Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Hoddesdon

Specialist accounting support for doctors working in Hoddesdon and the surrounding area. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, the way your income is taxed depends on how you work — and that can make your tax affairs more complicated than a standard return. CruseBurke provides accounting and tax support built around the realities of medical work, from Self Assessment and multiple income sources to NHS and private earnings, professional expenses, bookkeeping and ongoing tax compliance. The aim is straightforward: clear records, accurate returns and practical advice you can act on.

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 work in many different ways, and no two sets of tax affairs look quite the same. A salaried hospital doctor on PAYE may only need help with a Self Assessment return covering professional expenses and a modest amount of private work, while a full-time locum may be effectively running a small business with income spreading across several NHS trusts or agencies. GPs in partnership often need support with partnership accounts, profit shares and practice-related costs, and consultants building a private practice may need advice on how to structure their work, how to record income, and when VAT might come into play. We also work with doctors who combine employed NHS roles with private clinics, medico-legal work, teaching, research or consultancy, where several income streams need to be brought together into one coherent picture. Because accounting treatment can vary depending on your employment status, your income sources, your business structure and your individual circumstances, the starting point is always a proper conversation about how you actually work.

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 services are shaped around the way doctors earn. For doctors with NHS or salaried income plus additional private earnings, we prepare Self Assessment tax returns that bring together employment income, self-employment profits and other taxable income accurately, with a clear record of what has been claimed and why. For locums and doctors working through their own limited company, we can handle annual accounts, Corporation Tax returns, payroll, bookkeeping and VAT where it applies, alongside advice on whether a limited company remains the right structure as your work changes. Private practitioners and consultants often need management accounts and regular bookkeeping so that income and costs are tracked through the year rather than scrambled together at the deadline, plus support with invoices, expenses, equipment purchases, medical indemnity and professional subscriptions. Where doctors work in partnership — for example within a GP practice — we can assist with partnership accounts, profit allocation and the related tax returns for each partner. We also provide tax planning support, covering areas such as pension contributions, timing of income, and how drawings or dividends are taken, so decisions are made with the tax position in mind rather than after the fact.

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 single, tidy income pattern, and that is usually where the accounting pressure comes from. These are the areas doctors most often need help untangling.

  • Multiple income sources in one year: combining PAYE salary, locum shifts, private consultations and consultancy work means several sets of records have to be reconciled before a return can be filed accurately.
  • Knowing what can genuinely be claimed: medical indemnity cover, professional body subscriptions, required training and professional development, specialist equipment and business mileage are all areas where the rules matter and where a claim needs to be properly evidenced.
  • Pension considerations: NHS pension arrangements interact with additional private income and annual allowance questions, and the tax position can differ considerably from doctor to doctor.
  • Record keeping through the year: receipts, mileage logs and invoices pile up quickly, and reconstructing them months later is both time-consuming and prone to error.
  • Business structure decisions: whether to work as a sole trader, through a partnership or via a limited company affects how income is taxed and what compliance obligations apply, and the right answer can shift as your work changes.
  • Partnership and practice finances: GP partners and doctors in shared practices deal with profit shares, practice overheads, drawings and partnership returns that need to align with each partner's personal tax position.
  • Tax deadlines and cash flow: payments on account, filing deadlines and unexpected tax bills can create pressure when income is irregular, particularly for locums and those new to private work.
  • Keeping personal and professional finances distinct: without clean separation, it becomes difficult to demonstrate what is business income and what is not, which complicates both tax reporting and any future planning.

Why Doctors Choose CruseBurke

Doctors come to us because they want an accountant who already understands the language of medical income — NHS payslips, locum timesheets, private invoices, partnership profit shares and the expenses that come with practising medicine. That understanding means fewer basic questions, faster progress and advice that reflects how your working life actually operates. We focus on keeping your records organised and your compliance in order, so returns are accurate and filed on time, while also looking ahead at the decisions that affect your tax position, from how income is structured to how expenses are documented. Communication is clear and jargon-free: you should always understand what has been done, what it means for you and what needs to happen next. Whether you are newly qualified, balancing NHS and private work, moving into consultancy or already established in practice, the support is tailored to your circumstances rather than fitted into a standard template.

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 take time to understand your circumstances — how you work, whether that is a salaried NHS post, locum shifts, private practice, consultancy, partnership or a combination, and where your income currently comes from. Second, we review your accounting and tax position, looking at your existing records, previous returns, expenses, structure and any compliance gaps or upcoming deadlines that need attention. Third, we put the appropriate support in place, whether that is a straightforward Self Assessment service, ongoing bookkeeping and management accounts, limited company compliance, or partnership and practice accounting, with a clear view of what is required from you and when.

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 a specialist area rather than a general one. Rather than simply processing a return, we look at the whole picture: how many income streams you have, whether they are taxed through PAYE, Self Assessment or a company, what you are entitled to claim, and how your structure might need to adapt as your career develops. That means practical support across bookkeeping, accounts preparation, tax returns, VAT and payroll where relevant, plus considered advice on professional expenses, pension contributions and business structure. We also recognise that doctors are busy, so we keep things organised and straightforward: records are maintained properly, deadlines are tracked, and questions are answered in plain English. The result is accounting support that keeps pace with a medical career instead of lagging behind it.

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

Not every doctor does. If you are employed on a straightforward salary with no additional income and no expenses to claim, your PAYE position may be perfectly manageable on its own. However, an accountant becomes genuinely useful once your situation includes locum income, private practice earnings, consultancy or medico-legal work, a partnership profit share, or significant professional expenses such as medical indemnity and subscriptions. In those cases, an accurate return depends on correctly identifying what is taxable, what can be claimed and how different income sources are reported together.

A doctor's return typically needs to bring together several elements: employment income and tax already deducted through PAYE, profits from self-employment such as locum or private work, and any other taxable income. On the expense side, items such as medical indemnity, professional body subscriptions, required training, specialist equipment and business travel may be relevant, but only where the rules and your circumstances support the claim. Because treatment depends on your employment status, income sources and structure, the return is prepared around your specific position rather than a standard set of assumptions.

NHS salary is usually taxed through PAYE, while private work, locum sessions and consultancy income are often reported through Self Assessment or, in some cases, through a limited company. The key is to reconcile the two accurately — matching payslips and P60 information with invoices and business records — so that nothing is reported twice and nothing is missed. Where private income is significant, we also look at whether your current structure and payment arrangements remain sensible.

Yes. Locum doctors often work through agencies or directly with trusts and practices, which means irregular income, multiple payers and expenses that vary month to month. We can help with bookkeeping, keeping invoices and receipts organised, preparing your Self Assessment return, and dealing with payments on account, which frequently catch locums out when income fluctuates. We can also discuss whether operating through a limited company is worth considering for your circumstances.

In many cases, medical indemnity cover and professional body subscriptions can be claimed as allowable expenses where they are incurred wholly and exclusively for the purposes of your professional work. The exact position depends on how you work and how the cost relates to your income sources, which is why it is worth reviewing these costs rather than assuming. We review your annual outgoings as part of preparing your return.

GP partners generally need partnership accounts prepared, profits allocated correctly between partners, and individual tax returns that reflect each partner's share plus any other income. Practice overheads, drawings and the timing of profit distributions all affect the personal tax position. Because each partner's wider circumstances differ, the partnership accounts and the individual returns need to be considered together rather than in isolation.

Yes. Much of the work involved in preparing accounts, bookkeeping and tax returns can be handled remotely using secure sharing of documents and digital records, which suits doctors with busy and unpredictable schedules. If you prefer to discuss matters in person or by phone, that can be arranged around your working pattern. The priority is that communication stays easy and information stays secure.

Switching is usually more straightforward than doctors expect. We ask for your details and authorisation to act, then contact your existing accountant to request professional clearance and the information needed to continue your records. If your previous returns and accounts are up to date, the transition is largely administrative. If there are outstanding filings, we can review the position and set out what needs to be done before moving forward.

It begins with a conversation about how you work — your employment arrangements, income sources, business structure and any deadlines or concerns you have. From there, we review your existing records and returns and confirm which services are appropriate, whether that is a one-off Self Assessment, ongoing bookkeeping and accounts, limited company compliance or partnership support. You will have a clear understanding of what is needed from you and what happens next.

Speak to an Expert

Take the Pressure Out of Your Tax Affairs with Specialist Accountants for Doctors in Hoddesdon

If your income comes from more than one place — NHS salary alongside locum shifts, private consultations or consultancy work — the tax picture can quickly become difficult to manage on your own. CruseBurke can help by bringing your records together, preparing an accurate Self Assessment return, and advising on the professional expenses and structure that suit your circumstances. Get in touch to talk through your position and find out what the right accounting support looks like for you.