29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Market Harborough
CruseBurke provides specialist accounting and tax support for doctors working in and around Market Harborough. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, we help you make sense of Self Assessment, NHS and private income, professional expenses, bookkeeping and tax deadlines — so your financial affairs stay accurate, organised and compliant, and you can focus on your patients rather than paperwork.
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Which Doctors Do We Support?
Doctors rarely fit into a single financial box, and the accounting support that suits one clinician may be quite wrong for another. We work with the full range of medical professionals, including GPs in practice partnerships or salaried roles, hospital doctors on NHS contracts, consultants with additional private work, locum doctors moving between assignments, salaried doctors with straightforward PAYE income, private practitioners running their own clinics, and doctors who combine NHS employment with private, locum or consultancy income. Their accounting needs differ depending on how they are paid, whether they hold a partnership share or a limited company, how many income sources they have, and which professional costs they incur during the year. A doctor with a single salaried post has very different reporting obligations from a locum submitting multiple Self Assessment returns, or a consultant running a limited company alongside NHS work. We take the time to understand your particular mix of employment, self-employment and practice income before recommending an approach.
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 services are built around the way doctors actually earn their income. For doctors with self-employment or untaxed income, we prepare Self Assessment tax returns that correctly report NHS income, private medical fees, locum earnings and consultancy income, and we help you identify allowable professional expenses such as medical indemnity, professional subscriptions, training and continuing professional development, equipment, and travel and mileage for work-related journeys. For those running a practice, consultancy or limited company, we handle annual accounts, bookkeeping, Corporation Tax, payroll and VAT where applicable, partnership accounts and profit allocation, management accounts and financial reporting. We also advise on business structure — whether sole trader, partnership or limited company best suits your circumstances — and on tax planning matters such as pension contributions and the timing of income, always based on your individual position rather than a one-size-fits-all formula.
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 Often Face
Doctors commonly deal with a financial picture that is more complicated than a standard employee's, and small oversights can create unnecessary tax queries or penalties. Some of the areas we see most often include the following.
- Multiple income sources: combining NHS salary, private fees, locum shifts and consultancy work means several streams of income to track, reconcile and report correctly on a single tax return.
- Self Assessment obligations: side income, practice profits, locum earnings and other untaxed income usually need to be reported, and payments on account can catch doctors out if they are not planned for.
- Allowable professional expenses: medical indemnity insurance, GMC and royal college fees, specialist subscriptions, training and CPD costs, equipment and professional travel may all be claimable, but only when properly evidenced and relevant to your work.
- Travel and mileage records: visiting multiple hospitals, clinics or practice sites creates mileage and travel claims that are easy to lose track of without a consistent record-keeping routine.
- Pension considerations: NHS pension contributions and annual allowance questions, alongside any private pension arrangements, can materially affect your tax position and need reviewing as your income changes.
- Business structure decisions: whether to work as a sole trader, within a partnership or through a limited company affects how you are taxed, what you must file, and how much administration you take on.
- Partnership and practice finances: GP partners and doctors in practice partnerships must deal with profit shares, capital accounts, drawings and the tax implications of joining or leaving a partnership.
- Record keeping and deadlines: keeping receipts, invoices and income records organised throughout the year makes filing straightforward and reduces the risk of missed deadlines or avoidable HMRC enquiries.
Why Doctors Choose CruseBurke
Doctors choose CruseBurke because they want an accountant who understands medical income rather than one who treats them as a generic taxpayer. We take the time to map out how you are paid — NHS salary, practice profits, private fees, locum shifts, consultancy income or a combination of these — and then build an approach that fits. That means clear explanations of what is claimable and why, tax returns prepared from well-organised records, practical advice on structure and planning, and straightforward communication without jargon or unnecessary complexity. Because doctors’ circumstances vary so widely, we tailor our support to your employment status, income sources and business structure, and we keep you informed of what is due and when, so there are no surprises.
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 Doctors
Getting your accounting in order does not have to be complicated. We begin with a conversation about your circumstances — your NHS post, private work, locum assignments, consultancy income, practice involvement or any combination of these — along with your existing records, deadlines and concerns. From there we review your accounting and tax requirements in detail, identifying what needs to be filed, which expenses may be allowable, whether your current structure still fits, and where your record keeping could be tightened up. Finally, we put the right support in place, whether that is preparing Self Assessment returns, running bookkeeping and payroll, handling annual accounts and Corporation Tax, or providing ongoing tax planning and advice, and we keep the process reviewed as your working arrangements change.
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 the way we connect accounting technicalities back to real medical working patterns. A consultant with private practice income, a GP partner with a profit share, and a locum doctor with several short engagements each face different reporting requirements, expense rules and planning opportunities. We look at your income sources as a whole, make sure allowable professional costs such as medical indemnity, subscriptions, training and equipment are captured correctly, and ensure Self Assessment, bookkeeping and any company or partnership filings are accurate and submitted on time. Rather than a fixed template, you get advice shaped around your employment status, business structure and long-term plans, delivered in plain English so you can make informed decisions about your finances.
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 your only income is a salaried NHS post taxed through PAYE, your affairs may be straightforward. However, once you take on locum shifts, private fees, consultancy work, a practice partnership or a limited company, you usually have untaxed income to report and a wider range of allowable expenses to consider. An accountant can help ensure those figures are correct and that nothing is missed.
Doctors with untaxed income — such as private medical fees, locum earnings, consultancy income or practice profits — generally need to register for Self Assessment and file a tax return each year. NHS salary is usually taxed at source, but it still needs to be reported alongside your other income so that the overall tax position is calculated correctly. Depending on the amount owed, payments on account may also apply, so planning ahead is important.
Allowable expenses depend on your circumstances, but common examples include medical indemnity insurance, GMC and royal college or specialist society subscriptions, training and continuing professional development that maintains or updates your existing skills, professional equipment, and travel or mileage for work-related journeys between sites or to temporary assignments. Everyday commuting is generally not allowable. Records and receipts are essential to support any claim.
Locum work is usually treated as self-employment, which means you report your income and expenses through Self Assessment rather than PAYE. You may also need to consider whether your engagements are caught by IR35 or the off-payroll working rules, particularly if you operate through your own limited company. Keeping accurate records of each assignment, along with travel and equipment costs, makes the reporting process far smoother.
It depends on your level of income, how you are engaged, your plans and your overall tax position. A limited company can suit some doctors, particularly those with substantial private or consultancy income, but it brings additional obligations such as annual accounts, Corporation Tax returns, payroll and potentially VAT registration. For others, sole trader or partnership status is more appropriate. The right answer comes from looking at your individual circumstances rather than a general rule.
We can take on as much or as little of the record keeping as you prefer. Some doctors keep their own records and simply pass them over for review; others ask us to manage bookkeeping throughout the year, reconcile income streams and prepare figures ready for filing. Either way, maintaining a clear record of income, expenses and receipts as the year progresses reduces stress at deadline time and helps avoid queries from HMRC.
Yes. Much of our work can be handled remotely, with documents and information shared securely, which suits doctors working shifts or moving between sites. If you already have an accountant, changing over is usually a straightforward process — we can contact your existing firm, obtain the necessary records and information, and make sure the transition happens without disrupting your filing deadlines.
It helps to have your most recent tax return, details of your income sources such as NHS payslips, private fee statements and locum invoices, records of expenses you have incurred, and any relevant company or partnership information. You do not need everything perfectly organised before the first conversation — we can advise on what is needed and help put a sensible record-keeping routine in place from there.
Speak to an Expert
Tired of Juggling NHS Payslips, Private Fees and Locum Invoices? Let CruseBurke Keep Your Tax Affairs in Order.
Doctors with a mix of NHS salary, private fees, locum work or practice profits often find that Self Assessment, payments on account and allowable expenses become difficult to manage alongside a full clinical schedule. CruseBurke can take on the preparation of your tax returns, bookkeeping and ongoing tax planning, making sure your income sources and professional costs are reported accurately and your deadlines are met. If you would like accounting support built around how you actually work, get in touch with our team to talk through your circumstances.