Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Heywood

Medical careers rarely come with a single, simple payslip. Between NHS salary, private fees, locum shifts and consultancy work, your tax position can become genuinely complicated — and that is where specialist accounting support helps. As accountants for doctors in Heywood, we help you keep accurate records, report every income source correctly through Self Assessment, claim the professional expenses you are entitled to, and stay on top of your tax compliance without letting paperwork eat into your clinical time.

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?

We work with doctors across the full range of working arrangements, because no two medical careers look alike. That includes GPs in practice partnerships or salaried roles, hospital doctors and consultants with NHS contracts, locum doctors moving between placements, and private practitioners running their own clinics or consulting rooms. Many doctors we speak to combine several of these at once — an NHS post alongside private work, or part-time salaried employment topped up with locum sessions. Each arrangement brings different accounting and tax considerations: a salaried doctor may only need a straightforward Self Assessment, while a locum working through an intermediary faces off-payroll questions, and a GP partner needs partnership accounts, profit share reporting and drawings handled correctly. The right approach depends on your income sources, your employment status, your business structure and how your professional activities are organised, so we take the time to understand your circumstances 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 and Tax Services for Doctors in Heywood

Our work with doctors starts with getting the foundations right: clean, well-organised bookkeeping for private fees, locum income and consultancy earnings, and a clear record of expenses such as medical indemnity, professional subscriptions, training and equipment. From there we prepare and file Self Assessment tax returns that bring together NHS income, private medical income, locum work and any other earnings, so nothing is missed and nothing is reported twice. For doctors operating through a limited company, we handle annual accounts, Corporation Tax, payroll for directors and any staff, VAT registration and returns where applicable, and management accounts that show how the business is actually performing. Where you are in a GP or consultant partnership, we prepare partnership accounts and tax returns and help you understand profit shares, drawings and capital. We also advise on business structure — whether sole trader, partnership or limited company suits your mix of work — and on tax planning around pension contributions, timing of income and allowable deductions. Where relevant, we support financial reporting and long-term planning so your accounting keeps pace as your career develops.

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 Often Face

Doctors tend to face a set of accounting pressures that generalist accountants may not see often. Most of them come back to the same theme: several income sources, each with its own rules, records and reporting requirements.

  • Reporting multiple income streams together. NHS salary, private fees, locum shifts and consultancy income may all arrive on different timescales and through different payment routes. Self Assessment requires them to be brought together accurately, and mismatches in timing or record keeping are a common cause of errors and unexpected tax bills.
  • Understanding what counts as an allowable professional expense. Medical indemnity insurance, professional body subscriptions, required training, specialist equipment and some travel costs may be deductible, but the rules are specific. Claiming too little means paying more tax than necessary; claiming too much creates risk if HMRC queries the return.
  • Keeping records of travel between sites. Movement between hospital sites, practices, clinics and home visits can generate legitimate mileage and travel claims, but only where the journeys and their purpose are properly documented. Without a reliable record-keeping habit, those costs are often lost.
  • Managing Self Assessment alongside a demanding rota. Deadlines do not move for night shifts or on-call weeks. Payment on account can also catch doctors out, particularly in a year when private income grows or locum work increases.
  • Coordinating pension considerations with tax. NHS pension contributions and any additional voluntary contributions can interact with your overall tax position, and annual allowance matters can become complex where income varies year to year. Getting this wrong can lead to unexpected charges.
  • Choosing and maintaining the right business structure. Some doctors work as sole traders, some through a partnership, and some through a limited company or an intermediary. Off-payroll working rules and IR35 considerations can apply to locum and consultancy arrangements, so the structure needs to match the reality of how you work.
  • Partnership and practice finances. GP partners and consultants in partnership need accurate profit shares, drawings, capital accounts and partnership tax returns. Without clear accounts, it is difficult to plan personal tax or make informed decisions about the practice.
  • Keeping financial records organised all year. Receipts, invoices, bank records and expense details build up quickly. Reconstructing a year's worth of income and costs at the last minute is stressful and increases the chance of missed deductions or filing mistakes.

Why Doctors Choose CruseBurke

Doctors come to us because their financial affairs do not fit neatly into a standard template, and they want an accountant who recognises that. We take the time to map out how you actually earn — NHS income, private work, locum sessions, consultancy, partnership profits — and then build an accounting approach around it. That means explaining tax and accounting matters in plain language, flagging issues before they become problems, and keeping your records in a state that makes filing straightforward rather than frantic. We understand that medical professionals often deal with changing contracts, varying income and complex pension arrangements, so advice is given in the context of your circumstances rather than as a generic set of rules. Just as importantly, we are contactable and clear: you should always know what is being filed, when, and why. Whether you are newly qualified, working a mix of roles, or established in private practice, the aim is dependable accounting and tax support that leaves you free to focus on patients.

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. First, we start with a conversation about how you work and how you earn — your NHS role, private fees, locum placements, consultancy income, partnership profit share or any combination of these, along with your pension arrangements and any existing business structure. Second, we review what that means for your accounting and tax position: which returns are required, what expenses may be claimable, whether your current structure still fits, and where your records need attention. Third, we agree the scope of support and put it in place, covering the relevant bookkeeping, accounts preparation, Self Assessment, payroll, VAT or Corporation Tax work and setting out a clear schedule for the year ahead. If you are moving from another accountant, we can manage the handover and contact them on your behalf so the transition is tidy.

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 way we approach complexity. Doctors rarely have a single, tidy income source, so we start by untangling the mix: NHS pay and pension, private patient fees, locum or agency income, consultancy earnings and, where applicable, practice or partnership profits. From that picture we build the accounting around your reality — recording income correctly, identifying allowable professional expenses such as indemnity cover, subscriptions, training and equipment, and making sure Self Assessment and any company or partnership filings reflect what actually happened in the year. Where a limited company is involved, we look after annual accounts, Corporation Tax, payroll and VAT so that company and personal obligations stay aligned. We also think ahead rather than just backwards, considering structure, timing of income and pension interaction as your career and earnings evolve. The result is accounting support that is practical, specific to medical work and genuinely useful when decisions need to be made.

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 a single salaried NHS post and straightforward tax affairs may manage without one, though there can still be benefits in reviewing expenses and pension implications. Once you add private fees, locum shifts, consultancy income, partnership profit share or a limited company, the reporting becomes considerably more involved, and professional support tends to be worthwhile. An accountant can help ensure everything is reported accurately, that allowable expenses are claimed, and that deadlines are met without last-minute stress.

Yes. Bringing both together correctly is one of the most common reasons doctors seek help. NHS employment income and private medical income are generally reported in the same Self Assessment return but in different sections, and the way each is recorded matters. We gather the relevant figures, check that expenses are allocated sensibly, and calculate the tax due — including any payments on account that may apply. If your private income varies significantly year to year, we will also flag how that affects your position.

Potentially allowable costs typically include medical indemnity insurance, professional body and registration subscriptions, required training and continuing professional development, specialist equipment or clothing used for work, and travel and mileage for business journeys such as travelling between sites or to a temporary placement. Home office costs can sometimes be claimed where administrative work is done at home. Whether a particular cost qualifies depends on the specifics, and records need to support the claim, so it is worth discussing your situation before assuming an expense is or is not deductible.

It can. Working through your own limited company brings obligations such as annual accounts, Corporation Tax, payroll and potentially VAT, alongside your personal tax return. It may also bring off-payroll working and IR35 considerations into play, particularly for locum and consultancy arrangements with NHS bodies or agencies. The right structure depends on how you work in practice and your longer-term plans, so we review the detail before advising on whether a company remains appropriate.

NHS pension contributions are generally deducted from pay, which affects your taxable income and take-home position. Where income is high or varies between years, annual allowance considerations can lead to additional tax charges, and this can become complicated where private income sits alongside pensionable NHS earnings. We help by looking at your total income picture and highlighting where professional pension or tax advice may be needed — pension scheme rules themselves are usually best confirmed with your scheme or a regulated adviser.

VAT depends on what you supply and how much you earn from relevant taxable activities. Many purely medical services are exempt from VAT, but not everything connected with a medical business is — cosmetic work, certain products, some consultancy and non-medical services can be treated differently. Registration is compulsory once taxable turnover passes the relevant threshold, and voluntary registration can sometimes be beneficial. We review your activities and income to establish where you stand.

GP partners typically need partnership accounts and a partnership tax return, plus individual Self Assessment returns reflecting each partner's profit share. Drawings, capital accounts and profit-sharing arrangements all need to be recorded and understood, and the accounts feed directly into each partner's personal tax position. We also help partners understand how changes in the practice — new partners, retiring partners, or changes to the practice structure — affect the numbers.

Yes, working remotely is straightforward for most doctors, and many prefer it given busy rotas and shift patterns. Documents can be shared electronically, and meetings can be arranged to suit your schedule. If you are currently with another accountant, switching is usually simpler than people expect: we can request the information we need, confirm the handover, and take over the relevant filings. If you would like to discuss your circumstances first, get in touch and we can talk through what is involved.

Speak to an Expert

Take the Stress Out of Medical Income and Tax — Accounting Support Built for Doctors in Heywood

If your earnings come from a mix of NHS pay, private fees, locum shifts or consultancy work, keeping track of the tax position can quickly become a burden. CruseBurke provides accounting support for doctors, including Self Assessment that brings all your income sources together accurately and bookkeeping that keeps your expenses and records properly organised throughout the year. Whether you are newly dealing with private income or reviewing how your current arrangements are structured, we are happy to talk through your circumstances and explain how we can help.