Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hastings

Specialist accounting support for doctors in Hastings, whether you work as a GP, hospital doctor, consultant, locum or private practitioner. From Self Assessment and tax returns to bookkeeping, payroll and tax planning, we help you keep NHS income, private medical income and locum earnings properly recorded, correctly reported and clearly understood, 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?

Doctors are not a single tax profile, and the accounting work behind a GP partnership looks very different from that of a hospital consultant, a locum working through an agency, or a doctor building a private practice alongside an NHS role. We support GPs and GP partners, hospital doctors, consultants, locum and sessional doctors, salaried doctors, private practitioners, and doctors who combine several strands of medical work at once. Your accounting needs will depend on how you are engaged — employed, self-employed, or a mix of both — where your income comes from, whether you operate as a sole trader, partner or limited company, and what expenses you incur in the course of your work. Doctors with multiple income sources often have more complex tax returns, more records to reconcile and more opportunities to plan sensibly than those with a single salary, which is where specialist accounting support tends to make the biggest difference.

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 services shaped around the way doctors actually earn. That typically includes Self Assessment tax returns covering NHS income, private medical fees, locum and consultancy income, and any other sources; bookkeeping and record keeping that keeps private practice income, expenses and invoices in order; annual accounts and Corporation Tax returns for doctors trading through a limited company; partnership accounts and profit allocation for GP practices and other medical partnerships; payroll and PAYE support for practices employing staff or paying associates; VAT registration, returns and advice where private medical services are affected; and management accounts that give practice owners and partners a clearer view of performance. Alongside the compliance work, we look at tax planning opportunities relevant to your circumstances — such as how expenses are treated, how income is structured across different work streams, and how pension contributions and business structure decisions interact with your overall tax position. Because treatment depends on your employment status, income mix and business structure, we review your position before recommending anything.

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

Medical careers rarely follow one simple financial path, and the tax complications tend to build up quietly over time. These are the areas where doctors most often need support.

  • Multiple income streams: an NHS salary, private fees, locum shifts and consultancy work may all be taxable in the same year, and each needs to be recorded, classified and reported correctly on a single tax return.
  • Employment status questions: whether a particular engagement is treated as employed or self-employed can affect how income is taxed, what expenses are allowable and whether PAYE applies at all.
  • Allowable professional expenses: medical indemnity cover, professional body subscriptions, revalidation and training costs, specialist equipment and clinical clothing can all be relevant, but only where they meet the rules for your type of income.
  • Travel and mileage records: travel between sites, home visits, locum assignments and training locations is often mixed up with ordinary commuting, so accurate mileage logs matter.
  • Pension considerations: NHS pension contributions, annual allowance questions and private pension planning can interact with your taxable income in ways that need careful handling.
  • Business structure decisions: choosing between sole trader, partnership and limited company status affects your accounts, tax filings and how profits are extracted.
  • Record keeping through a busy rota: receipts, invoices and bank records are easy to lose track of when clinical work takes priority, and gaps create avoidable problems at filing time.
  • Practice and partnership finances: for GP partners and practice owners, profit shares, drawings, staff costs and practice expenses need clear accounting treatment alongside personal tax affairs.

Why Doctors Choose CruseBurke

Doctors come to us because they want an accountant who does not need the basics explained. We understand how medical income arrives — salary through payroll, fees paid directly, locum income through agencies or umbrella arrangements, private consultation and procedure fees — and we know that the paperwork behind it can be genuinely complex. Working with CruseBurke means clear explanations in plain English, well-organised financial records, filings prepared accurately and on time, and practical advice that fits your working arrangements rather than a one-size-fits-all template. Whether you are salaried with a small private income, juggling locum contracts, running a practice or restructuring how you work, we adapt our support to your circumstances and keep you informed about what needs to be done and when.

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 should be straightforward, even when your income is not. First, we take the time to understand your circumstances — your role, your employment status, your income sources and any business interests, whether that is an NHS salary, private medical income, locum shifts, consultancy work or a practice you help run. Second, we review your accounting and tax requirements, looking at what you currently file, how your records are kept and where there may be gaps, duplicated reporting or missed expenses. Third, we put the appropriate support in place, covering the services you actually need — such as Self Assessment, bookkeeping, payroll, VAT, accounts or tax planning — and set out how we will work together going forward so nothing is left to chance.

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 focus on medical professionals specifically, rather than treating doctors as just another self-employed client. That means understanding how NHS and private income sit side by side on a tax return, how locum and consultancy earnings differ from salaried pay, and which expenses genuinely relate to your medical work. It means recognising that the same doctor can be an employee, a sole trader and a company director at different points in their career, and that the tax treatment follows the structure, not the job title. We combine reliable compliance work — Self Assessment, annual accounts, Corporation Tax, payroll, VAT and bookkeeping — with forward-looking planning around business structure, profit extraction and pension contributions. Throughout, you get clear communication and records you can actually rely on, without jargon or vague assurances.

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

Many doctors manage their own tax returns perfectly well when they have a single salary and no additional income. Once private fees, locum work, consultancy income, a practice share or a limited company are involved, the position becomes more involved, and an accountant can help ensure everything is recorded and reported correctly. Doctors with higher incomes and multiple sources also benefit from someone checking that expenses are claimed appropriately and that planning decisions are made with the full picture in mind.

If you have untaxed income — private consultation fees, locum payments, or profits from a practice — you will usually need to file a Self Assessment tax return, even though your NHS salary is already taxed through PAYE. The return brings both together, applies the tax already deducted through payroll, and calculates what remains due. Getting the classification and expense treatment right matters, which is why we review your income sources before preparing the return.

Locum work is often treated as self-employed income, which means you report it on a Self Assessment return and pay tax and National Insurance on your profits. Expenses such as travel between assignments, medical indemnity cover and professional subscriptions may be relevant, subject to the usual rules. If you also hold an employed post, the two income streams are reported together, which is where mistakes commonly arise.

Commonly considered items include medical indemnity and defence union subscriptions, professional body fees, revalidation and continuing professional development costs, specialist equipment and clinical clothing, and allowable travel and mileage connected with your work. Whether a particular cost is allowable depends on your employment status and how the expense relates to your income, so it is worth checking rather than assuming.

Yes. Working through a limited company brings additional requirements, including annual accounts, a Corporation Tax return, and decisions about how you take money out of the business through salary or dividends. We handle the compliance work and also look at whether a company structure remains appropriate as your practice, private income or NHS role changes over time.

VAT treatment in healthcare depends on the nature of the services provided, and some medical services are exempt while others are not. If you also provide non-medical services, sell products or exceed the registration threshold, the position can change. We look at what you actually provide before advising on registration and returns.

We work with clients both in person and remotely, using secure digital methods to share documents and exchange information. Many doctors find remote working easier to fit around clinical rotas and on-call commitments, and regular contact can be arranged to suit your schedule.

Changing accountants is usually a straightforward process. We can review your existing records, arrange for the relevant information to be passed across, and take over the filings that fall due after we are appointed. If you are unsure whether anything has been missed, we can look at your last return and current bookkeeping as part of the review.

Speak to an Expert

Struggling to Keep Up With Tax Returns on Top of Clinical Work? Specialist Accountants for Doctors in Hastings Can Help

If your income comes from several directions — an NHS salary, private fees, locum shifts or a practice share — keeping the records straight and filing on time can quickly become another source of pressure. CruseBurke provides Self Assessment preparation and bookkeeping tailored to medical professionals, so your income sources and allowable expenses are captured properly and your tax position is clear. Get in touch to talk through your circumstances and find out how we can support you.