29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Liversedge
Specialist accounting support for doctors in Liversedge who need their tax affairs handled properly, from Self Assessment and NHS or private income to locum earnings, bookkeeping and tax planning. Whether you are salaried, self-employed or juggling several streams of medical income, the right accountant helps you stay organised, compliant and clear on what you owe and when.
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Which Doctors Do We Support?
Accounting support for doctors is rarely one-size-fits-all, because the tax position of a salaried hospital doctor looks very different from that of a locum working across several sites or a consultant running a private practice alongside NHS commitments. We work with the breadth of the medical profession, including GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners and doctors who combine NHS and private work in the same year. Your accounting needs can differ depending on how your income arrives, whether you are employed, self-employed or both, whether you operate as a sole trader, partner or limited company, and whether you have additional interests such as teaching, medico-legal work, research or a private clinic. Some doctors need straightforward Self Assessment support, while others need partnership accounts, payroll, VAT reviews or advice on whether a limited company structure makes sense for their private or locum income. We take the time to understand your particular mix rather than applying a standard template.
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
Our accounting services are shaped around the realities of medical work. That typically starts with Self Assessment and tax returns, where NHS salary, private fees, locum income and consultancy earnings all need to be reported accurately and on time. For doctors who are self-employed, whether full-time locums or private practitioners, we can prepare annual accounts and tax computations from properly maintained bookkeeping, and support you with record keeping throughout the year rather than a rush at the deadline. Where a practice or partnership is involved, we can assist with partnership accounts, profit share reporting and the associated tax returns, as well as payroll for practice staff and any pension-related reporting requirements. Limited company owners may need annual accounts, Corporation Tax returns, director Self Assessment and payroll support, with VAT considered where the nature of the work and turnover make it relevant. Alongside compliance, we look at tax planning: how income is structured, which professional costs are genuinely allowable, how pension contributions interact with your overall position, and whether your current business structure still suits the way you work. We can also prepare management accounts and financial reporting where you want a clearer view of profit, cash flow or the performance of a private practice. The exact mix depends on your circumstances, so we scope it around what you actually need.
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 rarely follow a single, tidy income pattern. Tax rules, deadlines and reporting obligations can be harder to manage when your work spans employment, self-employment and several sources of income.
- Multiple income streams arriving from different places. NHS salary, private fees, locum shifts and consultancy or medico-legal income can each be taxed differently, which makes it easy to lose track of your total position and miss something at the year end.
- Self Assessment and filing deadlines. Employed doctors are not always used to completing a tax return, and busy clinical rotas can make it difficult to gather information and file on time. Errors or late filing can lead to penalties and interest that are avoidable.
- Identifying genuinely allowable professional expenses. Medical indemnity, professional subscriptions, training, professional development, equipment and reference materials may all be claimable, but the treatment can depend on whether the cost relates to employment or self-employment. Claiming too little costs you money; claiming too much invites HMRC questions.
- Travel and mileage records. Travel between hospital sites, to locum placements or to private practice locations may be claimable, while ordinary commuting generally is not. Without a clear record of journeys and their purpose, it is difficult to support a claim.
- Pension considerations. Contributions to the NHS Pension Scheme, additional private pensions and the interaction between pension input and your taxable income all need to be considered together. Pension rules change, so it pays to review your position rather than assume last year's approach still applies.
- Choosing and maintaining the right business structure. Locum work and private practice can be run as a sole trader, through a partnership or via a limited company. Each route affects how you are taxed, how National Insurance applies and how much administration is involved, and the best answer can change as your work evolves.
- Record keeping and bookkeeping. Receipts, invoices, bank transactions, expense records and mileage logs need to be kept in a usable form. Poor records create stress at deadline time and make it harder to demonstrate what has been claimed.
- Partnership and practice finances. Doctors involved in running or partnering in a practice may need to deal with partnership accounts, profit allocation, VAT considerations and payroll for staff, all of which sit alongside their own personal tax position.
Why Doctors Choose CruseBurke
Doctors choose their accountant for the same reasons they choose any professional adviser: they want someone who understands the subject and communicates clearly. At CruseBurke, we focus on the accounting and tax issues that arise from medical careers rather than treating doctors as just another set of returns. That means recognising how NHS income, private fees, locum work and consultancy earnings fit together, understanding why medical indemnity and professional subscriptions matter, and knowing that allowable expenses are treated differently depending on whether you are employed or self-employed. We explain things in plain English, set out your options rather than dictating a single answer, and keep your records organised so that deadlines do not become a scramble. If your circumstances change — a new private clinic, a move into locum work, a partnership opportunity or a decision about incorporation — we can review the position with you and adjust the approach. Communication matters too, so you always know where things stand and what is required from you.
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 the right accounting support in place does not need to be complicated. It starts with a conversation. In step one, we take time to understand how you work — your employment arrangements, whether you have NHS income, private income, locum work, consultancy income or a combination, and what you want from an accountant. In step two, we review your accounting and tax requirements in detail: your current structure, how your records are kept, any outstanding returns or deadlines, and where there may be opportunities to organise things more effectively. In step three, we put the appropriate support in place, agreeing what we will handle — whether that is Self Assessment, bookkeeping, annual accounts, payroll, VAT or ongoing tax planning — and how information will be shared with us. From there, we work with you on an ongoing basis and review things as your circumstances change.
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 way we approach medical clients: not as a uniform group, but as individuals with genuinely different financial lives. A salaried consultant with a small private practice has little in common, tax-wise, with a full-time locum or a GP partner, and our advice reflects that. We look at the whole picture, including how multiple income sources interact, which professional expenses are allowable, whether your bookkeeping is giving you useful information, and whether your business structure still fits your work. Compliance matters, but so does making the numbers make sense. If you are considering a limited company for private or locum work, want to understand your VAT position, need partnership accounts prepared, or simply want your Self Assessment handled accurately and on time, we can help. The result is accounting support that is practical, tailored and grounded in an understanding of how doctors actually earn their income.
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, but many benefit from one. If you are employed only, pay tax through PAYE and have straightforward finances, your position may be simple. The picture changes if you have private income, locum work, consultancy or medico-legal earnings, a partnership interest, a limited company, or higher income where pension and allowance considerations come into play. An accountant can help make sure everything is reported correctly, that you are claiming the professional expenses you are entitled to, and that deadlines are met without last-minute stress.
Your NHS salary is usually taxed through PAYE, but if you also have private fees, locum earnings or consultancy income, you will normally need to report the full picture through Self Assessment. That includes declaring all income sources, claiming allowable expenses against the right ones, and making sure any tax already deducted is properly accounted for. The interaction between employed and self-employed income is one of the main reasons doctors find Self Assessment more involved than a standard return.
Common claims include medical indemnity cover, professional body subscriptions, required training and continuing professional development, specialist equipment, reference materials and business travel. The exact treatment depends on whether the cost relates to employment or self-employment, and whether it is wholly and exclusively for the purpose of your work. Employment expenses are more restricted than self-employment expenses, so it is worth checking before assuming something is claimable.
Locum work is generally treated as self-employment, which means registering with HMRC, keeping records of income and expenses, and reporting profits through Self Assessment, with tax and National Insurance payable on those profits. Some locum arrangements are treated as employment, particularly where an agency engages you on a PAYE basis, so it is important to establish which applies to you. Mileage, indemnity cover and equipment costs often feature in a locum's accounts.
It depends on your level of profit, how you want to take money out of the business, your pension position, whether you have other income and how much administration you are comfortable with. A limited company can suit some doctors and be unnecessary or unsuitable for others. It is not a decision to make on tax alone, and it should be reviewed as your income changes.
These are among the most common costs doctors look to claim, and they are often allowable — but the correct treatment depends on whether you pay them personally or through a practice or company, and whether they relate to employment or self-employment. Keeping the receipts and understanding which income source they belong to makes the position much easier to support.
Many medical services provided by registered health professionals are exempt from VAT, so registration is not automatic simply because you charge private fees. However, VAT registration depends on your taxable turnover and the nature of the services you provide, and some activities are treated differently from standard medical care. It is worth reviewing before you assume you do or do not need to register.
Yes. Changing accountants is usually straightforward. We would ask about your current arrangements, review your recent accounts and tax returns, and contact your existing accountant to obtain the records we need, with your authorisation. Once we understand your income sources and what you need help with, we can take over the relevant compliance work and agree how the ongoing relationship will run. If you are partway through a tax year, we can pick things up from where they stand.
Speak to an Expert
Take the Stress Out of Medical Tax Returns — Speak to Accountants for Doctors in Liversedge. Clear, specialist support for your NHS and private income.
Juggling NHS pay, private fees and locum shifts can leave your tax position feeling harder to pin down than it should, and it is often the allowable expenses and record keeping that slip first. CruseBurke provides Self Assessment and bookkeeping support designed around how doctors actually earn, so your income sources are reported correctly and your professional costs are captured properly. If you would like a straightforward conversation about your circumstances, get in touch with our team and we will talk through what you need.