29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Magherafelt
Specialist accounting support for doctors working in and around Magherafelt, whether you are a GP, hospital doctor, consultant, locum or private practitioner. CruseBurke helps medical professionals make sense of Self Assessment, NHS and private income, bookkeeping, allowable professional expenses and tax deadlines — so your financial affairs stay organised, compliant and easier to plan around a demanding clinical career.
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Which Doctors Do We Support?
Doctors rarely fit neatly into one tax category, and the accounting support you need usually depends on how your income is earned and how your work is structured. A salaried hospital doctor on PAYE with a small amount of private work has very different reporting requirements from a full-time locum working through an umbrella company, or a GP partner sharing practice profits with colleagues. We support GPs, hospital doctors, consultants, locum doctors, salaried doctors, private practitioners and those who combine NHS work with private or medico-legal income — including doctors running clinics, providing consultancy services or building portfolio careers across several roles. Whether you have a single employment, several income streams, partnership income or a limited company, the right approach depends on your employment status, your income sources, your business structure and your individual circumstances. The aim is straightforward: accounting and tax support that reflects how you actually work, not 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.
Accounting and Tax Services for Doctors
Our work with doctors centres on the areas that cause the most confusion and take up the most time. For sole traders, locums and consultants, that typically means Self Assessment tax returns, allowable expense reviews covering medical indemnity, professional subscriptions, training and professional development, equipment, travel and mileage, plus bookkeeping that keeps everything reconciled and ready for filing. For doctors with private income alongside NHS employment, we help separate PAYE income from self-employed and private medical income so nothing is missed or double-counted. Where a doctor runs a practice, a partnership or a limited company, we can prepare annual accounts, partnership accounts, Corporation Tax returns, management accounts and financial reporting, and advise on business structure and profit extraction. Payroll and VAT support may also be relevant where you employ staff, operate a clinic or register for VAT. Pension considerations and tax planning run alongside all of this — not as an afterthought, but as part of making sure your tax position reflects your overall working life.
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
Doctors often face a tax position that is more layered than their colleagues in other professions, because income can arrive from several sources at once and the rules around expenses are not always obvious.
- Multiple income streams arriving separately. NHS salary, private patient fees, locum shifts, consultancy work and medico-legal reports may all be paid through different routes, which makes it easy to overlook a source when preparing a tax return or estimating what is owed.
- Working out what counts as an allowable professional expense. Medical indemnity, professional body subscriptions, training and professional development, specialist equipment and business travel can all be relevant, but only where they are genuinely incurred for the purpose of the work — and the treatment can differ between employment and self-employment.
- Getting Self Assessment right when you are already employed. A doctor on PAYE with additional private income still needs to report that income, and PAYE does not always collect the right amount of tax across combined earnings.
- Locum and consultancy income. Locum work can involve agency arrangements, umbrella companies or direct contracts, and the tax and reporting consequences vary with each. The same applies to consultancy or private clinic income, where record keeping and invoicing sit with you rather than an employer.
- Record keeping across a busy clinical week. Receipts, mileage logs, bank transactions and expense records can build up quickly when clinical work leaves little time for admin, which makes filing deadlines more stressful than they need to be.
- Choosing the right business structure. Whether you operate as a sole trader, join a partnership or work through a limited company affects how profits are taxed, how accounts are prepared and what filing obligations apply.
- Partnership and practice finances. GP partners and doctors in shared practices need clear profit-sharing arrangements, accurate partnership accounts and a workable approach to drawings, tax reserves and practice overheads.
- Pension considerations and long-term planning. NHS pension arrangements, additional private earnings and annual allowance considerations can interact, which is why pension questions are best considered alongside your wider tax position rather than in isolation.
Why Doctors Choose CruseBurke
Doctors come to CruseBurke because medical finances tend to sit outside standard accounting assumptions. We take the time to understand how your income is actually structured — NHS employment, private fees, locum shifts, consultancy work, partnership profit share or a limited company — before recommending how to handle the accounts and tax reporting. You get clear explanations rather than jargon, so you understand what is being filed, why certain expenses are treated as allowable and where your tax position depends on your individual circumstances. We support doctors across different working arrangements, from a single salaried post with a small amount of private work through to complex portfolios of NHS and private income, and we keep records organised so that deadlines do not become a scramble. Compliance matters, but so does practical advice you can act on: better bookkeeping habits, sensible expense tracking, appropriate structure decisions and forward-looking tax planning around your medical career.
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 started does not need to be complicated, even if your income currently comes from several directions at once. First, we begin with a conversation about your circumstances — how you work, whether you have NHS income, private income, locum work, consultancy income or a mix, and what you are currently doing about tax returns and record keeping. Second, we review your accounting and tax requirements against what you have told us, identifying gaps, upcoming filing obligations, expenses that may not be captured properly and any structural questions worth addressing, such as sole trader versus limited company or partnership arrangements. Third, we put the appropriate support in place, whether that is a straightforward Self Assessment service, ongoing bookkeeping and annual accounts, payroll and VAT where relevant, or a broader package covering tax planning and management accounts. From there, we keep the process moving with clear communication and a schedule you can plan around, so your accounting stays under control alongside your clinical commitments.
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 is focus. Rather than treating doctors as just another self-employed client, we look at the specific ways medical income behaves: PAYE salary sitting alongside private fees, locum income paid through different routes, partnership profit shares in a practice, consultancy and medico-legal income with its own expense profile, and the pension questions that often follow. That means reviewing your allowable professional expenses properly — medical indemnity, professional subscriptions, training and professional development, equipment, travel and mileage — and making sure the treatment reflects whether the cost relates to employment, self-employment or both. It means bookkeeping and record systems that work for someone with limited admin time, Self Assessment and tax returns prepared on the correct basis, and business structure advice grounded in your actual circumstances rather than a generic checklist. Where a limited company, partnership, payroll or VAT registration is involved, we handle the compliance and reporting that comes with it, and where your plans change — a new contract, additional private work, a move between roles — the accounting can adapt with you. Every doctor’s tax position is different, and our advice reflects that.
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. If you are a salaried doctor with straightforward PAYE income only, your tax may largely be handled through payroll. But many doctors in Magherafelt have at least some additional complexity — private patient fees, locum shifts, consultancy or medico-legal income, partnership profits, a limited company or several of these together. Once income arrives from more than one source, an accountant can help ensure everything is reported correctly, that legitimate professional expenses are captured, and that you are not paying more tax than necessary through simple oversight.
Not always. If your only income is NHS employment taxed through PAYE and you have no other untaxed income, you may not need to file. However, a return is generally required where you have self-employed income such as locum or consultancy work, significant private practice income, untaxed savings or investment income, or certain pension contributions and tax charges to report. The safest approach is to have your position reviewed, because the obligation depends on your own combination of income sources rather than on your job title.
Yes, and this is one of the most common situations we see. NHS salary is taxed through PAYE, while private fees are usually reported through Self Assessment, and the interaction between the two can affect how much tax you ultimately owe. We help separate the income correctly, keep private income records in order, review expenses that relate to the private work, and make sure both streams are reflected accurately in your return so nothing is missed.
Potentially allowable expenses often include medical indemnity, professional body subscriptions, training and professional development relevant to your work, specialist equipment, and business travel or mileage. Whether a cost can be claimed, and how much, depends on whether it relates to employment, self-employment or both — employment expenses are subject to stricter rules than self-employed ones — and on your individual circumstances. We review expenses against your actual working pattern rather than applying a blanket list.
Locum income can be paid in several ways: directly to you as a self-employed contractor, through an agency, or through an umbrella company, and each route carries different tax and reporting consequences. If you are genuinely self-employed, you will typically report income and expenses through Self Assessment and will need reliable records of shifts, travel and professional costs. If you work through an umbrella or agency arrangement, the position is different again. We can look at how your locum work is structured and confirm the appropriate treatment.
There is no universal answer — it depends on your level of profit, your other income, how you want to take money out of the business, and your long-term plans. A limited company can suit some doctors with substantial private or consultancy income, while for others a sole trader or partnership arrangement remains entirely appropriate. We look at the numbers and your circumstances, then explain the trade-offs so you can make an informed decision rather than following a general rule.
Yes. Many doctors find that bookkeeping is the part that slips when clinical commitments take over, and that is usually the point at which tax returns become stressful. We can maintain your records on an ongoing basis, reconcile income and expenses, keep supporting documents organised, and prepare your accounts and tax return from accurate figures. That also makes it easier to see how your income is performing during the year, not just after it has ended.
Yes, we can work with doctors remotely as well as in person — documents and records can be shared securely, and much of the process can be handled without needing to visit. If you already have an accountant, changing over is usually straightforward: we ask for your authorisation, contact your existing accountant for the relevant records and information, and take over the ongoing compliance work from an agreed point. If you are starting out without an accountant, we simply begin with a conversation about how you work and what needs to be put in place.
Speak to an Expert
Take the Stress Out of Your Medical Finances with Accountants for Doctors in Magherafelt
When NHS pay, private fees, locum shifts and consultancy income all arrive through different routes, keeping track of tax can quickly become a burden. CruseBurke supports doctors with the practical side of this — accurate Self Assessment tax returns, bookkeeping that keeps your records organised, and clear guidance on allowable professional expenses such as medical indemnity, subscriptions and training costs. If you would like your current arrangements reviewed and a clearer plan for the year ahead, get in touch with our team and we will talk through your circumstances.