29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Lower Boddington
Medical careers rarely come with simple finances. NHS pay, private fees, locum shifts and consultancy work can each bring their own tax treatment, deadlines and record-keeping demands — and when they overlap, the paperwork multiplies quickly. Our accountants for doctors in Lower Boddington help you make sense of it all, from preparing an accurate Self Assessment and tracking multiple income streams to keeping bookkeeping tidy and reclaiming the professional expenses you are entitled to claim. Whether you work a single NHS post or a patchwork of clinical roles, you get clear, practical accounting support built around how doctors actually earn.
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Which Doctors Do We Support With Accounting and Tax?
Doctors do not all fit the same financial mould, so accounting support has to reflect the way each clinician works. We help GPs, hospital doctors, consultants, locum doctors, salaried doctors and private practitioners, as well as doctors who combine NHS work with private practice or run a medical business alongside their clinical commitments. A salaried hospital doctor on PAYE with occasional private fees faces a very different tax position from a locum working through several agencies, or a consultant running a private practice with its own turnover and costs. Income sources, employment status, whether you operate as a sole trader, partner or limited company, and the scale of your private work all influence what needs to be declared, what can be claimed and how your accounts should be structured. We look at your individual circumstances rather than applying a one-size-fits-all 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.
Our Accounting Services for Doctors in Lower Boddington
Our work with doctors centres on the practical accounting and tax tasks that come with a medical career. That typically includes preparing and filing Self Assessment tax returns, calculating tax on NHS and private income, and identifying allowable professional expenses such as medical indemnity, professional subscriptions, training and professional development, equipment, and travel or mileage costs where the rules permit. For doctors in private practice, partnerships or limited companies, we can prepare annual accounts, partnership accounts and Corporation Tax returns, keep bookkeeping and management accounts up to date, run payroll, and handle VAT registration and returns where private or consultancy income makes it relevant. We also advise on business structure — whether you are better placed as a sole trader, in a partnership or trading through a limited company — and on tax planning around pension contributions, profit extraction and timing of income. Because treatments and rates depend on your circumstances, we set out the options clearly and explain the reasoning behind each one.
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 Doctors Face
Doctors tend to face a particular set of accounting pressures, largely because income arrives from several directions at once. The challenges below come up regularly, although how much they affect you will depend on your employment arrangements, income sources and business structure.
- Blending NHS and private income. Salary from an NHS post is taxed through PAYE, but private fees, waiting list work or consultancy income usually are not. If that private income is not reported correctly, the tax due can build up quietly over several years, which is why it is worth reviewing your position annually.
- Multiple income sources in one tax year. A doctor might receive NHS salary, locum payments, private fees, teaching income, expert witness fees or royalties. Keeping these separate in your records — and reporting them correctly — is one of the most common areas where doctors need support.
- Self Assessment accuracy and deadlines. Registration requirements, filing dates and payment on account dates do not always line up neatly with a busy clinical diary. Missing them can lead to penalties and interest that were entirely avoidable.
- Knowing which professional expenses are allowable. Medical indemnity insurance, GMC and royal college subscriptions, revalidation costs, specialist equipment, and travel between sites may all be claimable — but only if the expense is genuinely incurred for work and falls within the rules. Claiming too little costs you money; claiming carelessly invites questions.
- Record keeping across the year. Receipts, mileage logs, locum timesheets and private fee invoices are easy to lose track of when you are working long days. Reconstructing a year of expenses just before a filing deadline is stressful and often means losing out on legitimate claims.
- Pension considerations. Annual allowance charges, carry forward and the interaction between NHS pension contributions and private income can affect your tax position, and they are easy to overlook without a wider view of your finances.
- Choosing the right business structure. Locum work, private practice and consultancy can be carried out as a sole trader, a partnership or a limited company, and the right answer depends on your income level, risk profile and long-term plans.
- Practice and partnership finances. Doctors running or partnering in a practice deal with drawings, profit shares, staff payroll, VAT and annual accounts on top of their clinical work — all of which need to be managed, not squeezed in around clinic hours.
Why Doctors Choose CruseBurke for Accounting and Tax Support
Doctors often come to us because their finances have become more complicated than a standard tax return can handle. Perhaps private income has grown alongside an NHS role, a locum pattern has become the norm, or a practice partnership has brought new responsibilities. We take the time to understand how you earn, then build the accounting support around it. That means Self Assessment returns that properly account for NHS salary, private fees, locum work and consultancy income; bookkeeping that keeps receipts, timesheets and invoices in order; and advice on professional expenses, medical indemnity, subscriptions, training and mileage claims where the rules allow. Where relevant, we also support doctors with annual and partnership accounts, Corporation Tax, payroll, VAT and business structure decisions. You get clear explanations, organised records and consistent communication, with a team that understands the tax questions doctors actually ask.
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 not add another burden to an already full working week. The process is straightforward. First, we take the time to understand how you work — your NHS post, private fees, locum shifts, consultancy income or practice involvement — along with your current records and any concerns you have. Second, we review your accounting and tax requirements, looking at what needs to be filed, what may be claimable, and where your current arrangements could be improved, whether that relates to Self Assessment, bookkeeping, business structure or payroll. Third, we put the appropriate support in place and agree how we will work together, including what you need to send us and when. We can set up a bookkeeping routine that fits your schedule, take over existing records, and align filing with the deadlines that apply to you.
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?
General accountancy advice rarely accounts for the way a medical career is structured. Doctors often hold employment and self-employment at the same time, earn from several sources, and carry expenses that only exist in clinical work — indemnity cover, registration fees, revalidation, examination costs and specialist equipment among them. We work with that reality. Our approach is to look at the whole picture: how your income is earned, how it is taxed, what expenses genuinely qualify, and whether your current business structure still suits your circumstances. That might mean tightening up bookkeeping so nothing is missed, preparing accurate Self Assessment returns that reflect NHS and private income correctly, handling partnership or limited company accounts and Corporation Tax, or reviewing whether VAT registration is needed for private work. Just as importantly, we explain things in plain language, so you understand the position you are in and the decisions you are making.
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. A doctor on a straightforward NHS salary with no other income may not need much beyond a basic tax return, and some may not need to file one at all. But as soon as you add private fees, locum shifts, consultancy work, teaching income, a practice partnership or directorship, the position becomes far less simple. At that point an accountant can help ensure everything is declared correctly, that allowable expenses such as medical indemnity and professional subscriptions are claimed where appropriate, and that you are not caught out by payment on account or filing deadlines. If in doubt, a review of your situation is usually the quickest way to find out what you actually need.
Your NHS salary is taxed through PAYE and reported on your tax return, while private medical income is generally declared separately as self-employed or other income, depending on how it is earned. The two are brought together in your Self Assessment, and because PAYE only accounts for your salary, there is often an additional tax liability on the private side, which can trigger payments on account for the following year. Keeping clear records of private fees, expenses and any tax already deducted is essential, and this is one of the areas where doctors most commonly need support.
Locum doctors may be able to claim expenses that are wholly and exclusively incurred for their work. These can include travel to temporary placements and mileage, medical indemnity, professional subscriptions, training and professional development, equipment, uniforms, and a proportion of costs where you work from home. What is allowable depends on your specific arrangements, how the work is structured, and whether expenses have been reimbursed elsewhere. It is worth reviewing your expenses properly rather than assuming a claim is or is not possible.
Medical indemnity insurance, GMC registration and relevant royal college or specialist society subscriptions are commonly claimed by doctors, as they are usually incurred to maintain the ability to practise. Whether they are deductible for you, and how much you can claim, depends on your employment status and how the cost relates to your work. Where your employer reimburses or pays these directly, the claim is handled differently. We review your outgoings each year to make sure legitimate professional costs are captured accurately.
There is no single answer. A limited company can suit doctors with substantial private income who want flexibility over how profits are taken, but it also brings additional compliance — annual accounts, Corporation Tax, payroll, and potentially VAT. For many doctors with modest private earnings alongside an NHS role, operating as a sole trader remains the simpler option. IR35 considerations can also apply where services are provided through an intermediary. We look at your income, plans and appetite for administration before recommending a structure.
Most healthcare services provided by registered medical professionals are exempt from VAT, which means many doctors never need to register. However, some related activities — such as certain cosmetic or non-medical services, or income from wider business activities — may be treated differently, and VAT registration can become relevant if your taxable turnover crosses the registration threshold. If you are unsure whether your private work falls within the exemption or involves taxable elements, it is worth reviewing before you register or before you assume you do not need to.
Yes. Much of the day-to-day work can be handled remotely, with documents shared securely online and meetings held by video or phone at times that fit around clinics and on-call rotas. Many doctors find this more practical than travelling to an office. We agree upfront how records will be passed across, how often we will be in touch, and how quickly you can expect a response to queries.
Changing accountants is usually simpler than doctors expect. You let your current accountant know you are moving, and we handle the professional handover, including requesting your records and any relevant tax information. We then review your previous returns and accounts to understand your position before taking over filings. If you are mid-way through a tax year or have an outstanding filing, we will agree the best point to transfer and make sure nothing is missed in the meantime.
Speak to an Expert
Stop Chasing Paperwork and Get Your Medical Finances in Order
If NHS pay, private fees, locum income and consultancy work all land in the same tax year, it is easy for receipts, mileage records and Self Assessment deadlines to slip. CruseBurke provides accounting support designed for doctors, from accurate Self Assessment and tidy bookkeeping to advice on professional expenses, business structure and tax planning. If you would like a clearer view of your finances and someone to handle the compliance side properly, we would be glad to talk through your circumstances and the options available to you.