29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Manchester
Doctors in Manchester often earn from more than one source at the same time — NHS employment, private consultations, locum shifts or consultancy work — and each of those income streams can carry its own reporting and record-keeping requirements. As accountants for doctors in Manchester, we help you keep your books accurate, understand which professional costs may be allowable, stay on top of Self Assessment and make sensible decisions about how your medical income is structured. The aim is straightforward: fewer last-minute scrambles before a filing deadline and a clearer picture of where your money actually goes.
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Which Doctors Do We Support?
Our accounting support is designed for the wide range of medical professionals who find their tax position is more complex than a single payslip. That includes salaried hospital doctors and junior doctors on rotational placements, GPs working in practices or as partners, hospital consultants with private practice income, locum doctors moving between contracts, private practitioners running their own clinics, and doctors who deliberately combine several of these — for example a part-time NHS post alongside private work and occasional consultant advisory roles. The accounting needs of these doctors are rarely identical. A salaried doctor on PAYE with a small amount of private income may mainly need a Self Assessment return and advice on allowable expenses, while a GP partner may need partnership accounts, profit share calculations and support with practice finances. A locum working through an agency may need help understanding whether they are taxed under PAYE or as self-employed, and a doctor running a private clinic may need to consider bookkeeping, VAT registration and whether a limited company structure suits their circumstances. Because tax treatment depends on your employment status, income sources, business structure and personal situation, we start by understanding how you actually work before recommending anything.
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
We provide accounting and tax support built around the way doctors earn. For doctors with untaxed income — private fees, locum work, consultancy, teaching, expert witness work or medical reports — we prepare and file Self Assessment tax returns, calculate the tax due and help you plan for payments on account rather than being caught out by them. Where you are self-employed, we prepare annual accounts and, where relevant, partnership accounts for practices and profit share arrangements between partners. For doctors operating through a limited company, we look after statutory accounts, Corporation Tax returns, directors’ responsibilities and the interaction between salary, dividends and pension contributions. Day-to-day, we can manage bookkeeping so invoices, receipts, bank transactions and expense claims stay organised through the year, run payroll for practice staff or for yourself as a company director, and handle VAT registration and returns where your turnover or your activities make that necessary. Alongside compliance, we offer management accounts and tax planning, looking at areas such as medical indemnity and professional subscriptions, training and professional development costs, equipment purchases, travel and mileage claims, and pension considerations including how NHS pension contributions and private pension arrangements may interact with your tax position. Where a decision about business structure is coming up — sole trader versus partnership versus limited company — we can model the practical and tax implications so you can choose with your eyes open rather than by default.
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 Commonly Face
Medical careers rarely follow a single, tidy income path, and that is where most of the accounting pressure comes from. These are some of the areas doctors most often need help working through.
- Multiple income sources — NHS salary, private fees, locum shifts, consultancy and teaching may all need to be reported, and each stream can be taxed differently depending on how it is paid.
- Self Assessment and payments on account — doctors with untaxed income outside PAYE usually need to file a return, and the payments on account system can create cash flow pressure if it is not planned for in advance.
- Allowable professional expenses — costs such as medical indemnity insurance, GMC or specialist registration fees, professional body subscriptions and job-related training may be claimable, but only where the rules are met and the expense relates to your work.
- Record keeping for private and locum work — invoices, receipts, mileage logs and bank transactions need tracking through the year, otherwise the run-up to a filing deadline becomes a reconstruction exercise rather than a review.
- Travel, mileage and site-to-site claims — doctors who move between hospitals, practices, clinics and home visits often need clear records to support a claim, and the treatment differs between employed and self-employed work.
- Choosing a business structure — sole trader, partnership or limited company each carry different tax, administrative and pension implications, and the right answer depends on your income level, contracting arrangements and personal circumstances.
- Pension considerations — NHS pension contributions, annual allowance questions and private pension planning can interact with your taxable income in ways that benefit from specialist review rather than guesswork.
- Practice and partnership finances — GPs, consultants and practice owners may need support with profit shares, capital accounts, practice accounts and reporting to fellow partners.
- Meeting deadlines across several obligations — tax returns, VAT returns, payroll submissions and company filing dates rarely fall at convenient times alongside clinical rotas.
Why Doctors Choose CruseBurke for Accounting Support
Doctors tend to come to us because their financial affairs have outgrown a generalist approach. A single Self Assessment return is one thing; NHS employment income, private fees, locum invoices, pension contributions and a possible company structure is quite another, and the detail matters. We take the time to understand how you work — whether you are salaried, self-employed, in a partnership or running a company — before we advise on anything. From there, the focus is on practical support: clean, organised records, accurate and timely filings, a clear explanation of what you can and cannot claim, and advice given in plain English rather than jargon. Communication is deliberately straightforward. You should be able to ask a question about your tax position, an expense you are unsure about or a contract you have been offered and get a useful answer, not a lecture. We also recognise that doctors’ circumstances change — a training rotation, a new private clinic, a partnership offer or a move into consultancy can all shift the tax picture — so the advice is reviewed as your working life evolves rather than being set once and left alone.
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 proper accounting support in place should not add to an already full workload, so we keep the process simple. First, we have an initial conversation to understand your circumstances — how you are employed, whether you have NHS income, private income, locum work, consultancy fees or a mixture, how any practice or company is structured, and what is currently causing you concern. Second, we review your accounting and tax requirements: what returns and filings are due, how your records are currently kept, whether your business structure still fits, and where there may be gaps or deadlines approaching. Third, we put the appropriate support in place — whether that is Self Assessment, bookkeeping, payroll, VAT, annual accounts, company compliance, partnership accounting or ongoing tax planning — and agree how we will work together, what information you need to provide and when. From that point, the aim is to keep your affairs organised and give you a clear point of contact for questions as they arise.
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 that we treat doctors’ finances as the specialist area they are. Medical income arrives in many forms — NHS salary through PAYE, private consultation fees, locum income, consultancy and medico-legal work, teaching and lecturing, practice profits and company dividends — and each form has its own reporting requirements, expense rules and planning opportunities. Rather than applying a one-size-fits-all template, we map your income sources and obligations first, then build the accounting support around them. That might mean setting up a bookkeeping routine that fits around clinical hours, identifying which professional costs are genuinely allowable, reviewing whether a limited company or partnership structure remains appropriate, or coordinating Self Assessment, payroll and VAT so nothing slips past its deadline. We also think about the wider picture, including how pension contributions and taxable income interact, and how a change in contract or working pattern might affect your tax position. Just as importantly, we explain the reasoning behind our advice, so you can make decisions about your career and your finances with confidence rather than simply signing whatever is put in front of you. Where different treatments may apply, we are clear about the factors involved — employment status, income source, business structure and individual circumstances — rather than implying there is one answer for every doctor.
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 NHS employment income taxed through PAYE may have relatively straightforward affairs, although pension considerations can still make advice worthwhile. Doctors with private income, locum work, consultancy fees, medico-legal work, a practice partnership or a limited company usually have reporting obligations that extend well beyond PAYE, and that is where an accountant adds real value — preparing accurate returns, identifying allowable expenses and helping you plan for tax payments rather than being surprised by them.
Where you have untaxed income, such as private consultation fees or directly contracted locum work, that income generally needs to be reported through Self Assessment, even though your NHS salary is already taxed through PAYE. The untaxed income is added to your total taxable income for the year, which can affect the rate of tax you pay overall. Payments on account can also apply, so it is worth planning for them. The exact position depends on how the private income is received and what expenses relate to it.
Costs such as medical indemnity or professional liability insurance, GMC or specialist registration fees and professional body subscriptions are commonly relevant, and training and professional development costs may also qualify. Whether a particular cost is allowable depends on the rules and on whether it was incurred wholly and exclusively for the purposes of your work, and the treatment can also differ between employed and self-employed doctors. It is worth checking before you assume something is or is not claimable.
First, how you are engaged matters. Locum work arranged through a recruitment agency is often paid under PAYE, whereas directly contracted work may be treated as self-employed — and a mix of the two is common. If you are self-employed, you will usually need to record your income, retain receipts for expenses such as indemnity cover, travel, equipment and professional fees, and report the profit through Self Assessment. Mileage and travel between sites often need supporting records, and keeping these organised monthly is far easier than reconstructing them later.
Not automatically. A limited company can suit some doctors, particularly where private or consultancy income is substantial and contracts allow it, but it also brings statutory accounts, Corporation Tax returns, payroll obligations and additional administrative cost. The right structure depends on your level of income, the terms of your contracts, how many income streams you have and your longer-term plans. It is worth reviewing the numbers properly rather than making a decision based on general advice.
NHS pension contributions, private pension contributions and any annual allowance questions can interact with your taxable income, particularly for higher earners or doctors with significant private income. The rules are detailed and the right approach depends on your individual circumstances, so this is an area best reviewed with specialist advice rather than general guidance.
Yes. Much of the accounting work we do for doctors can be handled digitally, with records and documents shared securely and meetings held by phone or video at times that fit around clinical commitments. Where it suits you better to meet in person, that can be arranged. The practical arrangements are agreed at the outset so you know how information will be exchanged and who to contact.
Changing accountants is usually more straightforward than doctors expect. We will ask for details of your current arrangements, contact your existing accountant for professional clearance and the information needed to take over, and agree a handover plan with clear dates. Once the records are in place, we confirm what is outstanding, what deadlines are approaching and how your ongoing accounting support will work.
Speak to an Expert
Stop Letting Tax Admin Eat Into Your Time Off — Specialist Accountants for Doctors in Manchester Can Take It Off Your Hands. Whether you have NHS income, private fees, locum work or a mix of all three, we help you keep it organised.
Balancing NHS payslips, private invoices and locum income can leave little room for paperwork, and it is easy to lose track of which costs can be claimed before a filing deadline arrives. CruseBurke provides accounting and tax support for doctors in Manchester, from Self Assessment and bookkeeping through to tax planning and structure advice, so your records stay tidy and your obligations are met without last-minute panic. Share how you work and what is currently causing you concern, and we will explain how the support would fit around your commitments.