29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Lutterworth
Specialist accounting and tax support for doctors working in Lutterworth and across the surrounding area, whether you are a GP, hospital doctor, consultant, locum or private practitioner. From Self Assessment and multiple income sources to NHS and private medical income, bookkeeping and day-to-day tax compliance, we help you keep your financial affairs organised, accurate and clearly explained — so you can spend your time on medicine rather than paperwork.
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Which Doctors Do We Support?
Doctors rarely have a single, straightforward source of income. A GP partner may be managing practice profits, NHS pension contributions and a private clinic; a hospital consultant may combine NHS salary with private practice fees; a locum may work through several agencies and need to claim expenses accurately; and a salaried doctor may simply want a tax return completed correctly and on time. We support doctors across these different working arrangements, including GPs, hospital doctors, consultants, locum and sessional doctors, salaried doctors, private practitioners, and those who combine NHS work with private or medico-legal income. Because accounting needs depend on your employment status, income sources, business structure and professional activities, the advice we give is shaped around your own circumstances rather than a one-size-fits-all template. If you are unsure whether your situation needs specialist attention, we are happy to talk it through.
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 work with doctors centres on the areas that most commonly cause complexity: Self Assessment tax returns where you have NHS income alongside private fees, locum or consultancy earnings, and other professional income; annual accounts for those running a practice, partnership or limited company; and bookkeeping that keeps records accurate and up to date throughout the year rather than in a rush before a deadline. We can also help with payroll if you employ staff in a practice or clinic, VAT registration and returns where turnover and activities require it, Corporation Tax and company accounts for incorporated medical businesses, partnership accounts and profit allocations, management accounts and financial reporting to help you understand how a practice is performing, and tax planning around profit extraction, pension considerations and the timing of income and expenditure. Where you are deciding between trading as a sole trader, partner or limited company, we can explain the practical and tax implications of each structure so you can make an informed choice.
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 for Doctors
Accounting for doctors is rarely just about filling in a tax return. Income often arrives from several directions at once, expenses can be easy to overlook, and the rules around what is allowable are not always obvious. The challenges below come up regularly.
- Multiple income streams: NHS salary, private fees, locum shifts, consultancy or medico-legal work may all be taxed differently and reported in different ways, making it easy to miss something at Self Assessment.
- Allowable expenses: Medical indemnity insurance, professional body subscriptions, registration fees, specialist equipment, journals, and training or continuing professional development costs can often be claimed where they relate to your work — but the treatment depends on your circumstances.
- Travel and mileage: Deciding whether a journey is ordinary commuting or a legitimate business trip affects what can be claimed, and records need to stand up to scrutiny.
- Record keeping during the year: Receipts, invoices and bank transactions pile up quickly across multiple roles, and disorganised records tend to cost time and money later.
- Pension considerations: Annual allowance and contribution questions, together with NHS pension complexities, can interact with your tax position in ways that benefit from early planning.
- Choosing a business structure: Whether to operate as a sole trader, in partnership, or through a limited company affects tax, administration and personal liability.
- Partnership and practice finances: GP partners and those in partnerships need clear profit allocations, accurate accounts and confidence in the figures behind their drawings.
- Tax deadlines and compliance: Payments on account, filing dates and registration requirements can be easy to lose track of when work is busy.
- VAT and payroll: Private practice income, dispensing, cosmetic or other non-NHS services can bring VAT and payroll obligations into play where the relevant thresholds and conditions are met.
Why Doctors Choose CruseBurke
Doctors choose CruseBurke because they want an accountant who already understands the shape of medical income — NHS pay and pension arrangements, private fees, locum engagements and consultancy work — rather than having to explain it from scratch each year. That understanding means fewer assumptions, more relevant questions and advice that reflects how you actually earn your living. We focus on clear communication: explaining the treatment of your income and expenses in plain English, setting out what is needed from you and by when, and making sure nothing important is left until the last minute. We keep your records organised and your filings on time, and we look for legitimate, defensible ways to manage your tax position within the rules. Whether you are a locum looking for straightforward Self Assessment support, a consultant with mixed income, or a partner in a practice needing accounts and tax planning, the service is tailored to your position rather than to a generic template.
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 for Getting Started
Getting your accounting in order does not have to be complicated. First, we start with a conversation about your circumstances — how you are employed or self-employed, whether you have NHS income, private medical income, locum work, consultancy income or a mixture, and what you currently do about tax and record keeping. Second, we review your accounting and tax requirements, including any outstanding returns, your bookkeeping arrangements, business structure and the deadlines that apply to you, and explain what needs attention and why. Third, we put the appropriate support in place — whether that is preparing your Self Assessment return, maintaining bookkeeping, handling payroll or VAT, preparing annual accounts, or providing ongoing tax planning advice — and set out how we will work together going forward.
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 connect the technical side of accounting to the realities of medical work. We are comfortable dealing with doctors who have several income sources at once, who need to distinguish between NHS employment and private practice income, who claim professional expenses such as indemnity cover and subscriptions, or who are deciding whether incorporation makes sense for their private work. We handle the detail — Self Assessment, bookkeeping, annual accounts, Corporation Tax, payroll, VAT and partnership accounts — while keeping the explanation practical and jargon-free. Just as importantly, we work with you rather than around you: flagging deadlines in advance, asking for records in a manageable way, and giving you a clear view of your tax position so there are no surprises. Tax and accounting outcomes depend on your individual circumstances, so our aim is to give you advice that is accurate, appropriate and specific to your situation.
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 salaried hospital doctor paying tax entirely through PAYE may only need help occasionally, but doctors with private fees, locum income, consultancy work, partnership profits or a limited company usually need to file a Self Assessment tax return. Once you have more than one income source, or expenses to claim, specialist help tends to be worthwhile — not just for compliance, but for making sure you are not paying more tax than necessary.
Yes. Combining NHS employment income with private practice fees, locum earnings or consultancy income is one of the most common situations we deal with. Your NHS pay is taxed through PAYE, but the self-employed or untaxed elements still need to be reported, and payments on account may apply. We pull the figures together, check that allowable expenses and pension contributions are treated correctly, and submit an accurate return on time.
Common claims include medical indemnity insurance, professional body and registration subscriptions, specialist equipment and clothing required for the role, professional journals, and training or continuing professional development that maintains or updates skills you already use. Travel and mileage can sometimes be claimed, but it depends on whether the journey is genuinely business travel rather than ordinary commuting. The exact treatment depends on your employment status and the nature of the expense, so it is worth checking before you claim.
Locum work is often treated as self-employment, which normally means registering with HMRC and filing a Self Assessment return, even if you also hold an employed post elsewhere. Agency arrangements and individual contracts can affect the position, and IR35-style rules may be relevant in some engagements. We can review how your locum work is structured and confirm what registration, record keeping and tax reporting is required.
Not automatically. Incorporation can suit some doctors with substantial private, consultancy or medico-legal income, but it brings additional administration, payroll, Corporation Tax and reporting obligations, and it may not be tax-efficient for everyone — particularly where NHS pension contributions or existing employment income are involved. The right answer depends on your income levels, structure and long-term plans, so we look at your position in the round before recommending anything.
Indemnity cover and subscriptions to professional bodies or registration fees are frequently allowable expenses where they are incurred for the purposes of your work, which can reduce your taxable profits or the income reported on your return. The tax relief depends on whether you are employed, self-employed or operating through a company, so it is important to record these costs properly and claim them in the correct place.
We are set up to work with clients remotely as well as through meetings, so geography need not be a barrier. Documents and records can be shared securely, and we can hold discussions by phone or video at times that fit around clinics, ward rounds and on-call commitments. What matters is that we have complete and accurate information, not how it reaches us.
The process is usually straightforward. We ask for your permission to contact your existing accountant, obtain professional clearance and request the relevant records, including prior accounts, tax returns and HMRC correspondence. Once everything is in place, we review your position, identify anything that needs attention and take over the ongoing compliance and advisory work. If you have overdue filings, we will help you understand the position and deal with it.
Speak to an Expert
Take the stress out of tax with specialist Accountants for Doctors in Lutterworth
If your income comes from more than one place — NHS pay alongside private fees, locum shifts, consultancy work or a practice you run — keeping on top of Self Assessment, allowable expenses and pension considerations can quickly become a second job. CruseBurke provides accounting support built around medical careers, from accurate tax returns and organised bookkeeping to practical tax planning and advice on business structures. Get in touch to talk through your circumstances and find out how straightforward your accounting could be.