29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Markfield
Accountants for Doctors in Markfield provide the specialist support that medical professionals need to keep their financial affairs in order. Whether you are a GP, hospital doctor, consultant, locum or private practitioner, your tax position is rarely straightforward. NHS income, private fees, locum shifts and consultancy work can all be taxed differently, and each needs to be recorded and reported correctly. Working with an accountant who understands how doctors earn can help you complete Self Assessment accurately, claim the professional expenses you are entitled to, keep clear bookkeeping records and stay on top of your tax compliance, so you can focus on patients rather than paperwork.
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Accounting Support for Every Type of Doctor
Doctors do not all share the same financial circumstances, and the accounting support that suits one may be poorly matched to another. A salaried hospital doctor on PAYE may simply need help with a Self Assessment return covering modest private income, while a locum working through several agencies may need support with irregular earnings, expenses and possibly a limited company. GPs in partnership often require partnership accounts, profit allocation and pension-related reporting, whereas private practitioners may need help with practice bookkeeping, VAT and billing systems. Consultants with a mix of NHS and private work, doctors who supervise or teach, and those earning from medico-legal reports or media work all face different reporting requirements. Your employment status, income sources, business structure and professional activities all influence how your accounts and tax returns should be prepared, so the starting point is always a proper look at your own circumstances rather than a template 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 in Markfield
Accounting services for doctors need to reflect the reality of medical careers, where income often arrives from more than one place and expenses are frequently professional rather than personal. We support doctors with Self Assessment tax returns that bring together NHS pay, private fees, locum income, consultancy earnings and any other taxable income into one accurate position. For those running a practice, a private clinic or a limited company, we can prepare annual accounts, management accounts and financial reporting, along with Corporation Tax computations and confirmation statements where relevant. Bookkeeping support helps keep day-to-day records tidy, whether that means reconciling practice income, tracking locum invoices or recording reimbursed expenses. Where a doctor operates through a partnership, we can assist with partnership accounts and profit shares, and where VAT registration applies to private practice or clinic work we can help with returns and record keeping. Payroll support is available for doctors who employ staff in a practice, and tax planning work can consider profit extraction, pension contributions and business structure decisions in light of your wider position. Throughout, the emphasis is on accurate reporting, sensible planning and clear explanations of what is required.
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
Medical careers tend to generate financial complexity that builds up quietly over time. A few of the challenges doctors commonly encounter include the following.
- Multiple income streams arriving at different times. NHS pay, private fees, locum shifts and consultancy work may each have their own payment cycle, payslips and records. Bringing them together into one accurate tax position takes organisation, and it is easy for a smaller income source to be overlooked until a return is due.
- Working out which professional expenses are allowable. Medical indemnity insurance, professional body subscriptions, registration fees, specialist equipment, training and continuing professional development costs, and travel to temporary or locum placements can all be relevant, but the treatment depends on whether you are employed, self-employed or both, and on the nature of the cost.
- Self Assessment where PAYE does not cover everything. Many doctors assume that tax is fully handled through payroll, yet private income, locum earnings, rental income from a property used for practice purposes, or untaxed savings interest can all create a filing obligation and a potential tax liability.
- Keeping records that stand up to scrutiny. Receipts, mileage logs, invoices and bank statements need to be retained and organised, especially where expenses are mixed between professional and personal use. Poor record keeping tends to surface as a problem at the least convenient moment.
- Choosing and maintaining the right business structure. Some doctors work as sole traders, some through a partnership, and some through a limited company. The structure affects how accounts are prepared, how tax is paid and how profits are extracted, and it should be reviewed as circumstances change rather than left indefinitely.
- Pension considerations and annual allowance positions. NHS pension accrual combined with private income, additional contributions or locum work can make pension planning genuinely complicated, and it is an area where accounting information and pension advice need to sit alongside each other carefully.
- Practice and partnership finances. Where doctors run or share a practice, income allocation, expense sharing, drawings, staff costs and VAT treatment can all create friction if the accounting is not kept current throughout the year.
Why Doctors Choose CruseBurke for Accounting Support
Doctors often come to us because their financial affairs have outgrown a generalist approach. CruseBurke provides accounting and tax support built around the way medical professionals actually earn, with advice that reflects the mix of NHS employment, private practice, locum work and consultancy that many doctors carry. We take the time to understand your income sources and working arrangements before recommending anything, so the accounts, tax returns and records we prepare genuinely match your position. Communication is kept plain and practical, so you can see what has been filed and what it means for your tax position without needing to decode accounting jargon. We also help doctors put better systems in place, from straightforward bookkeeping routines and expense tracking to organised digital records that make Self Assessment, VAT and payroll far less of a last-minute scramble. Where circumstances change, such as moving from a salaried post into locum work, setting up a limited company or joining a partnership, we can review the accounting implications and adjust the approach accordingly.
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 need to be disruptive. The first step is a conversation about how you work and what you earn, covering salaried NHS income, private fees, locum shifts, consultancy work, partnership profits or any combination of these. From there, we review your current accounting and tax position, including your Self Assessment status, existing records, business structure and any outstanding filings, and identify where things could be tightened up or handled differently. The third step is putting the right support in place, whether that is preparing and filing your tax return, taking over bookkeeping, running payroll, preparing annual accounts and Corporation Tax computations, or providing ongoing tax planning as your career develops. You will know what is happening at each stage, and the scope of work is agreed with you before anything changes. If you already work with an accountant, moving across is usually a straightforward process of obtaining your records and confirming the position with your previous adviser.
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 Our Approach Different for Doctors
The difference lies in treating a doctor’s finances as a whole rather than a series of isolated returns. Medical income rarely fits neatly into one category, and a tax return that only captures part of the picture creates problems later. We look at how your NHS income, private fees, locum earnings and any consultancy or teaching income interact, and how your professional expenses should properly be treated against each. That includes the practical details doctors deal with constantly, such as medical indemnity cover, registration and subscription costs, equipment, travel between sites and training expenditure. Where a limited company or partnership is involved, we prepare the accounts, computations and reporting that go with it, and where bookkeeping has fallen behind we help rebuild the records rather than simply filing on top of gaps. We also think ahead, considering how structure, drawings, profit extraction and pension contributions might sensibly be organised. The result is accounting support that is accurate, organised and clearly explained, with the flexibility to adapt as your medical career and working arrangements evolve.
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 reach a point where one becomes genuinely useful. If you are employed on a straightforward salary with no other income, your PAYE position may be all you need. Once private fees, locum income, consultancy work, partnership profits or property income enter the picture, however, Self Assessment usually applies and the calculation becomes more involved. An accountant can help ensure everything is reported correctly, that you claim the professional expenses available to you, and that you understand your tax position rather than discovering it when a return is filed.
Yes. NHS employment is normally taxed through PAYE, but a Self Assessment return may still be required if you receive private income, locum earnings, untaxed savings or investment income, or if your circumstances otherwise fall within the filing requirements. We gather the figures from your payslips, P60 and any private income records, prepare the return, and explain how the different elements have been treated so the final liability makes sense.
There are several costs doctors commonly incur that may be allowable, including medical indemnity insurance, professional body subscriptions and registration fees, certain training and continuing professional development costs, specialist equipment, and travel to temporary or locum placements. Whether a specific cost is allowable depends on your employment status, whether it was incurred wholly and exclusively for your work, and whether it has already been reimbursed. Because the rules differ between employment and self-employment, it is worth reviewing your expenses rather than assuming.
Locum work is often treated differently to salaried employment, depending on the terms you work under. If you are engaged on a self-employed basis, you will usually need to report your income and expenses through Self Assessment, keep invoices and records, and consider whether your working arrangements carry any risk of being viewed differently by HMRC. Some locums operate through a limited company instead, which brings additional reporting, payroll and Corporation Tax obligations. We can look at how you actually work and advise on the structure that fits.
It depends on your level of income, how many contracts you hold, how you want to extract profits, your pension position and your appetite for additional administration. A limited company can suit some doctors with substantial private or locum income, while others are better served as a sole trader or through a partnership. There is no universal answer, and the right structure can change over time, so it is worth reviewing rather than deciding once and leaving it.
VAT registration depends on your taxable turnover and the nature of your services, and many purely medical services are exempt. Where a practice or clinic also provides non-exempt services, or where turnover crosses the registration threshold, VAT may become relevant. Because exemption and registration rules are technical and can vary between services, this is an area best reviewed against your specific activities rather than assumed either way.
Yes. Much of the accounting work we carry out for doctors is handled remotely, using digital records and secure document sharing, with conversations by phone or video where that suits you better. What matters is that your income sources, expenses and records are properly understood and maintained, not that we sit in the same room. If you prefer to meet in person, that can usually be arranged.
Switching is usually simpler than doctors expect. We ask for authorisation to contact your existing accountant, obtain your records and confirm your filing position, and then check that everything is up to date before taking over. If records are incomplete or filings are behind, we will tell you what needs to be done rather than leaving you to work it out. Once the handover is complete, we agree the scope of work and the deadlines that apply to you.
Speak to an Expert
Make Your Medical Income Easier to Manage with Accountants for Doctors in Markfield
If your tax affairs now involve a mix of NHS pay, private fees, locum shifts or consultancy income, keeping everything accurate can quickly become a burden. CruseBurke helps doctors bring those income streams together through well-prepared Self Assessment returns and reliable bookkeeping, so your professional expenses are properly recorded and your filings are submitted on time. Speak to our team about your circumstances and we will explain clearly what support would help you most.