29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Markyate
CruseBurke provides specialist accounting and tax support for doctors in Markyate, helping you make sense of everything from Self Assessment and multiple income sources to NHS and private medical earnings, bookkeeping and day-to-day tax compliance. Whether you are a salaried hospital doctor, a GP, a locum or a consultant running private work alongside NHS commitments, the right accounting support can keep your records organised, your returns accurate and your financial decisions better informed.
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Which Doctors Do We Support?
We support doctors across the full range of working arrangements, because no two medical careers look quite the same. That includes GPs working within a practice or as a partner, hospital doctors and consultants on salaried contracts, locum doctors moving between assignments, doctors with private practice income, and those combining NHS work with private or medico-legal income. Your accounting needs can also shift depending on whether you are employed, self-employed, in a partnership, or operating through a limited company. A locum with irregular weekly income has a very different tax and record-keeping position from a consultant with a stable salary and a growing private list, and a GP partner faces partnership accounts considerations that a salaried doctor simply will not encounter. We take the time to understand your particular mix of income, expenses and professional obligations before recommending how your accounts and tax affairs should be handled.
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 realities of medical work. For doctors with self-employed income, that often starts with Self Assessment tax returns that correctly capture locum sessions, private consultations, medico-legal reports or consultancy fees, alongside the expenses that are genuinely allowable against that income. Where you run a private practice or clinic, we can look after bookkeeping, annual accounts and financial reporting, and advise on whether a limited company or another structure may suit your circumstances. If you are a GP or consultant in a partnership, we can help with partnership accounts, profit allocation and the tax implications of your share. We can also support payroll where you employ staff such as practice administrators or receptionists, VAT registration and returns where your turnover or activities bring you within scope, and management accounts that give you a clearer view of profitability. Alongside compliance, we provide tax planning that considers your wider position, including pension contributions, professional expenses and the timing of income. As your circumstances change, from a training grade to a consultant post, or from NHS employment into private practice, your accounting support can be adjusted accordingly.
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
Doctors often carry a level of financial complexity that a standard tax return does not really reflect. The challenges below are common considerations rather than fixed rules, and how they apply to you will depend on your employment status, income sources and business structure.
- Untangling NHS and private income. Employment income and self-employed medical income are treated differently for tax purposes, and they need to be reported correctly and separately rather than blended together.
- Managing multiple income sources. A doctor may receive a salary, locum fees, private consultation income and partnership profits in the same tax year, which makes accurate record keeping and correct tax reporting harder without support.
- Getting Self Assessment right. Registration, payment deadlines, payments on account and the treatment of different income streams all create scope for errors and unexpected tax bills when returns are prepared without specialist input.
- Understanding allowable professional expenses. Medical indemnity insurance, professional body subscriptions, certain training and continuing professional development costs, specialist equipment and business mileage may be claimable, but only where the expense meets the relevant conditions.
- Keeping adequate records. Receipts, mileage logs, bank statements and invoices need to be retained and organised throughout the year, not reconstructed in a rush before a filing deadline.
- Pension considerations. Annual allowance and contribution matters can affect doctors with higher earnings or complex NHS pension arrangements, and they often benefit from being reviewed alongside your wider tax position.
- Choosing the right business structure. Whether to work as a sole trader, through a partnership or via a limited company can have meaningful tax, administrative and liability implications, and the answer is rarely identical for every doctor.
- Practice and partnership finances. GP partners and doctors running clinics may need to deal with profit shares, drawings, staff payroll, VAT and partnership accounts that go well beyond a straightforward personal tax return.
Why Doctors Choose CruseBurke
Doctors tend to come to us because they want an accountant who understands the language of medical work, not someone who needs the basics explained every year. We look at your full financial picture, including salaried NHS income, self-employed locum or private earnings, partnership profits and any company income, so that your accounts and returns reflect what you actually do. Just as importantly, we explain things clearly. Tax legislation is rarely written with busy clinicians in mind, and our role is to translate it into plain terms so you can make informed decisions about expenses, structure, pensions and timing. We place real emphasis on keeping your records organised and your compliance obligations met, which removes a recurring source of stress for doctors working long and unpredictable weeks. Because medical careers change, our support is designed to adapt as you move between training and consultancy, employment and self-employment, or NHS and private work.
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. We begin with an initial conversation to understand your circumstances, covering your employment arrangements, income sources and any private, locum, consultancy or partnership activity, as well as your professional expenses and pension position. From there, we review your accounting and tax requirements, looking at what needs to be filed, what records you already hold and where there may be gaps in the way your affairs are currently organised. Finally, we put an appropriate support structure in place, which may include bookkeeping, Self Assessment, annual accounts, payroll, VAT or ongoing tax planning, with a clear idea of what is required from you and when. Throughout the process, we keep the communication practical and jargon-free.
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 treat medical income as a set of distinct streams rather than a single number on a tax return. Salaried NHS pay, locum fees, private consultation income, medico-legal work, partnership profit shares and company income each carry their own reporting and tax consequences, and they interact with expenses, pension contributions and reliefs in ways that are easy to overlook. We work through those details methodically, making sure professional expenses such as indemnity cover, subscriptions and training costs are considered properly, and that your bookkeeping gives you reliable figures rather than a rough estimate. We also advise on structure, helping you understand the relative merits of sole trader, partnership and limited company arrangements as your private work develops. The result is accounting support that is practical, compliance-focused and genuinely tailored, rather than a generic annual return service.
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 one salaried NHS post and straightforward tax affairs may manage without one, although many still find it useful to have a return checked. Once you add locum work, private consultations, medico-legal income, a partnership share or a limited company, the reporting position becomes considerably more involved, and an accountant can help ensure income and expenses are treated correctly.
NHS salary is usually taxed through PAYE, with tax deducted at source and reported on your employment details. Locum income is generally treated as self-employed income, which means you report it through Self Assessment, can claim allowable expenses against it, and may need to make payments on account towards the following year's tax. Many doctors hold both, so the two need to be brought together correctly on one return.
Common examples include medical indemnity insurance, professional body subscriptions, certain training and continuing professional development costs, specialist equipment, professional journals and business travel or mileage. Whether a particular cost is allowable depends on factors such as whether it is wholly and exclusively for your work, whether it relates to self-employed or employed income, and whether it maintains rather than introduces a new skill. It is worth reviewing your spending rather than assuming.
Both can work, and the better option depends on your level of profit, how you draw income, your pension position and your long-term plans. A limited company can offer different tax treatment and limited liability, but it brings additional filing, payroll and record-keeping obligations. Partnerships are common in general practice and have their own profit allocation and reporting rules. This is a decision that should be made on your numbers, not on general advice.
Many healthcare services are exempt from VAT, but not every activity a doctor undertakes falls into that category, and activities such as certain medico-legal reports, cosmetic treatments or the sale of goods can raise different questions. VAT registration depends on your taxable turnover and the nature of your services, so it is worth checking your position rather than assuming exemption applies across the board.
NHS pension contributions are typically deducted from pay, but complex arrangements, additional work, or growing private income can raise questions around annual allowance and contribution levels. These matters are best reviewed alongside your overall earnings and tax position, particularly in years where your income varies or where you take on extra roles.
Yes. Much of the information needed to prepare accounts and tax returns can be shared securely online, which suits doctors working shifts or split across sites. Documents such as invoices, receipts, bank statements and mileage records can be provided digitally, and matters can be discussed by phone or video call at a time that fits around your clinical commitments.
In most cases the transition is straightforward. We would contact your existing accountant to request professional clearance and the relevant records, including previous accounts, tax returns and any outstanding correspondence with HMRC. Once those are received, we review your position and pick up the filing responsibilities going forward, keeping disruption to a minimum.
Speak to an Expert
Take the Pressure Out of Your Tax and Accounting Affairs in Markyate
If you are juggling NHS pay, locum sessions, private consultations or a partnership share, keeping your tax affairs straight can easily slip down the list of priorities. CruseBurke can help you bring order to that position, with specialist Self Assessment support that accounts for every income stream and practical guidance on the professional expenses doctors are entitled to claim. Get in touch with our team to talk through your circumstances and find out how straightforward your accounting arrangements could be.