29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Ludgershall
Specialist accounting support for doctors working in Ludgershall and the surrounding area, whether you are a GP, hospital doctor, consultant, locum or private practitioner. From Self Assessment and multiple income sources to bookkeeping, NHS and private income, professional expenses and tax compliance, our doctor-focused approach is built around the way medical careers actually work.
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Which Doctors Do We Support?
Doctors rarely fit into a single financial box. A salaried hospital doctor on PAYE has very different accounting needs from a locum working through their own limited company, and a GP partner’s position is different again from a consultant with a private practice alongside NHS work. We provide accounting support to GPs, hospital doctors and consultants, locum and agency doctors, salaried doctors with additional private income, private practitioners, and doctors who combine several strands of medical work at once. Their accounting needs can differ depending on how income is earned, whether it is employment or self-employment, the business structure used, pension arrangements, and the level of professional expenses involved. Some doctors need straightforward Self Assessment support for a modest private income, while others need help with partnership accounts, limited company reporting, payroll, VAT and longer-term tax planning. Because circumstances vary so much, the starting point is always a proper look at your own situation rather than a one-size-fits-all template.
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
Our accounting and tax services are shaped around the realities of medical work, where income may come from more than one source and the paperwork can build up quickly. We support doctors with Self Assessment tax returns covering NHS income, private medical income, locum fees and consultancy income, and we can help explain what is and is not allowable as a professional expense. For doctors who are self-employed or in partnership, we prepare annual accounts and partnership accounts, maintain bookkeeping records, and assist with profit calculations and partnership profit allocation. Where a limited company is appropriate, we can assist with company accounts, Corporation Tax, payroll for directors and staff, and VAT registration and returns where relevant. We also provide management accounts, financial reporting and business structure advice, helping doctors understand whether sole trader, partnership or limited company treatment suits their particular mix of work. Alongside compliance, we look at tax planning opportunities and pension considerations in the context of your wider circumstances, so decisions about income, expenses and structure are made with the full picture in mind.
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 Often Face
Medical careers generate a distinctive set of accounting and tax issues, and these usually become more complicated as income sources multiply or working arrangements change. The points below are common considerations for doctors rather than a checklist that applies to everyone.
- Multiple income streams running side by side. NHS salary, locum shifts, private consultations, teaching or medico-legal work may each be taxed differently, which makes accurate record keeping and correct reporting essential.
- Self Assessment alongside PAYE. A salary is taxed through PAYE, but private, locum or consultancy income usually needs to be reported separately, and payments on account can catch doctors out if they are not planned for.
- Understanding allowable professional expenses. Medical indemnity, GMC and royal college subscriptions, professional body fees, specialist equipment, courses and mandatory training may be allowable in the right circumstances, but the rules are nuanced and depend on how and why the cost was incurred.
- Travel, mileage and home working. Travel between sites, to locum placements or to private clinics can raise questions about what is deductible and what is ordinary commuting, so clear mileage records matter throughout the year.
- Pension considerations. Annual allowance charges and pension contribution decisions can affect doctors with high or fluctuating earnings, and the interaction with tax can be complex enough to warrant forward planning.
- Choosing the right business structure. Moving between sole trader, partnership and limited company arrangements has knock-on effects for tax, National Insurance, admin and reporting obligations, and the right answer depends on your individual circumstances.
- Partnership and practice finances. GP partners and doctors in partnership arrangements need to deal with profit shares, drawings, practice accounts and capital accounts, which is often more involved than personal tax alone.
- Record keeping and deadlines. Keeping receipts, invoices and income records organised throughout the year reduces stress at filing time and helps ensure nothing is missed.
- Bookkeeping, VAT and payroll obligations. Where medical work is conducted through a company or a larger practice, bookkeeping, VAT and payroll responsibilities add another layer of compliance to manage correctly.
Why Doctors Choose CruseBurke
Doctors choose CruseBurke because they want an accountant who understands the shape of a medical career rather than treating them as a generic taxpayer. That means taking the time to understand your income sources, your employment and self-employment mix, your professional expenses and your future plans before recommending anything. We aim to make the technical side of tax clearer, explain what is required and why, and keep your records in good order so filing deadlines do not become a source of anxiety. Whether you are a salaried doctor with a small private income, a locum juggling several engagements, a GP partner, or a consultant running a private practice alongside NHS commitments, we provide support that fits your actual working arrangements. Clear communication, practical advice and reliable compliance work sit at the centre of what we do, and we are happy to work with doctors who prefer to handle things remotely as well as those who want regular contact.
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 be complicated. First, we take the time to understand your circumstances — your employment status, your NHS income, any private, locum or consultancy income, your business structure and what you want from an accountant. Second, we review your accounting and tax position, looking at your records, filing obligations, expenses and any deadlines or outstanding matters, and we explain what we find in plain terms. Third, we put appropriate support in place, which might mean handling your Self Assessment, setting up bookkeeping, preparing annual or partnership accounts, running payroll, dealing with VAT, or advising on structure and planning. From there, we keep things running and adjust as your work changes.
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 the willingness to look at the whole picture rather than the tax return alone. Doctors often have income arriving from several directions, expenses spread across a year, and decisions to make about pension contributions, business structure and how private work sits alongside NHS commitments. We focus on understanding those interactions, keeping your bookkeeping and records accurate, and making sure your Self Assessment and any company or partnership filings reflect what you actually earned and spent. We also explain the reasoning behind the advice, so you can make informed choices rather than simply being told what to do. That combination of technical accuracy, doctor-relevant context and straightforward communication is what we aim to deliver for every client, whatever their specialty or stage of career.
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 with only a single salaried NHS post may have relatively simple tax affairs, but self-employed income, locum work, private practice income, partnership profits, a limited company, or high earnings with pension considerations usually make professional support worthwhile. An accountant can help with accurate reporting, identifying allowable expenses and planning ahead for tax liabilities, particularly where more than one income source is involved.
Your NHS salary is normally taxed through PAYE, while private, locum or consultancy income is typically reported through Self Assessment. Both need to be accounted for together, and the interaction between them can affect your overall liability and whether payments on account apply. It is important that all income sources are reported accurately and that your records support the figures you submit.
Commonly considered expenses include medical indemnity insurance, GMC and royal college or professional body subscriptions, relevant training and continuing professional development, specialist equipment, and travel or mileage for business journeys. Whether a specific cost is allowable depends on the nature of the expense, how it relates to your work and your employment or self-employment status, so it is worth checking individual items rather than assuming.
Locum income is generally treated as self-employed income if you work on that basis, which means registering with HMRC, keeping records of fees and expenses, and filing a Self Assessment return. Some locums work through a limited company or an agency arrangement instead, and each route has different tax, National Insurance and reporting implications. The right structure depends on your level of activity, your contracts and your longer-term plans.
There is no universal answer. Operating as a sole trader is simpler from an administrative perspective, while a limited company can offer different tax treatment and flexibility in some circumstances, but it also brings company accounts, Corporation Tax, payroll and potentially VAT obligations. The most suitable structure depends on your income levels, the mix of NHS and private work, your plans for the future and your personal circumstances.
Yes. Partnership arrangements involve profit shares, drawings, capital accounts and partnership tax returns, and these need to be prepared accurately and consistently. We can help with partnership accounts and the associated reporting for the partners, as well as with the individual tax positions that flow from the partnership profits.
Yes, we can work with doctors remotely as well as through direct contact. Documents, records and correspondence can be shared securely, and meetings can be arranged in whatever format suits your schedule. What matters is that we have a clear understanding of your income sources and circumstances so the advice and compliance work are accurate.
Changing accountants is usually straightforward. We would ask for details of your current position, obtain professional clearance from your existing accountant where needed, and take over the records and filings from an agreed date. If there is outstanding work or an approaching deadline, we will identify it early so nothing is missed during the transition.
Speak to an Expert
Take the Stress Out of Tax With Accountants for Doctors in Ludgershall
If your income comes from more than one direction — NHS salary alongside locum shifts, private consultations or consultancy work — keeping the figures straight and filing on time can become a genuine distraction from your work. CruseBurke supports doctors with Self Assessment, bookkeeping and practical tax planning, making sense of multiple income sources, professional expenses and the structure that suits you best. Get in touch to talk through your circumstances and find out how we can help you stay organised and compliant.