Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Harefield

Specialist accounting support for doctors in Harefield who need their tax and financial affairs handled with precision. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, our doctor accountants help you make sense of Self Assessment, multiple income sources, NHS and private earnings, bookkeeping and ongoing tax compliance — so you can focus 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?

Accounting needs vary enormously across the medical profession, and no two doctors in Harefield will have exactly the same circumstances. A salaried hospital doctor taxed through PAYE may only need straightforward Self Assessment support for a small private or locum income, while a GP partner faces partnership accounts, profit shares and practice-level reporting. Consultants running private clinics, locum doctors working through agencies or their own limited company, doctors with NHS pension considerations, and those combining NHS roles with private or medico-legal work all sit somewhere different on that spectrum. The way income is structured, whether you operate as a sole trader, partner, limited company director or employee, and how many income streams you have will shape what your accounts and tax returns need to show. Our accounting services for doctors are built around those differences, so the advice you receive reflects your actual working arrangements rather than 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.

Accounting and Tax Services for Doctors

We provide accounting and tax support shaped around the way doctors actually earn. For many doctors, Self Assessment is the starting point — particularly where NHS income is supplemented by private fees, locum shifts, consultancy work or medico-legal reports, each of which may need to be reported correctly and supported by accurate records. Alongside tax returns, we can prepare annual accounts, maintain bookkeeping, and produce management accounts so you have a clear view of practice or private income and expenditure. Where a doctor operates through a limited company, we can handle statutory accounts, Corporation Tax and payroll, including director remuneration and dividend planning. For those in partnership, such as GP practices, we can assist with partnership accounts, profit allocation and the reporting obligations that follow. VAT registration and returns, CIS-related queries where relevant, and detailed tax planning around professional expenses are also part of the picture. Because treatment depends on your employment status, income sources and business structure, we tailor the scope of support to your circumstances rather than applying a fixed package.

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 most professionals, and the tax side is rarely the part of the job anyone trained for. These are the areas where things most often become complicated.

  • Blending NHS and private income. Salary, pension contributions and private fees or medico-legal income are taxed differently and reported in different places, so the overall position is easy to misjudge without a clear picture of each source.
  • Multiple income streams and Self Assessment. Locum shifts, consultancy work, private clinics, teaching or research payments can each create separate reporting requirements, and missing one can trigger enquiries or penalties.
  • Getting allowable expenses right. Medical indemnity insurance, professional body subscriptions, specialist equipment, training and continuing professional development, and travel between sites may all be claimable — but only where the rules are properly applied to your circumstances.
  • Travel and mileage records. Doctors frequently move between hospitals, surgeries and private consulting rooms, and without consistent mileage or travel records, legitimate claims can be difficult to substantiate.
  • Pension considerations. NHS pension contributions, annual allowance questions and any private pension arrangements can interact with your taxable income in ways that deserve proper review before year end rather than afterwards.
  • Choosing the right business structure. Whether locum or private work is best done as a sole trader, through a partnership or via a limited company depends on your income levels, plans and risk profile, and the answer can change over time.
  • Practice and partnership finances. GP partners and those in private practice need partnership accounts, profit shares and accurate reporting that satisfies both HMRC and the other partners.
  • Record keeping and deadlines. Building up receipts, invoices and expense evidence throughout the year makes filing far smoother than a last-minute scramble, particularly when income arrives from several sources.

Why Doctors Choose CruseBurke

CruseBurke works with doctors who want their financial affairs handled by accountants who understand the medical world, not just the numbers. That means recognising how NHS pay, locum income, private fees, consultancy and partnership profits fit together, and asking the right questions before a tax return is prepared rather than after HMRC raises a query. We focus on keeping your records organised and your filings accurate, while explaining the position in plain English so you can make informed decisions about expenses, structures and timing. Whether you are newly qualified and dealing with your first Self Assessment, a locum juggling several income sources, or an established consultant or GP partner, the support is shaped to your circumstances. Clear communication, practical guidance and a calm, methodical approach to compliance sit at the centre of how we work.

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 does not need to be complicated. First, we take time to understand your circumstances — your role, how you are employed or engaged, and the income sources involved, whether that is NHS salary, private fees, locum work, consultancy, partnership profits or a mixture. Second, we review what you currently have: existing accounts, tax returns, bookkeeping records and any upcoming deadlines, and identify where support is needed and where improvements would help. Third, we put that support in place, whether that means preparing Self Assessment returns, maintaining bookkeeping, producing annual accounts, handling payroll or VAT, or advising on business structure and tax planning. From there, we keep the process running so nothing is left until the last minute.

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 approach medical income specifically. Rather than treating a doctor’s tax return as a straightforward employment matter, we look at the full picture: NHS and private earnings side by side, allowable professional costs such as indemnity cover and professional subscriptions, the treatment of training and equipment, and how travel and mileage claims hold up if reviewed. We understand that the same doctor can be an employee, a sole trader and a company director at the same time, and that each element carries its own reporting and compliance obligations. That perspective shapes how we handle bookkeeping, Self Assessment, annual accounts, Corporation Tax, VAT and payroll, and it shapes the advice we give on whether a change of structure would suit your circumstances. The result is accounting support that is attentive to detail, clearly explained, and built around how doctors genuinely 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

It depends on your circumstances. If all of your income is taxed through PAYE and you have no other earnings, expenses or investments, your tax affairs may be straightforward. However, many doctors have income that sits outside PAYE — private fees, locum shifts, consultancy, medico-legal work, rental income or partnership profits — and that usually means a Self Assessment tax return, a need to evidence expenses, and potential exposure to penalties if something is missed. An accountant can help you report the position correctly and identify allowable claims that are easy to overlook.

Yes. NHS salary is normally taxed through PAYE, while private fees, locum income and consultancy earnings often need to be reported separately, frequently on a self-employed basis. We look at all of your income sources together so the return reflects your total position, and so any overlap between employment, self-employment and other income is handled properly. How each element is treated will depend on your contracts, your working arrangements and your individual circumstances.

Commonly considered items include medical indemnity insurance, professional body and registration subscriptions, specialist equipment, and training or continuing professional development that is relevant to your existing work. Travel between separate work locations and business mileage may also be claimable in certain circumstances. The rules are specific — some costs are allowable for the self-employed but not for employees, and the purpose of the expense matters — so it is worth reviewing your own position rather than assuming a particular cost qualifies.

Locum work is often treated as self-employment, which means reporting income and expenses on a Self Assessment return and keeping records of shifts, travel and costs. Some locums are engaged through agencies and taxed under PAYE instead, and some choose to operate through a limited company. The right approach depends on how you are engaged, how much you earn and your wider plans, and it is worth reviewing before you commit to a structure.

Not automatically. A limited company can suit some doctors, particularly where private or locum income is substantial or where there are plans to grow a practice, but it brings additional obligations such as statutory accounts, Corporation Tax returns, payroll and Companies House filings. For others, sole trader or partnership status is simpler and equally effective. We look at your income levels, your other earnings and your longer-term intentions before recommending a structure.

Pension matters can be involved for doctors because NHS pension contributions, annual allowance considerations and any private pension arrangements interact with your taxable income. The position depends on your earnings, contribution levels and scheme rules, which can change. Because the figures and thresholds involved are subject to change, we review your circumstances individually rather than relying on general assumptions, and we can flag when specialist pension advice would be appropriate.

Yes. Much of the information needed for accounts and tax returns — payslips, invoices, expense records, bank statements and pension documentation — can be shared securely online, and meetings can be held by phone or video. Many doctors prefer this because of shift patterns and busy clinical schedules. The level of contact is agreed with you, and we can adjust it as your circumstances change.

Switching is usually more straightforward than doctors expect. We ask for details of your current position, confirm the scope of what you need, and liaise with your existing accountant to obtain the records and information required, including professional clearance where applicable. Once everything is in place, we review your affairs, confirm any upcoming deadlines and take over the ongoing work. If you have outstanding returns or incomplete records, we can address those as part of the process.

Speak to an Expert

Get Your Medical Income Organised with Accountants for Doctors in Harefield

If your earnings come from more than one place — NHS salary alongside private fees, locum shifts, consultancy work or partnership profits — keeping track of tax, expenses and filing deadlines can quickly become a burden. CruseBurke can help you bring that together through well-maintained bookkeeping, accurate Self Assessment returns and clear advice on allowable professional expenses such as indemnity cover, subscriptions and training costs. Whether you are a GP, consultant, locum or salaried doctor, get in touch to talk through your circumstances and take the next step with a team that understands how doctors work.