29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Maidenhead
Specialist accounting support for doctors working in and around Maidenhead, whether you are a GP, hospital doctor, consultant, locum or private practitioner. From Self Assessment and multiple income sources to bookkeeping, payroll and tax planning, we help you keep your financial affairs organised, compliant and clearly understood.
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Which Doctors We Support
Doctors rarely fit neatly into a single tax category. A GP partner, a salaried hospital doctor, a consultant with a private practice and a locum working across several trusts can each face very different accounting and tax questions, and those differences matter when it comes to how income is reported and what can be claimed. We support GPs and GP locums, hospital doctors and trainees, consultants, salaried doctors, private practitioners running their own clinics, and doctors who combine NHS work with private or medico-legal income. Some need straightforward Self Assessment support, while others need help with partnership accounts, a limited company structure, VAT, payroll or bookkeeping across several income streams. Your accounting needs will depend on your employment status, your contract arrangements, the number of income sources you hold and how your work is structured, so advice is always shaped around your own circumstances 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 built around the way doctors actually earn. That often starts with Self Assessment, where NHS income, private fees, locum earnings, consultancy work and any other income need to be reported accurately and supported by proper records. We prepare and file tax returns, review your allowable professional expenses and help you understand what you can and cannot claim. Where you run a private practice, a clinic or a consultancy, we can handle annual accounts, bookkeeping, management accounts and financial reporting so you have a clear picture of performance rather than a shoebox of receipts. For incorporated practices we deal with Corporation Tax, company accounts, director responsibilities and payroll, including the practicalities of paying yourself in a tax-efficient way. Where VAT applies to private medical work, we advise on registration, reporting and the correct treatment of fees. We also assist with partnership accounts and profit allocation for GP partnerships and other medical partnerships, business structure advice when you are deciding between sole trader, partnership and limited company arrangements, and forward-looking tax planning around pension contributions, profit extraction and the timing of income.
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 carry more financial complexity than their payslip suggests. These are some of the areas where specialist support tends to make the biggest difference.
- Multiple income sources — combining NHS salary, private fees, locum shifts and consultancy income can mean several sets of records, more than one tax calculation and a real risk of overpaying or missing income. Keeping everything reconciled in one place is usually the first priority.
- Self Assessment accuracy — doctors frequently need to file a return even when tax is already deducted through PAYE, and the interaction between employment income, self-employment profits and untaxed private income is where mistakes and unexpected bills tend to arise.
- Allowable expenses — medical indemnity insurance, professional subscriptions and registration fees, specialist equipment, uniform, professional development and business travel may all be relevant, but only where the expense genuinely relates to your work. Getting the treatment right matters, and claims need to be defensible.
- Locum income and travel — locum work is often self-employment, which brings questions about mileage between sites, temporary workplace rules, agency payments and whether expenses are claimed correctly.
- Pension considerations — annual allowance charges and contribution planning can be complex for doctors with high or irregular earnings, particularly where NHS pension growth and private income overlap.
- Business structure decisions — choosing between sole trader, partnership and limited company arrangements affects how you are taxed, what you can claim, your administrative obligations and how you take money out of the business.
- Partnership finances — GP partners and medical partners deal with profit shares, drawings, capital accounts, practice expenses and joint and several tax liabilities, which need careful handling and clear communication between partners.
- Record keeping and deadlines — with busy clinical schedules, paperwork is easily deferred. Organised bookkeeping and forward planning around filing and payment dates reduce last-minute pressure and help avoid penalties.
Why Doctors Choose CruseBurke
Doctors come to CruseBurke because they want an accountant who understands medical income without needing it explained from scratch. We know how NHS pay, private fees, locum work and consultancy income sit alongside each other, and we know the expense categories that doctors routinely ask about. Just as importantly, we explain things in plain English, so you understand your position rather than simply being handed a set of accounts. We work with you to keep records organised throughout the year, so tax returns are prepared from reliable information rather than guesswork, and we help you plan ahead for tax liabilities instead of being caught out by them. Our support is flexible enough to suit salaried doctors with a modest private income, GPs in partnership, and consultants running incorporated practices or employing staff. Where your circumstances change — a new contract, a period of locum work, a first private patient list, a move into partnership — we adapt the advice to match.
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. First, we take time to understand your circumstances: your employment arrangements, whether you have NHS, private, locum or consultancy income, how your work is structured and what you need from an accountant. Second, we review your accounting and tax requirements, looking at your current position, your records, your filing obligations and any areas where you may be exposed or missing something. Third, we put appropriate support in place, whether that is Self Assessment, bookkeeping, annual accounts, payroll, VAT, partnership accounting or ongoing tax planning, and agree how and when we will work together. Throughout, we keep the process clear and practical, so you always know what is happening and what is needed 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
What sets us apart is the way we connect the different parts of a doctor’s financial life. Rather than treating a locum schedule, a private practice and an NHS salary as separate admin tasks, we look at how they interact for tax purposes and what that means for your overall position. That includes reviewing professional expenses with a medical context in mind, keeping bookkeeping and records aligned across income streams, and making sure Self Assessment, annual accounts and any company or partnership obligations are consistent with each other. We also help with the structural questions doctors ask most often: whether to incorporate, how to split profits fairly in a partnership, how to handle payroll and dividends where a limited company is involved, and how VAT applies to private fees. The result is practical accounting and tax support that reflects the reality of medical work, delivered with clear communication and no unnecessary jargon.
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 does, but many benefit from one. If you only have a single NHS salary taxed through PAYE, your position may be straightforward. As soon as you add private fees, locum shifts, consultancy income, a partnership share, rental income or a limited company, the reporting and planning requirements multiply. An accountant helps you get the figures right, claim what you are entitled to claim, and plan for tax rather than reacting to it.
Possibly. PAYE does not always collect the right amount of tax, particularly where you have untaxed private income, self-employment profits from locum work, partnership income or higher-rate income that is not fully reflected in your tax code. Whether you need to file depends on your total income and its sources, so it is worth checking your specific circumstances rather than assuming your payslip settles everything.
NHS salary is normally taxed through PAYE as employment income. Private medical fees, depending on how you are engaged, may be treated as self-employment income, partnership income or company income, and each carries different reporting requirements and expense rules. The tax is calculated on profits rather than turnover, so allowable costs such as indemnity cover and practice expenses can affect the final position.
Common examples include medical indemnity insurance, professional body subscriptions and registration fees, specialist equipment and some training or professional development costs, along with business travel and mileage where the rules are met. The key test is that an expense must be wholly and exclusively incurred for the purposes of your work, and treatment can differ between employment and self-employment. We review claims individually so they are accurate and defensible.
Locum work is often treated as self-employment, which means registering with HMRC, keeping records of fees and expenses, and reporting profits through Self Assessment. Practical issues include claiming mileage between sites, understanding temporary workplace rules, dealing with agency payments and making sure tax is set aside as you earn. Where you also hold an employed post, the two income streams need to be brought together correctly.
It depends on your level of profit, how you take money out, your pension position and how much administrative complexity you are comfortable with. Incorporation can suit some doctors with substantial private or consultancy income, while others are better served by staying as a sole trader or within a partnership. We look at the numbers and the practical implications before recommending a structure.
Partners are taxed individually on their share of partnership profits, and the partnership itself submits a return. This means profit allocation, drawings, capital accounts and practice expenses all need to be tracked carefully, and each partner has their own filing obligations. Clear partnership accounts make the process far smoother and reduce the risk of disputes.
Yes. Much of the work can be handled remotely using secure document sharing and online communication, which suits doctors with unpredictable schedules. If you already have an accountant, changing over is generally straightforward — we can take on the handover, request the relevant information from your existing adviser and make sure nothing is missed during the transition. Getting started usually begins with a conversation about your income sources, your current arrangements and what you want from an accountant.
Speak to an Expert
Take the Guesswork Out of Your Tax Position with Accountants for Doctors in Maidenhead. Get Clear, Specialist Support Behind You.
If your income comes from more than one place — NHS salary, private fees, locum shifts or consultancy work — tracking what is taxable, what is claimable and what you owe can quickly become overwhelming. CruseBurke helps doctors bring their finances under control through accurate Self Assessment preparation and well-maintained bookkeeping, so your records are reliable and your tax position is clear. Whether you are a salaried doctor with a growing private list or a partner in a medical practice, we can talk through your circumstances and set up support that fits the way you work.