Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hatton Garden

Specialist accounting and tax support built around the way doctors actually earn. Whether you are a GP, hospital doctor, consultant, locum or private practitioner in Hatton Garden, we help bring clarity to Self Assessment, NHS and private income, bookkeeping and tax compliance so your financial affairs stay accurate, organised and filed on time. Our approach is practical: understand your income sources, explain the rules that apply to you, and keep your records in order throughout the year rather than in a rush before a deadline.

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 Hatton Garden?

Doctors rarely fit one neat tax profile. A salaried hospital doctor with a small private practice has very different accounting needs to a full-time locum, and a GP partner’s position is different again from a consultant operating through a limited company. We provide accounting support for GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners, and doctors who combine NHS and private work in Hatton Garden and the surrounding area. What changes between them is the mix of employment and self-employment, the number of income streams, whether there is a partnership or a company involved, and how much record keeping is required. Some doctors need only an annual tax return and clear guidance on allowable professional expenses. Others need bookkeeping, payroll, VAT registration, partnership accounts, Corporation Tax, or help deciding whether incorporation makes sense. We take the time to understand your working arrangements before recommending anything, because tax treatment depends heavily on factors such as your employment status, contract type, income sources, business structure and personal circumstances.

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 Services for Doctors in Hatton Garden

Our services are shaped around the financial reality of medical work, rather than a generic small business package. For doctors with self-employment or untaxed income, we prepare and file Self Assessment tax returns covering NHS fees, private medical income, locum sessions, consultancy work, teaching, expert witness or medico-legal work, and any other professional income. Where you run a private practice, we can handle bookkeeping, annual accounts, management accounts and financial reporting, plus VAT registration and returns where your turnover or activities bring you within the scope of VAT. For doctors operating through a limited company, we prepare statutory accounts, Corporation Tax computations and confirmation statements, and manage director payroll and dividend planning within the rules. Where you are a partner in a practice, we prepare partnership accounts and allocate profits correctly between partners. We also provide business structure advice, comparing sole trader, partnership and limited company arrangements against how you actually work, along with payroll support for practice staff, tax planning across the tax year, and practical help with allowable professional expenses such as medical indemnity, professional subscriptions, training and professional development, equipment, and travel or mileage. If your circumstances change — a new contract, an additional income stream, a move into private practice or a partnership change — we adapt the support accordingly.

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 Face

Doctors often manage several income sources at once, each with its own paperwork and tax treatment. These are the areas that most commonly create pressure, confusion or unnecessary tax exposure.

  • Multiple income sources: salary from an NHS or private employer, locum income, private fees, consultancy work and teaching can all be taxed differently, and HMRC needs to see the full picture on one return. Missing a source or reporting it in the wrong place is a common cause of enquiries.
  • Self Assessment and payment on account: self-employed or untaxed income usually means a tax return, and payments on account can be an unwelcome cash flow surprise if they have not been planned for.
  • Allowable professional expenses: medical indemnity insurance, professional body subscriptions, mandatory training, continuing professional development, specialist equipment and mileage can all potentially be claimed — but only where the rules are met and the expense relates to the work. Claiming too little costs you money; claiming the wrong things creates risk.
  • Travel and mileage records: doctors move between sites, surgeries, hospitals and private clinics, and the tax treatment of that travel depends on whether it is ordinary commuting or genuine business travel. Reliable contemporaneous records make a real difference here.
  • Pension considerations: NHS pension contributions, additional voluntary contributions, private pension arrangements and employer contributions interact with tax relief and with the annual allowance, which is why pension planning usually needs to sit alongside tax planning rather than separately from it.
  • Record keeping: receipts, invoices, bank statements and expense records can easily fall behind when clinics and on-call rotas fill the week. Poor records lead to estimates, missed claims and stress.
  • Locum and consultancy income: locum work may be treated as self-employment or as employment depending on the engagement, and consultancy or medico-legal income brings additional invoicing, expense and possibly VAT considerations.
  • Business structure: deciding between sole trader, partnership and limited company — or reviewing whether an existing structure still fits — depends on income levels, how profits are drawn, pension arrangements and plans for the future.
  • Partnership and practice finances: GP partners and those in private practice partnerships deal with profit shares, capital accounts, practice overheads and staff payroll, all of which need accurate accounting rather than an approximate split.
  • Deadlines and compliance: registration, filing and payment deadlines apply regardless of how busy work is, and late filing or late payment penalties are avoidable with proper forward planning.

Why Doctors in Hatton Garden Choose CruseBurke

Doctors choose CruseBurke because we understand that medical income does not behave like ordinary business income. We take the time to map out how you actually work — salaried, self-employed, in a partnership, through a company, or a combination of these — and then build the accounting and tax support around that reality. Our advice is practical rather than theoretical: what you can claim, what you need to record, when things are due, and what your options are for structuring your affairs. We explain matters in plain English, keep communication clear whether you prefer email, phone or meetings, and make sure your records are maintained in an organised way so returns are based on your figures rather than guesswork. We also understand that doctors’ circumstances change through training, career progression, parental leave, retirement planning and shifts between NHS and private work, so the support can move with you. Compliance matters, but so does having someone who can answer a straightforward question quickly and tell you honestly when something needs specialist attention.

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 your accounting in order should not feel like another administrative burden, so we keep our onboarding straightforward. First, we take the time to understand your circumstances: your employment and self-employment, NHS income, private fees, locum sessions, consultancy or medico-legal work, pension arrangements, and any practice or company involvement. Second, we review your accounting and tax requirements against those circumstances — what needs filing, what records you need to keep, whether your current structure is still appropriate, and where there may be gaps or missed opportunities in areas such as allowable expenses and tax planning. Third, we put the right support in place, whether that is an annual tax return, ongoing bookkeeping, payroll, VAT, partnership or company accounts, or a combination, and set out clearly what you need to provide and when so nothing is left to the last minute. If your working arrangements change during the year, the plan can be adjusted.

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 willingness to look at the whole picture rather than a single tax return. Doctors frequently hold several income streams at once, and the interaction between them — salary taxed through PAYE, self-employed profits, private practice income, partnership shares, company profits and pension contributions — is where mistakes and missed planning usually occur. We approach your affairs with that interaction in mind, making sure each source is reported correctly, expenses are claimed where genuinely allowable, and records are kept to a standard that stands up to scrutiny. We also provide the less glamorous but essential support that medical work often requires: bookkeeping that keeps pace with invoices and receipts, payroll for practice staff and directors, VAT returns where applicable, statutory accounts and Corporation Tax computations, partnership accounts, and management information that helps you make decisions with real numbers rather than estimates. Where your circumstances are unusual, we will say so plainly and explain the reasoning behind our advice. If you are weighing up a change of structure, taking on private work for the first time, or simply want your affairs properly organised, we can work through it methodically with you.

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 only salaried NHS income taxed through PAYE may not need a tax return at all, although other factors such as private income, high income child benefit implications or pension considerations can change that. Once you have locum income, private fees, consultancy or medico-legal income, partnership involvement or a limited company, the position becomes more involved, and an accountant can help ensure everything is reported correctly while identifying legitimate expenses and planning points you may not be aware of.

NHS employment income is normally taxed through PAYE, while private practice, locum or consultancy income is often self-employed income that needs to be reported through Self Assessment. If tax has been over-deducted from some private work, it may be recoverable through the return; if tax has been under-deducted, the return identifies what is owed so you can plan for it. Because the interaction between the two matters, it is worth looking at them together rather than in isolation.

Potentially allowable items often include medical indemnity insurance, professional body subscriptions, mandatory training and continuing professional development, specialist equipment, professional journals and, where the rules are met, travel and mileage for genuine business journeys. The key test is whether the expense is incurred wholly and exclusively for the purposes of the work, and the treatment can differ between employment and self-employment. Ordinary commuting is generally not allowable, which is why good travel records matter.

Medical indemnity cover and professional body subscriptions are commonly claimed, but the correct treatment depends on whether the cost relates to employed work, self-employed work, or both. Where a subscription covers both, the claim may need apportioning. Keeping the renewal notices and payment records makes this straightforward at the end of the year.

Locum doctors are often treated as self-employed, in which case registration for Self Assessment and reporting of profits is usually required, along with records of income and expenses. However, the correct treatment depends on the terms of the engagement — some arrangements are closer to employment. If you are unsure how your locum work is classified, this is worth reviewing before you file.

There is no single answer that suits every doctor. Sole trader status is simple and administratively light, partnerships suit doctors running a joint practice, and a limited company can offer different tax and pension planning options but brings additional filing, payroll and compliance obligations. The right choice depends on your income levels, how you draw money from the business, your pension arrangements and your longer-term plans.

VAT treatment depends on the nature of the services and on whether the medical exemption applies, as well as on your turnover against the registration threshold. Some medical services are exempt, while others are not. If you provide private work, medico-legal services or consultancy, it is worth reviewing your position carefully rather than assuming either way.

Yes. Many doctors prefer to handle their accounting remotely, sharing documents securely and communicating by email, phone or video call around clinical commitments. What matters is that your records reach us in a usable form and that you have a clear point of contact. Remote or in-person arrangements can be discussed at the outset so the way we work suits your schedule.

Switching is usually straightforward. We will ask you to authorise us to act as your agent with HMRC and to contact your previous accountant for the relevant records, accounts and tax return history. We then review what has been done previously, confirm your income sources and obligations, and set out what is needed going forward. If you are partway through a tax year, we will pick things up from the appropriate point.

Speak to an Expert

Take the Pressure Out of Your Tax and Accounting with Accountants for Doctors in Hatton Garden

If your tax return, expense records or multiple income streams have become harder to stay on top of, CruseBurke can help. We provide accounting and tax support tailored to doctors, including Self Assessment covering NHS, private, locum and consultancy income, along with bookkeeping and expense record keeping that keeps your figures accurate and your filings on time. Getting started is a simple conversation about how you work and what you need, so you can plan with confidence and spend less time worrying about the paperwork.