29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Llantrisant
Medical careers rarely fit a single tax template. Whether your income comes from NHS employment, private practice, locum shifts, consultancy or a combination of all three, the right accounting support helps you stay on top of Self Assessment, keep your records in order and plan ahead with confidence. As Accountants for Doctors in Llantrisant, CruseBurke provides specialist accounting and tax support shaped around the way doctors actually work.
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Which Doctors Do We Support?
Doctors come to accounting with very different financial pictures, and the support that suits one may be entirely wrong for another. A salaried hospital doctor on PAYE may only need help with a straightforward Self Assessment return, while a locum working through several agencies, a consultant with private practice income and a GP partner with practice profits all face a more complex set of questions. We provide accounting support for GPs, hospital doctors and consultants, locum and agency doctors, salaried doctors, private practitioners, and doctors who combine NHS work with private or medico-legal income. What each doctor needs depends on their employment status, how many income sources they have, whether they operate as a sole trader, partner or limited company, and the professional expenses they incur along the way. We look at your own circumstances rather than applying the same approach to every doctor in Llantrisant.
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 Services Built Around Medical Careers
Our services for doctors in Llantrisant cover the accounting and tax work that tends to arise across a medical career. That includes Self Assessment tax returns where you have income outside PAYE, such as private consultations, locum fees, medico-legal reports or rental income, and annual accounts where you trade or practise through a business structure. We can handle bookkeeping and record keeping so your income and expenses are properly captured, prepare payroll if you employ staff in a private practice, and advise on VAT where your private or non-medical income brings registration into scope. For incorporated practices and consultancy businesses, we prepare annual accounts and Corporation Tax returns, and for partnerships we deal with partnership accounts and the allocation of profits between partners. Alongside the compliance work, we provide tax planning, management accounts and business structure advice, including whether a limited company or partnership arrangement is appropriate for the way you work. Because NHS income, private medical income, locum work and consultancy income are each taxed differently, the mix you have shapes the advice you receive.
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.
The Accounting Challenges Doctors Commonly Face
Doctors tend to accumulate financial complexity gradually rather than all at once. A first locum contract, a private clinic session, a partnership offer or a medico-legal report can each change your tax position, and the administrative side often gets pushed to the end of a long working week.
- Separating NHS and private income. Employed NHS income is usually taxed through PAYE, but private fees, locum payments and consultancy income often are not, so a tax liability can build up without you noticing until a return is filed.
- Juggling multiple income sources. Doctors who combine salaried work, locum shifts, private practice and teaching or expert witness work may need to report several income streams, each with its own records and allowable costs.
- Understanding what can be claimed. Medical indemnity, professional subscriptions, training and continuous professional development, specialist equipment, and travel between sites are frequently allowable, but the treatment depends on whether you are employed or self-employed and on the purpose of the expense.
- Keeping records that stand up to scrutiny. Mileage logs, expense receipts, locum timesheets and private fee statements all need to be retained and organised, otherwise deductions can be difficult to support and returns become a scramble.
- Getting the business structure right. Sole trader, partnership and limited company arrangements all carry different tax, National Insurance and administrative consequences, and the right answer depends on your income level, contract terms and long-term plans.
- Pension and annual allowance considerations. Many doctors have NHS pension membership alongside private pension arrangements, and the interaction between the two can affect both tax relief and the amount of relief available.
- VAT on private and non-medical work. Some medical services are treated differently for VAT purposes from others, so registration and reporting decisions need to reflect the actual services you provide rather than an assumption based on your job title.
- Meeting deadlines around clinical rotas. Filing dates do not move for on-call weeks or annual leave, so a realistic timetable and a system for capturing information throughout the year matter more than a last-minute push.
Why Doctors Choose CruseBurke
Doctors often approach an accountant with a specific worry in mind, whether it is an unexpected tax bill, a shoebox of receipts, or uncertainty about whether their private work is structured sensibly. CruseBurke offers accounting and tax support that recognises the realities of medical work, from irregular locum income to the paperwork that follows a private clinic session. We take the time to understand how your income is earned, explain the options in plain language rather than jargon, and keep your records and filings organised so nothing is left to chance. Our advice is tailored to your working arrangements rather than copied from a general template, and we are happy to work with doctors who have a single straightforward income source as well as those juggling several. If your circumstances change, whether through a new contract, a move into private practice or a change in pension arrangements, we can review the position and adjust your accounting support accordingly.
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 Three-Step Process
Getting your accounting in order does not need to be complicated. The first step is a conversation about how you work, covering your NHS employment, private income, locum work, consultancy or any combination of these, along with any business structure you already have in place. From there we review your accounting and tax requirements, looking at your income sources, expenses, pension arrangements and filing obligations, and identify anything that needs attention or could be handled more efficiently. The third step is putting the right support in place, whether that is taking over your Self Assessment and bookkeeping, preparing annual accounts and tax returns, or providing ongoing advice as your medical career develops. Throughout the process you will know what information we need, what we are doing with it, and when it matters.
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
The difference lies in how closely the accounting work is matched to medical working patterns. Doctors rarely fit neatly into a single category, and a practitioner with NHS employment, private fees and a portfolio of medico-legal work needs an approach that reflects all of it rather than treating each piece in isolation. CruseBurke looks at the whole picture, including how income sources interact, which professional expenses are available, how a partnership or limited company structure might affect your position, and what your Self Assessment and record-keeping obligations actually require. We explain the reasoning behind our advice so you can make informed decisions, and we keep the practical side running smoothly with organised bookkeeping, accurate returns and clear reporting. Whether you need help with a one-off filing requirement or ongoing accounting support as your private practice grows, the aim is the same: financial admin that is accurate, understandable and built around your career rather than a generic checklist.
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 all your income is taxed through PAYE and you have no untaxed income, your tax affairs may be straightforward. As soon as you take on locum work, private consultations, medico-legal reports, teaching income or a partnership share, the picture changes, and an accountant can help you report it correctly, claim the expenses you are entitled to and avoid surprises when a return is due.
It depends on your circumstances rather than your job title. If you have income that has not been taxed at source, such as private practice fees, locum payments or consultancy income, you will usually need to report it. There are also situations where HMRC asks for a return, or where other income or reliefs make filing necessary. We can look at your specific position and confirm what applies to you.
They can be, and the difference matters. NHS employment income is normally taxed through PAYE, with tax deducted at source and National Insurance contributions handled by the employer. Private practice fees, locum payments to a self-employed doctor and consultancy income are generally reported through Self Assessment, with allowable expenses deducted from the income. Doctors who hold both types of income need records for each so the figures are reported accurately.
Commonly claimed items include medical indemnity insurance, subscriptions to approved professional bodies, training and continuous professional development, specialist equipment, and travel or mileage for legitimate business journeys. Whether a particular cost is allowable depends on your employment status, how the expense relates to your work, and whether it has been reimbursed. The treatment is not identical for employed and self-employed doctors, so it is worth checking before assuming a deduction applies.
Locum doctors typically need to keep records of each engagement, the income received, any tax already deducted, and the costs directly connected with that work, such as travel, indemnity cover and professional subscriptions. If you work through agencies, check whether payments are made gross or with tax deducted, because that affects how the income is reported. Good record keeping through the year makes the return far quicker to prepare.
It can be an option worth considering, but it is not automatically the right answer. A limited company brings different tax and National Insurance treatment, additional filing obligations and Companies House requirements, and it does not suit every type of engagement. Some contracts may also fall within off-payroll working rules, and there can be knock-on effects for pension arrangements. The right structure depends on your income, contracts and long-term plans, so it is worth reviewing properly before making a change.
Many doctors have NHS pension membership, and some also make private pension contributions. The interaction between the two can affect how much tax relief is available and, in certain circumstances, whether an annual allowance charge arises. Because the rules are detailed and individual outcomes vary, this is an area where personalised advice is far more useful than a general rule of thumb.
Yes. Much of the accounting process can be handled remotely, with documents and records shared securely online and meetings held by video or telephone at times that fit around clinical commitments. Many doctors find this more practical than travelling to appointments. What matters is that your accountant understands your income sources and can work with you reliably, whether contact is remote or in person.
Changing accountants is usually straightforward. We would ask for some basic details about your income sources and current filing position, then handle the professional handover with your existing accountant, including obtaining the information needed to take over your records. Any outstanding returns or deadlines are reviewed at the start so nothing is missed during the transition.
Speak to an Expert
Get Your Medical Income Properly Organised with Accountants for Doctors in Llantrisant
If your income arrives from several directions, whether that is NHS payroll, private clinic fees, locum shifts or consultancy work, keeping track of it can quickly become a burden. CruseBurke can take on the Self Assessment and bookkeeping work that sits behind those income streams, making sure your records are complete and your allowable expenses, such as medical indemnity and professional subscriptions, are properly considered. To talk through your circumstances and find out how our accounting support could work for you, get in touch with the team.