Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Harrow

Specialist accounting and tax support for doctors in Harrow, covering everything from Self Assessment and NHS income to private practice earnings, locum work and day-to-day record keeping. Whether you are salaried, self-employed or running a medical practice through a partnership or limited company, we help you keep your finances organised, understand your tax position and meet your filing obligations with confidence.

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?

Our accounting support is designed for the wide range of doctors working in and around Harrow, including GPs, hospital doctors, consultants, locum doctors, salaried doctors and private practitioners. Some doctors earn only NHS income, some work entirely in private practice, and many combine the two alongside additional work such as consultancy, teaching, medico-legal reports or locum shifts. Because of this, no two doctors have identical accounting needs. A salaried hospital doctor may simply need a Self Assessment return and help claiming allowable professional expenses, while a GP partner may need partnership accounts, practice profit allocation and pension-related figures. A locum working through a limited company may need payroll, VAT advice and Corporation Tax planning, and a consultant building a private practice may need bookkeeping, invoicing and profit extraction planning. Your income sources, employment status, business structure and individual circumstances all shape the accounting and tax treatment that applies to you, so we take the time to understand your particular situation before recommending how to proceed.

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 Harrow

We provide a range of accounting and tax services suited to doctors at different stages of their careers and working in different ways. For doctors with NHS or private income to report, we prepare and file Self Assessment tax returns, review allowable professional expenses and help ensure that medical income is reported correctly. For private practitioners and locum doctors, we handle bookkeeping, invoicing and record keeping, prepare annual accounts and management accounts, and advise on business structure, whether that means working as a sole trader, through a partnership or via a limited company. Where a limited company is used, we prepare statutory accounts and Corporation Tax computations, run payroll for director-shareholders and employees, and advise on VAT registration and compliance. For doctors in partnerships, we prepare partnership accounts and allocate profits between partners. We also support medical practices with financial reporting and general compliance, and offer tax planning around income timing, pension considerations and profit extraction. Throughout, we connect the numbers back to your real working life, so that NHS income, private fees, locum earnings, consultancy work and practice profits are all accounted for properly.

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 in Harrow May Face

Doctors often deal with a more complicated financial picture than many other professionals, and the issues below come up frequently. Not every point will apply to you, but they are worth understanding if you have more than one stream of income or a structure that has changed recently.

  • Combining NHS and private income: NHS pay, private fees and any additional medical work are taxed differently and need to be reported together correctly, which can be difficult to track without clear records.
  • Multiple income sources: locum shifts, consultancy work, teaching, medico-legal reports and practice profits can all arrive separately, and each may need to be reported, reconciled and taxed appropriately.
  • Self Assessment and filing deadlines: failing to register, missing a filing deadline or reporting income incorrectly can lead to penalties and interest, so it pays to have the process managed properly rather than left to the last minute.
  • Allowable professional expenses: medical indemnity insurance, GMC registration and professional subscriptions, specialist equipment, training and professional development, and business travel or mileage may all be claimable, but only where the expense genuinely relates to your work and is properly evidenced.
  • Record keeping: receipts, invoices, bank statements and expense records need to be retained and organised to support your tax return, and this becomes harder when income arrives from several sources.
  • Pension considerations: annual allowance and contribution questions can be relevant for doctors with high or variable earnings, and decisions here often affect how much tax you pay overall, so they deserve careful thought.
  • Choosing and reviewing a business structure: working as a sole trader, partner or limited company has different tax, accounting and administrative consequences, and what suited you early in your career may no longer be the most sensible arrangement later on.
  • Partnership and practice finances: GP partners and doctors in shared practices need accurate accounting for profits, drawings and capital, along with clarity on how practice income is split and reported.

Why Doctors Choose CruseBurke

Doctors often tell us they want an accountant who understands medical income rather than someone who treats them as a straightforward tax return. We take the time to learn how you actually work, whether that is a single NHS salary, a mix of NHS and private work, locum shifts across providers, consultancy arrangements, or ownership of a practice. From there, we explain your options in plain language, help you claim the professional expenses you are entitled to, keep your records in good order and make sure your tax returns and accounts are filed accurately and on time. We also recognise that circumstances change. A doctor who starts a private clinic, joins a partnership, incorporates a business or reduces their hours may need their accounting approach adjusted accordingly, and we are used to having those conversations as things develop. You get practical advice, clear communication and support structured around your working arrangements rather than a one-size-fits-all service.

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 Getting Started

Getting your accounting in order does not need to be complicated. First, we start with an initial conversation to understand your circumstances, including your employment status, whether you have NHS income, private medical income, locum work, consultancy income or practice profits, and any existing accounting arrangements. Second, we review what you currently have, checking previous returns, bookkeeping, business structure and compliance position so we can identify what needs attention and where improvements can sensibly be made. Third, we put the right support in place, whether that means taking over Self Assessment and record keeping, preparing accounts and Corporation Tax returns, running payroll, handling VAT or advising on structure and tax planning, and we explain clearly what information we need 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 as Accountants for Doctors?

What sets our approach apart is the way we connect accounting and tax work to the realities of medical careers. We are comfortable working with several income streams at once, so NHS payslips, private invoices, locum timesheets and practice distributions are all brought together into a coherent picture rather than treated in isolation. That means your Self Assessment reflects your full position, your allowable expenses are reviewed in detail, and any limited company or partnership structure is used sensibly rather than simply because it has always been that way. We also place real emphasis on bookkeeping and organisation, because accurate records make everything else easier, from VAT returns and payroll to management accounts and year-end reporting. And because tax rules and personal circumstances change over time, we treat your accounting as an ongoing relationship, offering advice when you take on new work, change roles, expand a private practice or reconsider how your business is structured. The result is support that is specialist, practical and specific to doctors, rather than generic accounting services with a medical label attached.

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 you are salaried with a single NHS income and simple affairs, a tax return may be manageable yourself. Where it becomes more worthwhile is when you have private income, locum earnings, consultancy work, a partnership share, a limited company or pension questions to consider. An accountant can make sure income is reported correctly, identify allowable expenses and help you plan ahead rather than simply reacting to deadlines.

Yes. We prepare and file Self Assessment returns for doctors with a range of income types, including NHS pay, private medical fees, locum income, consultancy earnings, teaching, medico-legal work and partnership profits. We also review figures before submission, check that allowable professional expenses have been claimed where appropriate, and explain what you owe and why.

Commonly claimed items include medical indemnity insurance, GMC and specialist registration fees, professional body subscriptions, relevant training and professional development, specialist equipment and some travel or mileage costs. Whether an expense is allowable depends on your circumstances and how it relates to your work, so it is worth reviewing your spending with us rather than assuming something is or is not claimable.

You will normally need to report both your employment income and your locum earnings through Self Assessment. If your locum work is substantial, we may also discuss whether operating through a limited company could be appropriate, along with the associated payroll, VAT and Corporation Tax requirements. The right answer depends on your level of earnings, how you contract with agencies or hospitals, and your longer-term plans.

It depends on your income levels, how you work, your attitude to administration and your wider financial plans. Sole trader status is simpler and often suits smaller private or locum earnings, while a limited company can offer different tax and profit-extraction options but brings additional filing, payroll and compliance obligations. We can talk through the trade-offs based on your actual situation rather than general assumptions.

Yes. We can prepare partnership accounts and tax returns, allocate profits between partners and help individual partners report their share correctly. This often works alongside each partner's own Self Assessment, so it helps to coordinate the two together.

Yes. Much of the work involved in preparing accounts and tax returns can be handled remotely, with documents shared securely and conversations held by phone or video call. What matters most is that you can provide the information needed and that you are comfortable with how we work together.

Switching is usually straightforward. We can contact your existing accountant to request handover information, review your previous returns and records, and confirm what is needed from you. Many doctors find the process simpler than expected, particularly once we have taken over the ongoing bookkeeping and filing responsibilities.

Speak to an Expert

Take the pressure out of tax season — specialist accountants for doctors in Harrow who understand NHS pay, private fees and locum income.

If your income arrives from several directions, keeping everything accurate and on time can quickly become difficult. CruseBurke helps doctors in Harrow bring their finances into order, from Self Assessment and allowable expense reviews to bookkeeping and advice on limited company or partnership structures. Getting the right support in place early makes each tax year easier to manage, so get in touch and we will talk through your circumstances.