29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Longridge
Accounting and tax support shaped around a medical career, from Self Assessment and NHS or private income to bookkeeping, expenses and forward tax planning. As Accountants for Doctors in Longridge, we help GPs, hospital doctors, consultants, locums and private practitioners keep their financial records accurate, their reporting compliant and their tax position clearly understood.
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Which Doctors Do We Support?
Doctors rarely fit neatly into one financial category, and the accounting support that suits one clinician may not suit another. We work with GPs managing practice income and partnership or salaried arrangements, hospital doctors and consultants on NHS payscales, locum doctors moving between short-term contracts, salaried doctors with limited additional income, and private practitioners billing patients directly. Many doctors combine several of these at once, such as an NHS post alongside private consultations, medico-legal work or teaching income. Because of that, accounting needs differ depending on how income is earned, whether it is taxed through PAYE or reported through Self Assessment, the business structure used, and the level of professional expenses involved. Understanding those differences is the starting point for useful advice.
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 in Longridge
Our accounting services for doctors are built around the way medical income actually arrives, often from more than one source and on more than one tax basis. That typically means preparing and filing Self Assessment tax returns that bring together NHS pay, private fees, locum income and consultancy work, and making sure the figures reconcile with the records you hold. For doctors running a practice, clinic or consultancy, we can prepare annual accounts, management accounts and financial reporting, alongside bookkeeping that keeps day-to-day transactions organised and bank reconciliations up to date. Where a limited company or partnership is involved, we can handle company accounts, Corporation Tax returns, partnership accounts and profit allocation, plus payroll for staff, associates or administrative teams. VAT registration and returns are relevant to some doctors and not others, depending on the nature of their services and turnover, so we assess that rather than assume it. We also advise on business structure, whether sole trader, partnership or limited company suits your circumstances, and on tax planning matters such as pension contributions, timing of income and the treatment of professional expenses. The aim throughout is straightforward: accurate records, correct reporting and a clear view of what is owed and when.
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 tend to create financial complexity that builds quietly over time. A few of the areas doctors most often ask about are set out below, though the exact impact depends on your employment status, income sources and individual circumstances.
- Multiple income streams that must be reported together. Salary taxed through PAYE is only part of the picture once private fees, locum shifts or consultancy payments begin, and those untaxed amounts usually need to be declared through Self Assessment to avoid an unexpected bill or enquiry later.
- NHS income sitting alongside private income. Understanding which payments have already been taxed, how pension contributions and annual allowance considerations interact, and how to present both streams accurately on a return can be difficult without specialist help.
- Identifying allowable professional expenses. Medical indemnity cover, professional body subscriptions, training and continuing professional development, specialist equipment, and travel or mileage between sites can all be relevant, but only where they meet the rules and evidence is retained. Claiming too little is as common a problem as claiming too much.
- Deadlines and payments on account. When self-employment or private income starts, HMRC may expect payments on account towards the following year, which can catch doctors out in cash flow terms if they have not planned for it.
- Choosing the right business structure. Whether to operate as a sole trader, join a partnership or trade through a limited company affects administration, tax treatment and how profits are shared, and the best answer changes as a career evolves.
- Pension considerations. Annual allowance charges, carry forward of unused allowances and the timing of contributions are areas where doctors often benefit from early planning rather than a year-end scramble.
- VAT where it applies. Most medical services are exempt from VAT, but private practice activity can include elements that are treated differently, so registration and reporting need to be considered on the facts rather than assumed either way.
- Record keeping across busy working weeks. Keeping personal and professional spending separate, tracking mileage, storing receipts for indemnity and subscriptions, and reconciling bank accounts are simple disciplines that become difficult during full clinics and on-call rotas.
Why Doctors Choose CruseBurke for Accounting and Tax Support
Doctors come to CruseBurke because medical finances need an accountant who recognises the difference between employed and self-employed income, and who can work with both at once. We take the time to understand how you earn, whether that is through an NHS contract, private practice, locum agencies, consultancy or a combination, and we explain the tax treatment of each element in plain language. That includes practical guidance on professional expenses, indemnity cover, subscriptions, training costs and mileage, so claims are properly supported rather than guessed at. Communication matters as much as technical accuracy, which is why we set out what is needed from you, when it is needed, and what happens next, and why we prepare figures in a way you can actually use when reviewing your position or speaking to a lender or adviser. Above all, we keep your reporting organised, your deadlines monitored and your questions answered, whether your circumstances are straightforward or involve several income sources and structures.
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 should not add to an already full schedule. We begin with an initial conversation to understand your circumstances: your employment arrangements, whether you receive NHS pay, private fees, locum income, consultancy fees or a mix of these, and any practice, partnership or company involvement. From there we review what you currently have in place, looking at your existing records, previous returns, business structure, expense claims and any areas where the position is unclear or incomplete. The final step is putting the appropriate support in place, whether that means taking over Self Assessment and bookkeeping, preparing annual accounts, handling payroll or VAT, or advising on structure and tax planning. You will know what we need from you, how your information will be handled, and when key filings fall due, so the process stays manageable from the outset.
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 a genuine focus on the way medical income works rather than a one-size-fits-all service. We treat NHS pay, private fees, locum work and consultancy income as distinct streams with their own reporting requirements, then bring them together into a coherent return and a clear picture of your tax position. We look beyond the annual filing to the things that shape it: whether your current structure still fits, whether professional expenses such as indemnity, subscriptions and training are being captured properly, whether bookkeeping is keeping pace, and whether payroll or VAT obligations are being met where they arise. For doctors in partnerships or limited companies, we can handle profit allocation, company accounts and Corporation Tax, and for those working solely through PAYE with modest additional income, we keep things proportionate and uncomplicated. The result is specialist support that adapts as your career changes, without unnecessary complexity or jargon.
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 how you earn. If all of your income is taxed through PAYE and you have no significant additional income, expenses or investments, an accountant may not be essential. Once private fees, locum shifts, consultancy work, rental income or a practice involvement are added, the position usually becomes more involved, and Self Assessment, expense claims and possible payments on account all need to be handled correctly. An accountant is most valuable when income comes from more than one source or when the tax treatment is not immediately obvious.
Yes. This is one of the most common situations among doctors we speak to. NHS pay is normally taxed through PAYE, while private fees and similar income often need to be reported through Self Assessment, so both elements have to be combined accurately on one return. We can also review whether your tax code and payments on account are appropriate given the combined income, and flag pension-related considerations that can arise when earnings from different sources overlap.
Commonly considered items include medical indemnity and professional indemnity cover, professional body and registration subscriptions, training and continuing professional development that maintains or updates your existing skills, specialist equipment, and travel or mileage where it relates to self-employed or practice work rather than ordinary commuting. The rules are specific and depend on your employment status and the purpose of the cost, so keeping receipts and records is important. We review each item against the relevant rules rather than applying a blanket list.
Locum work often brings several issues together: income may be paid through PAYE by the agency, through an umbrella company, or directly to you, and each route carries different tax and administrative consequences. Off-payroll working rules can also be relevant where you provide services through your own company. The right treatment depends on your contractual arrangements, so it is worth reviewing how you are engaged before deciding whether a limited company, sole trader status or agency payroll suits you better.
There is no single answer that suits every doctor. Sole trader status is straightforward but offers no distinction between you and the business, partnerships suit doctors sharing practice profits, and a limited company can be appropriate for some private or consultancy work but brings additional filing, payroll and Corporation Tax obligations. The decision usually turns on your income levels, how profits are shared, your pension position and how much administration you want. We look at your circumstances and explain the trade-offs before you commit.
Many medical services are exempt from VAT, which means they do not count towards the registration threshold and VAT is not charged on them. However, private practice can include supplies that are treated differently, such as certain goods or non-medical services, so registration is not a simple yes or no. We review what you actually provide, how it is billed and your turnover to determine whether registration or reporting obligations apply.
Yes. Most of the information needed for accounts, tax returns and bookkeeping can be shared securely online, and meetings can be held by phone or video at times that fit around clinics and rotas. Doctors we work with often find this more practical than travelling to appointments, and it means records can be submitted as they become available rather than saved up until a deadline is close.
Changing accountants is generally straightforward. Once you decide to move, we contact your existing accountant to request professional clearance and the relevant records, including prior year returns, accounts and any outstanding correspondence. There is usually no need to wait for a particular point in the year, although timing around filing deadlines is worth considering. We will let you know exactly what is needed and keep the handover organised.
Speak to an Expert
Take the Pressure Off Your Tax Affairs With Accountants for Doctors in Longridge
Juggling NHS pay, private fees and locum income can leave your records and Self Assessment trailing behind a busy clinical schedule, and it is easy to miss expenses you are entitled to claim. CruseBurke can bring those strands together through accurate Self Assessment preparation, organised bookkeeping and practical guidance on professional expenses and structure. If you would like your finances handled with the same care you give your patients, get in touch with our team to talk through your circumstances.