Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Harescombe

Accountants for Doctors in Harescombe who understand that medical careers rarely follow a single, simple financial pattern. Whether you are a salaried hospital doctor, a GP, a locum, a consultant with private practice income, or you combine several of these, your tax position can involve multiple income sources, NHS and private earnings, pension considerations and a Self Assessment return that needs to be accurate. Specialist accounting support helps you keep records organised, claim the professional expenses you are entitled to, and stay on top of filing and payment obligations without adding to an already demanding workload.

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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, and their accounting needs vary considerably depending on how they work and where their income comes from. Salaried hospital doctors and GPs typically have PAYE income, but may still need to file a Self Assessment return because of private work, additional NHS payments, rental income, or pension contributions. Locum doctors often work through agencies or directly for trusts, with income that can vary month to month and expenses that need careful recording. Consultants with private practice income may operate as sole traders, in partnership, or through a limited company, each with different reporting and tax implications. Private practitioners running a clinic or practice face bookkeeping, payroll and VAT considerations that salaried doctors do not. Many doctors combine NHS and private work, or move between arrangements during their career, and it is this mix that often makes professional advice worthwhile. The starting point is always your own circumstances: your employment status, income sources, business structure and individual tax position all influence what the right approach looks like.

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

Our accounting support is shaped around the way doctors actually earn. For those with NHS or salaried income alongside private work, we can prepare and file Self Assessment tax returns, review whether payments on account are appropriate, and make sure all income sources are reported correctly. Locum doctors often need help with bookkeeping and expense records so that travel, equipment, medical indemnity and professional subscriptions can be identified and treated correctly. Consultants and private practitioners may require annual accounts, partnership accounts, Corporation Tax returns, payroll for practice staff, VAT registration and returns, and management accounts that show how the practice is performing. We can also advise on business structure — whether sole trader, partnership or limited company best suits your circumstances — and on tax planning matters such as pension contributions and the timing of income and expenditure. Where relevant, we look at how NHS pension considerations interact with your wider tax position, and help you keep financial records in a form that is straightforward to maintain through a busy clinical week.

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.

Common Accounting and Tax Challenges for Doctors

Doctors often face a tax and accounting picture that is more layered than a single payslip suggests. The challenges below are common considerations, though the exact position always depends on your income sources, employment arrangements and individual circumstances.

  • Multiple income sources pulling in different directions. NHS salary, private fees, locum sessions, teaching, medico-legal work or consultancy income can each be taxed differently, and missing one from a return can lead to enquiries, penalties or an unexpected bill.
  • Getting Self Assessment right. A PAYE code rarely captures private income, additional NHS payments or investment income, so a return is often still required — and deadlines, payments on account and reporting obligations need to be tracked alongside clinical commitments.
  • Identifying allowable professional expenses. Medical indemnity, GMC and royal college subscriptions, professional body fees, specialist equipment, training and continuing professional development may all be relevant, but only where the expense meets the rules for your circumstances.
  • Travel and mileage records. Travel between sites, to private hospitals or to locum assignments can be a significant cost, yet it is one of the easiest areas to lose track of without a simple, consistent system for logging journeys.
  • Pension considerations. Annual allowance charges, contribution planning and the interaction between NHS pension arrangements and private income can be complex, and the treatment depends on your individual position rather than a single rule of thumb.
  • Keeping records in order. Receipts, invoices, bank transactions and expense claims accumulate quickly, and reconstructing a year of activity at filing time is time-consuming and error-prone.
  • Choosing the right business structure. Whether to work as a sole trader, in partnership or through a limited company affects how income is taxed, how accounts are prepared and what compliance obligations apply.
  • Partnership and practice finances. Doctors in partnership or running a practice need to manage profit shares, staff payroll, VAT, and reporting that supports sound decisions about the practice itself.

Why Doctors Choose CruseBurke

Doctors choose CruseBurke because they want an accountant who recognises the shape of a medical career rather than forcing it into a standard template. We take the time to understand how you work — salaried, locum, private, partnership or a combination — and then build the accounting and tax support around that reality. That means clear explanations of what is required and why, practical guidance on expenses and record keeping, and help keeping your affairs organised so that Self Assessment, accounts and returns are dealt with properly. Because tax treatment depends on your individual circumstances, we avoid one-size-fits-all answers and instead discuss the options that genuinely apply to you. Communication is straightforward and jargon-free, and we aim to make the administrative side of your finances lighter so you can focus on patients rather than paperwork.

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 does not need to be complicated. First, we take the time to understand your circumstances — how you are employed or self-employed, whether you have NHS income, private medical income, locum or consultancy earnings, and what records and deadlines already apply to you. Second, we review your accounting and tax requirements, looking at your current structure, your Self Assessment position, allowable expenses, bookkeeping arrangements, and any payroll, VAT or pension matters that may be relevant. Third, we put appropriate support in place, whether that is preparing and filing your tax return, setting up a straightforward bookkeeping routine, preparing annual or partnership accounts, advising on business structure, or handling ongoing compliance. From there, we keep things under review as your working arrangements 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 our approach apart is a focus on the specific financial patterns that appear in medical working lives. We are used to unpicking income that arrives from several places at once, and to making sure each source is reported accurately and on time. We look closely at the professional expenses doctors commonly incur — indemnity cover, registration and subscription fees, training, equipment and travel — and consider which of these are likely to be allowable in your circumstances, because the answer is not the same for everyone. Where private practice or locum work is involved, we can set up bookkeeping that captures income and costs without creating extra admin burden, and advise on whether a different business structure would suit you better. For those in partnership or running a practice, we can handle the accounts, payroll and VAT side so the numbers are dependable and the compliance obligations are met. Throughout, the emphasis is on clear advice, accurate reporting and records you can actually rely on.

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 professional support. If your income comes solely through PAYE and your tax code covers everything, your position may be straightforward. However, doctors frequently have private work, additional NHS payments, locum sessions, investment or rental income, or pension contributions that need reporting, which usually means a Self Assessment return is required. An accountant can confirm whether you need to file and help make sure the return is accurate.

Yes. Combining employment income with private fees, consultancy or other earnings is one of the more common reasons doctors need a tax return. We gather the relevant figures, check that all income sources are reported, review expenses and payments on account, and prepare the return so that the overall picture is consistent and supported by records.

In many cases, costs that are incurred wholly and exclusively for your professional work may be allowable — this can include medical indemnity cover, registration fees and certain professional body subscriptions, depending on whether you are employed or self-employed and on the nature of the cost. The rules differ between employment and self-employment, so we review your specific circumstances rather than assuming a blanket answer.

Locum work often brings irregular income, expenses spread across different sites, and a need for reliable records. Practical support usually includes bookkeeping, tracking travel and mileage, identifying allowable professional costs, and preparing and filing your Self Assessment return. If your locum activity grows, we can also review whether a different business structure would be more suitable.

It depends on your income levels, how you work, whether you have partners or practice colleagues, and your wider financial plans. Each structure has different implications for how profits are taxed, how accounts are prepared, and what compliance obligations apply. We discuss the options in the context of your own circumstances before recommending an approach.

Yes. Private practitioners and practice owners often need bookkeeping, payroll for staff, VAT registration and returns where turnover requires it, and annual accounts. Keeping these areas joined up helps ensure the figures used for tax reporting match the records behind them.

Support can be provided remotely, which many doctors find easier to fit around clinical commitments. Changing accountants is generally a straightforward process at any point in the year; we can take over the handling of your records and correspondence and liaise with your previous adviser where needed so the transition is orderly.

The first step is a conversation about how you work and what you need. Bring along whatever you have — payslips, locum invoices, private fee records, expense receipts or previous returns — and we can review where you stand, explain what is required, and set out the accounting support that would be appropriate for your circumstances.

Speak to an Expert

Take the pressure out of tax and accounting with support built for doctors in Harescombe. Clear advice, accurate returns and records you can rely on start with a simple conversation.

If juggling NHS income, private fees, locum sessions or consultancy work makes it hard to know whether everything has been reported correctly, CruseBurke can help. We prepare and file Self Assessment returns, keep bookkeeping and expense records in order, and advise on the professional costs doctors commonly incur, from medical indemnity to training and travel. Get in touch to talk through your circumstances and find out what support would suit you best.