Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hertford

Specialist accounting support for doctors in Hertford, covering the areas that matter most when your finances are more complex than a single payslip. CruseBurke helps GPs, hospital doctors, consultants, locums and private practitioners stay on top of Self Assessment, NHS and private income, bookkeeping and tax compliance, so you can spend less time worrying about deadlines and more time on your patients.

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 rarely fit neatly into one financial box, and that is exactly why generic accounting advice often falls short. We support the full range of medical professionals, including GPs working within a practice or as a partner, hospital doctors and consultants on salaried contracts, locum doctors moving between assignments, private practitioners running their own clinics, and doctors who combine NHS work with private fee income. Your accounting needs will differ depending on how you work: a salaried consultant with a modest private practice has a different tax profile from a locum working through a limited company, or a GP partner with practice profits to report. Income sources, employment status, business structure and the way you record expenses all shape what needs to go on a tax return and how it should be reported. We take the time to understand your particular mix of work before recommending how your affairs should be handled.

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 work with doctors centres on the practical accounting and tax tasks that flow from medical careers. That typically includes preparing and filing Self Assessment tax returns where you have income from NHS work, private consultations, locum assignments, expert reports or teaching, and making sure each income stream is reported correctly. For doctors who operate through a limited company or consultancy vehicle, we can prepare annual accounts and Corporation Tax returns, handle payroll and directors’ responsibilities, and advise on VAT where turnover or the nature of your services makes registration relevant. If you work in a partnership, whether a GP practice or a private practice, we can help with partnership accounts, profit allocation and the interaction with your personal tax position. Alongside compliance, we provide bookkeeping and record-keeping support, management accounts where useful, and forward-looking tax planning that considers your income mix and pension position. We can also advise on business structure if you are weighing up sole trader, partnership or limited company arrangements for private or locum work.

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 tend to produce financial affairs that are more layered than most. These are the areas where doctors most often need clarity and support.

  • Multiple income sources feeding one tax return. NHS salary, private fees, locum payments and consultancy income can all arrive on different schedules with different documentation, which makes accurate reporting and cash flow planning harder than it first appears.
  • Getting Self Assessment right. Once you have untaxed income such as private fees or locum work, you generally need to report it, and payments on account can come as an unwelcome surprise if they have not been anticipated.
  • Identifying allowable professional expenses. Medical indemnity insurance, professional body subscriptions, mandatory training, specialist equipment, journals and relevant travel can all be claimable, but only where the rules are met and the expense relates to your work.
  • Distinguishing between employment and self-employment. Whether you are treated as employed or self-employed affects how income is taxed, what you can claim and which deadlines apply, and locum arrangements in particular can be structured in different ways.
  • Keeping records that stand up to scrutiny. Mileage logs, receipts, invoices and bank records need to be maintained consistently, ideally through the year rather than in a scramble before the filing deadline.
  • Pension considerations and annual allowance questions. High earnings combined with NHS pension accrual and any private pension contributions can create complications, so it is worth reviewing your position rather than assuming it is straightforward.
  • Choosing the right business structure. Deciding between sole trader, partnership and limited company for private or locum work has tax, administrative and compliance consequences that should be weighed up before you commit.
  • Practice and partnership finances. GP partners and those running private practices deal with profit shares, drawings, practice overheads and partner-level tax that require careful bookkeeping and clear reporting.

Why Doctors Choose CruseBurke

Doctors come to us because they want an accountant who understands the shape of a medical career, not one who treats every client the same. We ask about your contracts, your income sources and how you work before we advise, so the accounting treatment reflects your reality. You get clear explanations rather than jargon, organised records that make filing deadlines far less stressful, and tax compliance handled properly across Self Assessment, limited company filings, payroll and VAT where relevant. Because doctors work in so many different ways, we adapt our support to your circumstances, whether you are salaried with a small private income, working as a locum, or running a practice with partners. The aim is straightforward: your accounts are accurate, your obligations are met, and you have someone to talk to when a financial decision needs thinking through.

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. We start with a conversation about how you work, looking at your income sources, whether that includes NHS salary, private fees, locum payments, consultancy income or practice profits, along with any existing business structure and pension arrangements. From there, we review your accounting and tax requirements, including current filings, record-keeping habits and any deadlines approaching, so we can identify what needs attention and what can be improved. The final step is putting suitable support in place: agreeing how your bookkeeping will run, who handles which returns, and how often we will review your position. You will know what is happening, when it is due and where you stand.

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 connect the different parts of a doctor’s financial life rather than treating them in isolation. NHS income, private fees, locum work and consultancy earnings can interact in ways that affect your tax position, your payments on account and the structure that suits you best, so we look at the whole picture before making recommendations. We pay close attention to the details that doctors commonly overlook, from medical indemnity and professional subscriptions through to equipment, training costs and business mileage, and we make sure records are maintained in a way that supports the claims being made. Where a limited company, partnership or sole trader arrangement is in place, we handle the associated accounts, returns and filings, and where VAT or payroll obligations apply, those are managed alongside. The result is accounting support that is practical, joined up and built around how you actually work.

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. If your only income is a salaried NHS post taxed through PAYE and you have no other income or complications, your tax affairs may be straightforward. However, once you add private fees, locum work, consultancy income, a partnership share or a limited company, the reporting requirements and planning opportunities become much harder to manage alone. An accountant can help ensure income is reported correctly, relevant expenses are claimed, and deadlines are met without last-minute stress.

Where you have untaxed income, such as private consultation fees or locum earnings, you generally need to report it through Self Assessment. Your NHS salary is usually taxed through PAYE, but it still needs to be included on the return so all income is accounted for together. Depending on the tax due, payments on account may also apply, which means budgeting for two payments during the year. Getting the reporting right the first time avoids adjustments and interest later.

Common claims include medical indemnity insurance, professional body subscriptions, mandatory training and continuing professional development, specialist equipment and uniforms, professional journals, and business travel or mileage where the journeys are wholly and exclusively for work purposes. Not every cost qualifies, and the rules around travel between home, hospital and private practice locations can be subtle, so it is worth reviewing your expenditure with an accountant rather than assuming.

Locum work can be paid through PAYE, through an agency, or through your own limited company, and each route has different tax and administrative consequences. The right answer depends on how you work, how much you earn and how long you expect to continue locuming. We can talk through the options, including whether a limited company is likely to be beneficial, and handle the associated accounts, payroll and filings if you go down that route.

VAT depends on the nature and level of your income, and many medical services are exempt. It is not automatically required simply because you work privately or through a company. The position needs to be assessed on your specific services and turnover, and where registration does apply, VAT returns and records must be maintained properly. We can review whether VAT is relevant to your circumstances.

Yes. Partnership and practice finances bring extra layers, including profit shares, drawings, practice overheads and the interaction between partnership profits and your personal tax position. We can prepare partnership accounts, allocate profits correctly and make sure your Self Assessment reflects your share, while keeping the practice bookkeeping in order throughout the year.

Absolutely. Many clients prefer to handle things digitally, sharing documents securely and communicating by email, phone or video call at times that fit around clinics and on-call commitments. What matters is that your records reach us in good time and that you have a clear point of contact when questions arise.

Switching is usually simpler than doctors expect. We ask for details of your current arrangements, contact your existing accountant for the relevant records and professional clearance, and review your position so nothing is missed. Once everything is in place, we take over the filings and deadlines, and you can get on with work knowing your accounting is in hand.

Speak to an Expert

Take the Stress Out of Your Tax Affairs With Accountants for Doctors in Hertford

If you are juggling NHS payslips, private fees, locum invoices and a filing deadline that always seems to arrive too soon, CruseBurke can help bring it all together. We provide accounting and tax support for doctors in Hertford, including Self Assessment, bookkeeping and advice on the most appropriate structure for your private or locum work, so your records stay organised and your returns are filed correctly. Speak to our team about your circumstances and we will explain how we can support you.