reviewing your tax position. That means spotting expenses that are genuinely allowable, such as medical indemnity, professional subscriptions, training and equipment, and identifying where your record keeping could be tightened up. We also help doctors think through structure decisions, including whether trading through a limited company or operating as a partnership better suits their circumstances, and we handle the bookkeeping, payroll, VAT and reporting that comes with those arrangements. Rather than generic accounting, we aim to provide guidance that genuinely reflects the working patterns of GPs, hospital doctors, consultants, locums and private practitioners, and to explain the reasoning behind our advice so you can make informed decisions.

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

It depends on your circumstances. A doctor with a single salaried NHS role and no other income may manage a straightforward tax position through PAYE alone. However, once you add private fees, locum shifts, consultancy income, partnership profits, a limited company or pension complexity, the position becomes far less simple. An accountant helps ensure your income is reported correctly, that you claim the expenses you are entitled to, and that you are aware of planning opportunities before deadlines pass rather than after.

Not every doctor does, but many do. A tax return is typically required where you have self-employed income such as locum or private practice fees, where you are a partner in a practice, where you have significant untaxed income, or where HMRC has asked you to file. If you are solely employed through PAYE with no other income, you may not need to file at all. We can review your situation and confirm whether a return is required.

NHS salary is normally taxed through PAYE, with tax deducted at source. Private medical fees, locum income and consultancy earnings are generally treated as self-employed income, which means you are responsible for reporting the income and paying the associated tax and National Insurance. Because the two are handled differently, keeping them separate in your records makes your return far easier to prepare and reduces the risk of errors.

Common claims include medical indemnity or professional indemnity insurance, professional body subscriptions, training and professional development that maintains or updates existing skills, specialist equipment, and business travel and mileage where the journeys are genuinely for work rather than ordinary commuting. The rules are specific, and whether an expense qualifies depends on your employment status and the nature of your work, so it is worth checking before assuming something is or is not claimable.

Yes. Locum work usually brings self-employment into the picture, which means dealing with Self Assessment, allowable expenses, record keeping and often questions around IR35 and how your engagements are structured. We can help you record your income and expenses properly, prepare your return, and review whether your current arrangements remain suitable as your workload changes.

There is no single answer, and it is not automatically the right move. Whether a limited company is beneficial depends on your level of private income, how you want to take money out of the business, your pension position, your long-term plans and the additional administrative obligations involved. We review your individual circumstances and explain the trade-offs so you can decide with a clear picture.

Many medical services are exempt from VAT, but that does not mean VAT is never relevant. Where you provide non-exempt services, sell goods, or run a practice with turnover that approaches the registration threshold, VAT registration and returns may come into play. Because the treatment varies by service, it is worth reviewing your activities rather than assuming exemption applies across the board.

Yes. Accounting support can be provided remotely, which suits doctors with busy or irregular schedules, and we can handle the transition from your existing accountant where you decide to move. Changing accountants is usually a straightforward process — we would typically request your records and authorisation to act, then take over the compliance work. If you are unsure whether a change is worthwhile, an initial conversation can help you decide.

Speak to an Expert

Get Accounting Support That Understands How Doctors Earn

If your income comes from more than one source — NHS pay alongside private fees, locum shifts, consultancy work or practice profits — keeping on top of Self Assessment and your financial records can quickly become a burden. CruseBurke helps doctors in Handcross with tax return preparation, bookkeeping and practical tax planning, so your affairs are properly organised and your deadlines are met without last-minute stress. Talk to us about your circumstances and we will explain how we can help.