Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hempstead

Specialist accounting support for doctors working in Hempstead and the surrounding area. Whether you are a salaried hospital doctor, a GP partner, a locum, a consultant with private practice income, or a clinician juggling a mix of NHS and private work, the right accountant can help you keep your finances organised, meet your Self Assessment obligations, and plan your tax position with confidence. From bookkeeping and tax returns to business structure advice and pension considerations, CruseBurke works with doctors whose circumstances vary widely, and we tailor our approach to the way you actually earn.

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 do not all fit into one financial mould, and the accounting work that suits one clinician may be entirely wrong for another. We support GPs working in practices as partners, salaried GPs and locums, hospital doctors at various grades, consultants with private practice or medicolegal income, salaried doctors whose only income is taxed through PAYE, private practitioners running their own clinics, and doctors who combine several of these at once. Locum doctors often have untaxed income, irregular earnings and travel claims to track. Consultants frequently deal with fee income, practice expenses and partnership or company structures. Salaried doctors may still need a tax return where they have additional income, benefits or pension complications. Because each of these situations carries different tax and reporting requirements, we take time to understand your role, your income sources and your employment arrangements before recommending anything.

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.

Our Accounting Services for Doctors

We provide accounting and tax services shaped around medical careers rather than a one-size-fits-all package. That can include Self Assessment tax returns covering NHS pay, locum work, private practice and consultancy fee income, along with the calculations that sit behind them. Where you run a private practice or a medical business, we can look after annual accounts, bookkeeping, management accounts and financial reporting so you have a clear view of how things are performing. Corporation Tax and statutory accounts are covered for those trading through a limited company, while partnership accounts and profit-sharing arrangements are handled for practices and consultant groups. We also assist with payroll, including practice staff and, where relevant, paying yourself through a company, and with VAT registration and returns for medical businesses that meet the threshold. Alongside the compliance work, we provide tax planning, allowable expense reviews covering medical indemnity, professional subscriptions and training costs, business structure advice, and practical guidance on pension contributions and how they interact with your tax position.

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

Medical careers rarely follow a straight line, and the tax system is not always well suited to the way doctors earn. These are some of the areas where we most often see complications arise, and why it helps to have an accountant who understands medical income rather than treating it like any other trade.

  • Two income streams, one tax position. NHS salary is normally taxed through PAYE, but private practice, locum and consultancy income usually is not — so the tax due on that work has to be worked out and paid separately, often through Self Assessment.
  • Payments on account and fluctuating income. Where untaxed income arises, HMRC may ask for payments on account towards the following year. For doctors whose private or locum work varies from month to month, budgeting for those payments takes forward planning rather than guesswork.
  • Working out what genuinely counts as allowable. Medical indemnity cover, GMC and royal college fees, professional body subscriptions, specialist equipment and certain training costs can be claimable, but the rules are specific and a claim that is not properly supported can create problems later.
  • Travel and mileage. Travel between temporary workplaces — different hospitals, practices or clinics on a short-term basis — is treated differently from ordinary commuting, and the distinction can make a real difference to a claim. Clean records are essential here.
  • Pension considerations. NHS pension contributions, annual allowance questions and separate private pension arrangements can interact with your taxable income in ways that are worth reviewing rather than revisiting at the last minute.
  • Choosing the right business structure. Sole trader, partnership and limited company each bring different tax, administrative and compliance obligations, and the right answer depends on your income levels, your NHS role and how you intend to work in future.
  • Record keeping across multiple engagements. Invoices, receipts, bank transactions and expense claims from several sources can build up quietly. Reconstructing them months later is far harder, and slower, than keeping them current.
  • Payroll and VAT for practice owners. Practices with employees, and doctors whose private work grows beyond a certain scale, may need to consider payroll obligations and VAT registration — both of which carry reporting requirements of their own.
  • Partnership finances and profit shares. Where doctors work together in a practice or a consultancy arrangement, clear accounts and an agreed profit-sharing basis help prevent disputes and keep each partner's tax position accurate.

Why Doctors Choose CruseBurke

Doctors tend to come to us for the same reasons: their income is more complicated than a single payslip, and they want an accountant who already understands the vocabulary of NHS pay, private fees, locum timesheets and practice accounts. We take the time to map out where your income comes from, how it is taxed and what needs to be reported, then explain it in plain language rather than jargon. You get help keeping your records in order throughout the year, so deadlines do not become a scramble, and support with Self Assessment, allowable expenses and the compliance side of whatever structure you operate under. Just as importantly, we work with doctors in very different situations — salaried, self-employed, partnered, incorporated or a blend of all of these — and we adapt our advice to your circumstances rather than applying a template. If your situation changes, whether through a new role, a move into private practice or a change in how you are engaged, your accounting support can move with it.

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 the right accounting support in place does not need to be complicated. First, we start with a conversation about how you work and where your income comes from — NHS employment, private practice, locum shifts, consultancy, medicolegal work, or any combination of these — along with your current structure and any concerns you already have. Second, we review your accounting and tax requirements, looking at your existing records, returns, deadlines and any outstanding matters, so we can identify what needs attention and what is already in good order. Third, we put appropriate support in place, agreeing who handles what, how records will be shared and when things will be done. Throughout, we explain the reasoning behind our recommendations so you can make informed decisions about your own finances.

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 the way we treat medical income as its own discipline rather than a variation on general accounting. We understand that NHS pay, private fees, locum income and consultancy earnings are taxed differently, reported differently and often need to be reconciled against each other before your overall position becomes clear. We look at professional expenses in the context of your actual work — indemnity cover, registration and subscription costs, training that maintains your existing skills, equipment and travel between temporary workplaces — and we make sure claims are properly evidenced. Beyond compliance, we help with the practicalities: keeping bookkeeping current when your working week is already full, deciding whether a limited company or partnership makes sense, handling payroll where you employ staff, and planning around Self Assessment so payments do not arrive as a surprise. The result is accounting support that reflects the reality of a medical career, presented clearly and without unnecessary complexity.

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 rather than your job title. A salaried doctor whose only income is taxed through PAYE may have relatively straightforward affairs, although a tax return can still be required if you have additional income, benefits or pension complications. Doctors with private practice income, locum earnings, consultancy fees, medicolegal work, property income or partnership profits usually have more to report and more scope for getting the detail wrong. An accountant is most valuable where there are multiple income sources, expenses to substantiate, or a structure decision to make.

Not every doctor does, but many do. You are more likely to need one if you receive untaxed income such as locum fees, private practice or consultancy payments, if you are a partner in a practice, if you have income from savings, dividends or property that is not fully taxed at source, or if HMRC has asked you to file. Employment alone does not automatically remove the requirement. We can review your position and confirm whether a return is needed and what should be included on it.

Locum doctors often have a reasonable set of claims available, but they need to be properly supported. Medical indemnity insurance, professional subscriptions and registration fees, specialist equipment required for your work, and travel between temporary workplaces are examples of costs that may be allowable, provided they meet the rules. Ordinary commuting to a permanent workplace is not. Because the boundaries matter, keeping receipts and mileage records as you go makes a significant difference to how easily a claim can be made.

Yes, and this is one of the most common situations we deal with. NHS income normally reaches you through PAYE, while private and fee income usually does not, so the two need to be brought together to establish your correct tax position. That involves reconciling payslips, pension contributions and private income, tracking expenses against your self-employed or practice work, and making sure any payments on account are planned for rather than absorbed at short notice.

There is no single right answer, and the decision depends on your level of private income, your NHS role, how you are engaged by agencies or hospitals, and how much administration you are willing to take on. A limited company can suit some doctors with substantial private earnings, while sole trader or partnership status is often simpler and perfectly adequate for others. Contractual questions such as IR35 can also arise where locum work is arranged through an agency. We look at your specific circumstances before recommending a structure.

As a minimum, you should retain invoices and fee statements, receipts for expenses you intend to claim, bank and credit card statements, mileage and travel records, pension contribution details and any correspondence with HMRC. If you run a practice, payroll and VAT records will also be needed where they apply. HMRC sets retention periods for business records, and we can confirm what applies to your situation so you are not holding on to paperwork unnecessarily or discarding it too early.

Yes. Much of the accounting work we do for doctors is handled remotely, with documents and records shared securely and meetings held by phone or video at times that fit around clinical commitments. That said, we are happy to discuss how you would prefer to work, since some doctors prefer a mixture of remote communication and in-person meetings, particularly when a structure decision or a complex tax matter is being worked through.

In most cases, yes. Late or missing returns, outstanding liabilities and HMRC enquiries are all situations we can assist with, and the earlier they are addressed the more options tend to be available. We will review what has happened, establish the current position with HMRC, and put a plan in place to bring things up to date. It also helps to speak to us before a deadline passes where you can see one approaching.

Generally easier than people expect. Once you decide to move, we can contact your existing accountant for the relevant records and information, including any professional clearance requirements, and take over the ongoing work. If your previous accounts or returns are already filed, we will review them so we understand your position from the outset. The main thing is timing — it is usually smoothest to make the change outside a busy filing period.

Speak to an Expert

Take the Guesswork Out of Your Tax Position With Accountants for Doctors in Hempstead

If your income comes from more than one direction — NHS pay alongside locum shifts, private fees or consultancy work — the tax picture can become difficult to keep on top of, particularly when expenses, payments on account and record keeping all need attention at once. CruseBurke provides Self Assessment support and bookkeeping tailored to medical income, helping you keep your records organised and your reporting accurate. Get in touch to talk through your circumstances and we will explain how we can help.