29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Madeley
Specialist accounting and tax support for doctors in Madeley, from GPs and hospital doctors to locums, consultants and private practitioners. We help you keep NHS pay, locum fees, private income and consultancy earnings properly recorded, manage Self Assessment, identify the professional expenses you can legitimately claim, and keep your bookkeeping and tax affairs organised so you can concentrate on medicine rather than paperwork.
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Which Doctors Do We Support?
Doctors rarely have identical financial circumstances, and accounting advice should reflect that. Accounting support geared towards doctors can be relevant for GPs working in practices or as partners, hospital doctors and consultants on NHS contracts, salaried doctors with limited additional income, locum doctors moving between assignments, private practitioners running their own clinics, and doctors who combine NHS work with private, teaching or medico-legal income. A salaried hospital doctor with one employer and straightforward PAYE affairs has quite different requirements from a GP partner dealing with practice accounts, or a locum working through a limited company. Your income sources, employment status, business structure and professional activities all shape the records you need to keep, the returns you need to file and the tax planning that makes sense for you.
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 services for doctors are built around the way medical income actually arrives. That might mean an NHS salary taxed through payroll, a share of practice or partnership profit, locum payments from agencies or practices, private consultation fees, teaching income, or a mix of several of these. Depending on your circumstances, support could include Self Assessment and tax returns covering multiple income sources, preparation of annual accounts, and bookkeeping that keeps your records accurate and up to date throughout the year. Where you operate through a limited company, company accounts, Corporation Tax and payroll may be relevant, including paying yourself a salary or dividend from your own company. VAT registration and VAT returns may apply where your private or consultancy activity reaches the relevant thresholds, while management accounts and financial reporting can help you understand how a practice or private venture is performing. We can also advise on business structure, whether sole trader, partnership or limited company suits your situation, prepare partnership accounts for GP and specialist practices, and help with tax planning around profit extraction and pension contributions.
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 Considerations Doctors Often Face
Medical careers seldom follow a single, simple financial path. Income often arrives from several sources, expenses are easy to overlook, and the rules that apply depend on how you work as much as what you earn. These are the areas that tend to need the most attention.
- Multiple income sources in one tax return. NHS pay, locum shifts, private fees and consultancy work can all fall within the same Self Assessment. If a source is missed or reported incorrectly, the return may be inaccurate and putting it right later can be time-consuming.
- Self Assessment reporting and payment timing. Where you have income that has not been taxed at source, you may need to file a return each year. Payments on account, filing deadlines and income that changes from year to year all need managing so that the amounts falling due are not a surprise.
- Allowable professional expenses. Medical indemnity cover, registration fees, professional body subscriptions, specialist equipment and approved training costs may all be claimable, but only where they meet HMRC's rules. Overlooking valid expenses increases your tax bill, while claiming items that do not qualify creates unnecessary risk.
- Travel and mileage between sites. Moving between surgeries, hospitals, clinics and training venues can support a genuine claim, whereas ordinary commuting generally does not. Clear, contemporaneous mileage records are what make the difference at the end of the year.
- Record keeping around clinical rotas. Long days, on-call shifts and constantly changing rotas leave little time for bookkeeping. Reconstructing a year of income and expenses months later is harder, slower and less reliable than keeping records as you go.
- Pension considerations. NHS pension contributions, any additional private pension arrangements and annual allowance considerations can interact with your tax position, particularly in years when your income is higher or more variable than usual.
- Choosing and reviewing a business structure. Working as a sole trader, through a partnership or via a limited company each affects how income is reported and taxed. Off-payroll working rules can also be relevant where locum or consultancy services are provided through an intermediary.
- Partnership and practice finances. GP partners and doctors in similar arrangements deal with profit shares, practice expenses, drawings and capital accounts. These need correct accounting treatment and clear communication, particularly when partners join, leave or change their profit-sharing arrangements.
Why Doctors Choose CruseBurke for Accounting and Tax Support
Doctors often come to CruseBurke because they want an accountant who recognises the difference between a standard salary and a career built from several income streams. We take time to understand how you work, whether that is a single NHS post, a combination of NHS and private work, locum assignments, consultancy, or a partnership in a medical practice, and we shape the support around it. That means practical advice explained in plain English rather than jargon, records kept in a format that works for you, and a clear view of what needs to be reported and when. We help you stay on top of Self Assessment and filing obligations, make sure the expenses you can properly claim are captured, and flag areas such as business structure or pension contributions where planning may be worth considering. Because circumstances differ from one doctor to the next, the advice you receive is based on your own situation rather than a 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
Getting the right accounting support in place does not need to be complicated. Step one is an initial conversation about how you work and where your income comes from, whether that is an NHS salary, practice profits, locum work, private fees, consultancy, teaching or a combination of sources. Step two is a review of your accounting and tax position, looking at your current records, filing obligations, expenses, any business structure you use and the deadlines that apply to you, so we can identify what needs attention. Step three is putting the right support in place, which may include bookkeeping, Self Assessment, annual or partnership accounts, payroll, VAT or ongoing tax advice, with a clear understanding of what we will handle and what we need from 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
The difference lies in how we approach the work. Medical income is rarely uniform, so we start by mapping out every source you have and how each one is taxed, rather than treating your affairs as a straightforward salaried position. From there, we look at the professional expenses doctors commonly incur, such as indemnity cover, registration and subscription costs, training and equipment, and make sure the treatment of each is correct. We handle the compliance side, including Self Assessment, tax returns, bookkeeping, annual accounts, Corporation Tax, payroll and VAT where relevant, and we advise on business structures such as sole trader, partnership or limited company where private, locum or consultancy work is involved. Throughout, we aim to keep things clear and conversational, so you understand your position and can make informed decisions about your finances alongside your clinical work.
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 needs one. If your only income is a single NHS salary taxed through PAYE and your affairs are otherwise straightforward, you may be able to manage without professional help. Accounting support tends to become more valuable where you have several income sources, locum or private income, Self Assessment obligations, a practice partnership or a limited company. An accountant can tell you which rules actually apply to you rather than applying a one-size-fits-all approach.
NHS salary is usually taxed through PAYE, whereas private consultation fees, medico-legal income and much locum work may be paid without tax deducted, meaning they need to be reported through Self Assessment. The two are not treated identically, so it is important that each source is recorded correctly and that any tax already paid is properly accounted for. Bringing the information together in one place also makes it easier to see how your total income affects your overall position.
Yes. Locum work can be structured in different ways, and whether you are treated as employed or self-employed depends on the terms of the engagement rather than the job title. If you work through your own limited company, off-payroll working rules may also come into play. We can review how your locum income is currently being treated, check that the right expenses are being claimed, and prepare and file your return or company accounts accordingly.
Expenses generally need to be incurred wholly and exclusively for your work. For doctors, that can include medical indemnity cover, registration and professional body subscriptions, approved training and continuing professional development, specialist equipment, professional publications and travel between work sites. Some costs need to be apportioned if there is a private element, and equipment may be treated differently from day-to-day expenses. Because the detail matters, it is worth reviewing your spending rather than assuming an item does or does not qualify.
Not necessarily. A limited company can suit some doctors with substantial private or consultancy income, while others are better off as a sole trader or within a partnership. The right answer depends on your level of profit, how you want to take money out of the business, your pension arrangements, your appetite for administration and your wider financial plans. It is a decision worth reviewing properly rather than assuming incorporation is automatically more efficient.
Yes. Partnership accounting for a medical practice involves the profit share arrangements, practice income and expenses, partner drawings and capital accounts, as well as the individual returns each partner needs to file. We can prepare the partnership accounts and supporting information, and help keep the treatment consistent as partners join, retire or change their share of profits.
Switching is usually more straightforward than people expect. Once you decide to move, we would typically ask your existing accountant for professional clearance and the handover of your records, then review your position and confirm what needs to be filed and by when. Most of the work sits with the accountants rather than you, although it helps to have your records and previous returns to hand.
Many doctors prefer to work remotely, and accounting can be handled this way effectively using secure digital tools for documents, records and correspondence. Appointments outside clinical hours can be arranged around rotas and clinic commitments. What matters most is that your records reach us in a usable form and that there is a clear route for questions throughout the year.
Speak to an Expert
Take the Pressure Off Self Assessment With Accountants for Doctors in Madeley
Juggling NHS pay, locum shifts, private fees and consultancy income can leave very little time to keep your records straight, and it is easy to lose track of the expenses you can legitimately claim. CruseBurke provides accounting and tax support for doctors, from Self Assessment and tax returns through to bookkeeping, business structure advice and help with partnership or company accounts. If you would like a clearer picture of where you stand, we would be glad to talk through your circumstances and explain your options.