29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Llantwit Major
Specialist accounting support for doctors working in and around Llantwit Major. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, we help you make sense of Self Assessment, NHS and private income, professional expenses, bookkeeping and tax compliance — so your finances stay accurate, organised and filed on time, and you can focus on your patients rather than paperwork.
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Which Doctors Do We Support?
Doctors are not a single, uniform group when it comes to tax and accounting. Employment arrangements, income sources and business structures vary considerably, and each combination can produce a different set of reporting obligations. We support salaried hospital doctors and GPs whose main income is taxed through PAYE but who may still need to file a Self Assessment return, as well as locum doctors who typically work through agencies, framework arrangements or direct engagements and often need to account for their own expenses and record keeping. Consultants with private practice income, doctors running or joining a private medical practice, and practitioners operating through a partnership or limited company all face additional considerations around annual accounts, Corporation Tax and profit extraction. Many doctors also combine several forms of work at once — NHS sessions alongside private clinics, locum shifts alongside a salaried post, or consultancy and medicolegal work alongside clinical duties — which can mean multiple income streams to reconcile, overlapping tax deadlines and a greater need for clear, well-maintained records. Because tax treatment depends on individual circumstances, income mix and business structure, we take the time to understand how you actually work before recommending an approach.
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 Built Around Medical Careers
Our accounting support is shaped around the realities of medical work rather than a generic small business template. That typically starts with Self Assessment, where we prepare and file your tax return, bring together NHS income, private fees, locum earnings and consultancy income, and identify the professional expenses you may be entitled to claim. We can handle bookkeeping for private practice and locum work, keeping income and expenditure records in order throughout the year so the year-end position is clear rather than a scramble. Where you operate through a limited company, we prepare annual accounts and computations, deal with Corporation Tax, and advise on salary and dividend planning, payroll and VAT registration where turnover or activity makes it relevant. For doctors in partnerships or practice arrangements, we can prepare partnership accounts and allocate profits appropriately between partners. We also provide management accounts and financial reporting for those running a private practice who need to monitor performance, along with tax planning conversations around pension contributions, timing of income and business structure. Where you need advice on whether to work as a sole trader, partner or through a company, we can talk through the implications of each before you commit.
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. The challenges below are common considerations for doctors, though how far each one applies to you will depend on your employment status, income sources and business structure.
- Multiple income streams arriving from different places. NHS payroll, agency payments, private fees and consultancy invoices can all arrive on different schedules, which makes it harder to see your true annual position and easier to miss something at tax return time.
- Self Assessment deadlines alongside a demanding clinical rota. Registration, record gathering and filing all sit on top of full working weeks, and late submissions or amended returns can attract unwanted attention from HMRC.
- Knowing which professional expenses are genuinely allowable. Medical indemnity insurance, professional subscriptions, training and continuing professional development, equipment, and travel or mileage for work-related journeys can all be relevant, but only where the expense meets HMRC's rules for your circumstances.
- Distinguishing between NHS and private income. Each source may be taxed or reported differently, and mixing them in a single bank account without clear records makes accurate reporting considerably harder.
- Locum income and self-employment status. Locum doctors often need to report income on a self-employed basis, which brings its own record keeping, expense and payment-on-account considerations that differ from PAYE employment.
- Pension considerations. Annual allowance and contribution questions interact with your income level and can be complex, particularly where NHS pension accrual sits alongside private earnings — a specialist conversation rather than a one-size-fits-all answer.
- Choosing the right business structure. Sole trader, partnership or limited company each carry different reporting duties, tax treatment and administrative costs, and the right answer can change as your private work grows.
- Practice and partnership finances. Doctors involved in a practice need to manage shared costs, profit allocation and cash flow, which requires clear accounting records and agreement between partners.
- Bookkeeping falling behind. Without a consistent system, receipts, invoices and expense claims build up, and reconstructing a year of activity later is both time-consuming and prone to error.
Why Doctors Choose CruseBurke for Accounting Support
Doctors tend to come to us for the same reasons: they want an accountant who understands how medical income actually works, and who explains things in plain English rather than jargon. We take the time to map out your income sources and working arrangements before touching the numbers, so the advice you receive reflects your real situation rather than an assumption. That means practical support with Self Assessment and filing obligations, clear guidance on the professional expenses you may be able to claim, and organised bookkeeping that keeps your records in good shape throughout the year. We communicate clearly, flag deadlines in good time, and are happy to work with whichever structure you operate under — employed, self-employed, partnership or limited company. Where something is genuinely complex, such as pension interactions or a structure change, we say so and work through it with you rather than glossing over it. Above all, we aim to make your tax position straightforward and understandable, so you can make decisions about your career and finances with confidence.
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 — your employment arrangements, your NHS income, any private practice, locum shifts, consultancy or medicolegal work, and how your income currently reaches you. Second, we review your accounting and tax requirements against that picture, looking at what needs to be filed, where records are currently held, whether your existing structure still fits and which expenses may be relevant. Third, we set up the accounting support that suits you, whether that is Self Assessment, bookkeeping, limited company accounts and Corporation Tax, payroll, VAT or partnership accounts, and agree how we will work together going forward. The aim is a clear, organised framework so nothing is left to the last minute.
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 income specifically, rather than treating doctors as another generic client category. We understand that NHS income, private fees, locum earnings and consultancy payments can sit side by side, and that the reporting treatment of each depends on the arrangements behind it. We look at the full picture — your income sources, employment status, structure and professional expenses — before advising, and we explain the reasoning so you can see why a particular approach makes sense. Our work covers the practical essentials: accurate bookkeeping, timely Self Assessment and tax returns, and, where relevant, annual accounts, Corporation Tax, payroll, VAT and partnership accounts. We also focus on record keeping and organisation, because clean records are the foundation of both compliance and sensible tax planning. Where a decision such as a change of business structure or a pension contribution question needs specialist input, we flag it early and talk it through rather than letting it drift.
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 all your income is taxed through PAYE and your tax affairs are simple, you may not need ongoing support — although you might still need to file a Self Assessment return. Doctors with locum income, private practice fees, consultancy or medicolegal earnings, partnership involvement, or a company structure typically benefit from specialist accounting help, because there are more reporting obligations, more expense questions and more opportunities for things to be missed.
Very often, yes. A salaried post taxed through PAYE does not automatically remove the need to file a return, and additional untaxed income such as private fees or locum earnings usually needs to be reported. The exact position depends on your income sources and total earnings, so it is worth checking rather than assuming either way.
We keep the two streams clearly separated in your records so each is reported correctly and any tax already deducted is properly accounted for. NHS pay, private fees, locum earnings and consultancy income can arrive on different schedules and through different channels, so we look at how everything flows into your accounts before preparing your return.
Common considerations include medical indemnity insurance, professional body subscriptions, relevant training and continuing professional development, specialist equipment, and travel or mileage for work-related journeys. Whether a particular cost qualifies depends on HMRC's rules and on your employment status — expenses that are allowable for self-employed locum work may be treated differently for an employee. We review your actual expenditure and advise on what can properly be claimed.
Locum arrangements vary. Some agency engagements are taxed at source, while others leave you responsible for reporting income and paying tax and National Insurance yourself, often with payments on account. The correct treatment depends on the terms of your engagement, so we look at the specific arrangement before advising on how to report and what records to keep.
Both are legitimate options and the right choice depends on your level of private income, how you want to take money out, your pension position and how much administrative work you are comfortable with. A limited company brings additional obligations such as annual accounts, Corporation Tax and possibly payroll and VAT. We can talk through the implications of each structure with you before you decide.
Yes. Practice partnerships require clear accounting for shared income and expenses, profit allocation between partners, and accurate partnership returns. We can prepare the accounts and returns and help make sure the way profits are shared matches what has been agreed between the partners.
Yes. Much of the accounting process can be handled remotely with documents and records shared securely, so your location does not need to be a barrier. Getting started normally begins with a conversation about your working arrangements and income sources, followed by a review of what needs to be filed and how your records are currently kept. If you are already working with another accountant, we can discuss how a transfer would work.
Speak to an Expert
Make Your Medical Income Easier to Manage — Speak to Accountants for Doctors in Llantwit Major
If you are juggling NHS pay, private fees, locum earnings or consultancy income alongside a full clinical schedule, keeping the tax side under control can feel like a second job. CruseBurke provides accounting support for doctors that brings your income sources together, keeps your bookkeeping and records organised, and handles your Self Assessment and tax returns so deadlines do not creep up unnoticed. We take the time to understand how you work before advising, and we explain things clearly at every stage. Get in touch to talk through your circumstances and see what the right accounting set-up could look like for you.