29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Loughborough
A medical career rarely arrives as a single, simple payslip. NHS salary, private consultations, locum shifts and consultancy work can all sit alongside each other, and each one carries its own tax and reporting implications. As accountants for doctors in Loughborough, we help medical professionals make sense of Self Assessment, keep accurate books and stay on top of their filing and payment obligations. Whether you are employed, self-employed, in a partnership or running your own practice, our role is to bring structure to your finances so you can concentrate on your patients rather than your paperwork.
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
Which Doctors Do We Support?
Doctors do not fit a single mould, and their accounting needs rarely do either. A salaried hospital doctor on PAYE with one income source has a very different position from a locum working through a limited company, a private consultant running their own clinic, or a GP partner with a share of practice profits. We provide accounting support for doctors in Loughborough across that full spectrum, including GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners and those who combine NHS and private work. What matters most is not the job title but how income arrives: PAYE pay, self-employed earnings, partnership profits, dividends, pension contributions and expenses all interact with each other. The right approach therefore depends on your employment status, your business structure, your income sources and your individual circumstances — which is why we establish how you actually work before advising on how to report it.
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. In practice, that usually means preparing and filing Self Assessment tax returns that bring together NHS income, private medical fees, locum earnings, consultancy income and any other sources, and ensuring allowable professional expenses are claimed correctly where the rules permit — medical indemnity cover, professional subscriptions, training and professional development, equipment, and travel and mileage among them. For doctors who are self-employed, in private practice or in partnership, we prepare annual accounts, management accounts and financial reporting, and can support with bookkeeping so records stay current instead of becoming a year-end scramble. Where relevant, we also advise on business structures such as sole trader, partnership or limited company, prepare partnership accounts for practice arrangements, run payroll for staff or associates, and handle VAT registration and returns, Corporation Tax and dividend planning. Tax planning around pension contributions, profit extraction and timing of income can also form part of the picture. Because circumstances differ, the mix of services is agreed with you rather than assumed.
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 generate income in ways that standard PAYE rarely captures fully, and that is usually where the accounting pressure builds. The points below are common considerations for doctors, although how much any of them affects you will depend on your employment status, income sources and business structure.
- Multiple income sources on one tax return. A doctor earning an NHS salary while also taking private consultations or locum shifts needs every source reported consistently. Untaxed income that is not tracked through the year can result in an unexpected Self Assessment bill.
- Getting allowable expenses right. Medical indemnity cover, professional subscriptions, training and development, equipment and mileage may all be claimable, but the rules differ between employment and self-employment, and unsupported claims can attract HMRC scrutiny.
- Record keeping during busy clinical weeks. Receipts, invoices, mileage logs and locum timesheets accumulate quickly when patient commitments come first, and weak records often mean missed expenses or avoidable queries later.
- Choosing and maintaining the right business structure. Whether locum or private work should sit inside a limited company, a partnership or a sole trader arrangement affects how profits are taxed, and unwinding the wrong structure can be costly.
- Pension complexity. NHS pension contributions, annual allowance considerations and private pension arrangements can interact with tax in ways that are easy to overlook, particularly where income fluctuates from year to year.
- Partnership and practice finances. GP partners and doctors in partnership arrangements deal with profit shares, drawings, practice overheads and capital accounts, all of which need accurate accounting rather than a rough estimate.
- Deadlines that do not move. Self Assessment filing and payment dates, VAT returns and company filing obligations fall on fixed dates, and rotas do not pause for them, which is why forward planning matters.
Why CruseBurke for Accounting Support Built Around Medicine
Doctors come to us because they want an accountant who understands the shape of a medical career rather than one who treats them like any other taxpayer. That means recognising that employment and self-employment can sit side by side, that NHS income and private fees are reported differently, and that expenses such as indemnity cover or professional subscriptions need to be treated according to the rules that apply to your particular arrangement. We aim to keep your financial records organised and your compliance obligations clear, while explaining things in plain English rather than jargon. Advice is practical: what to claim, what to keep, what to file and when, and how a change in your working pattern — taking on more private work, moving into a partnership or setting up a company — might affect your position. Where your circumstances are more complex, we say so, and where a decision depends on your individual situation, we help you weigh it up rather than offering a one-size-fits-all answer.
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 should feel straightforward, even when your income does not. First, we take the time to understand your circumstances: how you are employed, whether you have NHS income, private medical income, locum earnings, consultancy fees or a combination, and what structure you currently operate under. Second, we review your accounting and tax requirements — the returns that need filing, the records you hold, any pensions or partnership arrangements, and where there may be gaps or risks worth addressing. Third, we put appropriate support in place, which might include bookkeeping, Self Assessment, payroll, VAT or company accounts, along with a clear view of the deadlines ahead. The pace and scope are agreed with you, so you know what is happening 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
Much of what sets our approach apart is the starting point: we look at how your income is actually built before recommending how it should be reported. For doctors, that often means reconciling NHS payslips and pension deductions with private fees, locum invoices or consultancy income, then making sure each element is treated correctly within Self Assessment. It means reviewing professional expenses carefully — indemnity, subscriptions, training, equipment and mileage — so that legitimate costs are claimed and weaker claims are left out. It also means thinking about structure, whether a limited company or partnership genuinely suits your circumstances, and how profits can be extracted sensibly alongside pension considerations. Behind all of that sits the routine work that keeps everything else possible: tidy bookkeeping, accurate accounts, payroll and VAT where they apply, and a calendar of filing obligations you can rely on. If you are considering changing accountants or simply want a second opinion on your current position, we can review where things stand and explain your options clearly.
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 single salary with no untaxed income and straightforward tax affairs, your position may be manageable without one. The picture changes once you add locum work, private consultations, consultancy fees, partnership profits, rental income or investments, because then you are dealing with multiple income sources, allowable expenses and possibly more than one filing obligation. An accountant helps ensure everything is reported consistently and that nothing is overlooked. A useful first step is a review of your circumstances to establish whether specialist support would add value.
NHS employment income is normally taxed through PAYE, but it still needs to appear on your Self Assessment return alongside any private, locum or consultancy income that has not been taxed. The interaction between the two matters: expenses, pension contributions and any tax already deducted all affect the final calculation. Where income varies year to year, or where private earnings are growing, keeping records in-year rather than reconstructing them later makes the return far more reliable and reduces the risk of a surprise bill.
It depends on how the locum work is structured. Locums engaged as self-employed contractors can typically claim allowable expenses incurred wholly and exclusively for that work, which may include mileage, equipment, indemnity cover and professional subscriptions. A locum working through an agency on an employed basis may be able to claim certain expenses against employment income instead, but the rules are narrower. Because the treatment differs, it is worth confirming your status and the expenses available to you before the return is prepared.
Medical indemnity cover is generally treated as an allowable professional expense where it is incurred for the purposes of your work and is not reimbursed by an employer, but how the relief is given can depend on whether the income is employment or self-employment income. Professional subscriptions to approved bodies follow a similar logic, with additional rules for employed doctors. We review these costs alongside your other expenses so they are claimed on the correct basis.
There is no universal answer. A limited company can suit some doctors with significant private or locum income, particularly where profits are retained or where a mix of salary and dividends is appropriate. However, off-payroll working rules can apply to certain NHS and public sector engagements, and incorporating NHS pensionable work is not straightforward, so the pension implications need careful thought. The right structure depends on your income levels, working arrangements and longer-term plans, and it is worth reviewing before making a change rather than afterwards.
Useful records typically include payslips, locum timesheets and invoices, bank statements for any business or private practice income, receipts for expenses such as indemnity cover, subscriptions, training and equipment, and a mileage log if you travel between sites. If you run a limited company or partnership, bookkeeping records, payroll information and VAT records also need maintaining. Keeping these together as you go makes the year-end process quicker and provides support if HMRC raises a query.
We support doctors through secure digital document sharing, email and calls, which suits medical professionals whose rotas make daytime appointments difficult. Records can be exchanged online, and meetings can be arranged around your availability. What matters most is that information flows reliably in both directions, so we agree a way of working that fits your schedule and keeps your accounts and returns on track.
The process is generally straightforward. Once you decide to move, we contact your existing accountant to request professional clearance and the handover of relevant records, which usually covers accounts, tax returns, bookkeeping data and any ongoing engagements. You do not need to manage that correspondence yourself. It helps to time a change outside a pressing deadline where possible, and we will set out what is needed from you and when.
Speak to an Expert
Multiple Income Streams, One Clear Tax Position — Accountants for Doctors in Loughborough. Let us take the admin off your hands so you can get back to medicine.
Juggling NHS pay, private fees, locum shifts and consultancy income can leave your tax affairs feeling fragmented, and it is usually the record keeping that suffers first. CruseBurke supports doctors in Loughborough with Self Assessment that brings every income source together, along with organised bookkeeping and clear guidance on the professional expenses you can legitimately claim. If your finances have outgrown a straightforward payslip, a conversation about how you work and what needs filing is a sensible place to start.