29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Midhurst
Doctors in Midhurst often juggle more financial moving parts than most people realise, from NHS pay and pension deductions to private practice fees, locum shifts and consultancy income. Specialist accountants for doctors can bring all of that together, helping you stay on top of Self Assessment, keep bookkeeping in order, understand which professional expenses you can claim, and plan ahead with confidence. The right accounting support should reflect your actual working arrangements, whether you are salaried, self-employed, in a partnership, or combining several roles at once.
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Accounting Support for Doctors Across Every Career Stage
Doctors are not a single, uniform group, and neither are their accounting needs. A GP partner running a practice has a very different financial picture from a locum doctor booking shifts week by week, and both differ again from a hospital consultant receiving a salary alongside private fees. We support doctors working as GPs, hospital doctors and consultants, locum doctors, salaried doctors, private practitioners, and those who combine NHS work with private medicine. Your accounting requirements can depend on the number and type of income sources you have, whether you are employed, self-employed or both, whether you work through a partnership or a limited company, and how your professional costs are structured. Medical indemnity, professional subscriptions, training and continuing professional development, equipment, and travel between sites can all have a bearing on your tax position, but the treatment is rarely identical from one doctor to the next. That is why we begin by understanding how you actually work, then build accounting and tax support around it rather than applying a one-size-fits-all 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.
Accounting and Tax Services Built Around Medical Careers
Our approach to accounting for doctors starts with the reality of how medical income arrives: often through a mix of sources, each with its own record-keeping and reporting implications. For doctors with self-employment income, including locum work, private practice fees, consultancy or medico-legal work, we prepare Self Assessment tax returns that bring everything together, supported by clear bookkeeping so nothing is missed. Where you run a private practice through a limited company, we can assist with annual accounts, Corporation Tax, payroll for any staff, VAT registration and returns where relevant, and management accounts to help you see how the practice is performing. Doctors working in partnerships, such as GP practices, may need partnership accounts, profit share calculations, and support understanding how drawings, capital and practice expenses interact with personal tax. We also help with business structure advice, looking at whether sole trader, partnership or limited company arrangements suit your circumstances, and with ongoing tax planning around matters such as pension contributions and the timing of income. Underpinning all of this is accurate, well-organised financial reporting, so you always have a clear view of your position rather than a scramble at the deadline.
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.
The Accounting and Tax Challenges Doctors Commonly Face
Medical careers rarely follow a simple financial pattern, and that complexity tends to show up in the tax return. Here are some of the accounting pressures doctors frequently encounter.
- Multiple income streams arriving from different places. Salary, locum shifts, private fees, consultancy work and practice profit shares may all need to be reported together, and keeping track of each source throughout the year is far easier than reconstructing it at the end.
- Working out which professional expenses are genuinely allowable. Medical indemnity insurance, professional body subscriptions, and training or CPD costs are often relevant to doctors, but the position depends on whether the expense was incurred wholly and exclusively for your work and whether you are employed, self-employed, or both.
- Travel and mileage records that are incomplete. Travel between hospital sites, to clinics, or to locum placements can be claimable in some circumstances, while ordinary commuting generally is not. Without consistent records, it becomes difficult to demonstrate what was business travel.
- Self Assessment deadlines landing during a busy clinical period. Gathering income figures, expense receipts and pension information takes time, and leaving it late increases the risk of errors, penalties or simply paying more tax than necessary.
- Pension considerations that are easy to overlook. NHS pension arrangements, annual allowance questions and personal contributions can all interact, and the right approach depends on your individual circumstances rather than a general rule.
- Choosing and maintaining the right business structure. A locum doctor working as a sole trader, a consultant operating through a limited company and a GP partner each face different reporting, tax and administrative obligations, and the structure that suits you may change as your work changes.
- Practice and partnership finances that need careful handling. Profit shares, drawings, capital accounts and shared practice costs require accurate records and a clear understanding of how the numbers flow through to each partner's personal tax position.
- Keeping on top of bookkeeping alongside clinical commitments. When patient care comes first, receipts and invoices pile up, and poor records make it harder to claim what you are entitled to or to spot how your income is really trending.
Why Doctors Choose CruseBurke for Accounting Support
CruseBurke works with doctors because we understand that medical finances are not standard finances. Your income may include NHS salary, private fees, locum payments and consultancy work, and each element carries its own reporting and record-keeping requirements. We take the time to understand how you work before recommending anything, so the advice you receive is grounded in your actual arrangements rather than a generic template. That means practical support with Self Assessment, bookkeeping, allowable professional expenses, business structure questions and tax planning, explained in clear language rather than jargon. We keep communication straightforward, respond to questions in a way that respects how busy clinical work can be, and help you keep financial records organised so deadlines become routine rather than stressful. Whether you are early in your career, running a private practice, or balancing several roles, the aim is the same: accounting and tax support that fits your circumstances and helps you make informed decisions.
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.
Getting Started With Specialist Doctor Accountants: A Simple Three-Step Process
We aim to make the transition to a specialist accountant straightforward. First, we take time to understand your circumstances, including how you are employed, whether you have NHS income, private medical income, locum work, consultancy income or a mix of several sources, and how your records are currently kept. Second, we review your accounting and tax requirements, looking at what needs to be filed and when, whether your current structure still suits you, what expenses you may be entitled to claim, and where there may be gaps in your records or planning. Third, we put appropriate accounting support in place, covering the services relevant to you, such as Self Assessment, annual accounts, bookkeeping, payroll, VAT or Corporation Tax where applicable, and agree a clear way of working together going forward. Doctors joining us from another accountant can be reassured that we handle the handover and liaise on your behalf where needed.
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
Many accountants can complete a tax return. Fewer take the time to understand why a doctor’s return looks the way it does. At CruseBurke, we look at the whole picture: how your NHS income and private income interact, how locum or consultancy earnings are recorded, whether professional expenses such as medical indemnity and subscriptions have been captured properly, and whether your current structure still makes sense for the work you are doing. We combine that understanding with disciplined bookkeeping and reporting, so your records are accurate and your Self Assessment position is supported by evidence rather than estimates. Where you operate a limited company or work within a partnership, we can handle the associated accounts, payroll, VAT and Corporation Tax obligations and explain how they feed into your personal tax position. The result is accounting support that is genuinely specific to doctors, with advice you can act on and a clear view of your financial responsibilities throughout the year.
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 needs specialist help, but many benefit from it. Doctors often have income from more than one source, such as NHS salary, private fees, locum work or consultancy, and each element needs to be reported correctly. A specialist accountant can help you understand which professional expenses are allowable, keep your records in order, and file your Self Assessment accurately. If your affairs are genuinely simple and you are comfortable handling them, general support may be enough, but complexity tends to grow over a medical career.
Your NHS salary is normally taxed through PAYE, but self-employment or private income generally needs to be reported through Self Assessment. The return brings your income sources together so your overall tax position can be calculated, and any tax already paid through PAYE is taken into account. The exact outcome depends on your total income, your expenses and your individual circumstances, so it is worth reviewing how your income sources are recorded before the filing deadline.
Commonly considered expenses include medical indemnity insurance, professional body subscriptions, and training or continuing professional development costs, along with certain equipment and travel costs. Whether a particular expense is allowable depends on factors such as whether it was incurred wholly and exclusively for your work and whether you are employed, self-employed or both. Employed doctors face tighter rules than self-employed ones on some costs, so it is worth checking your position rather than assuming.
Locum work is usually treated as self-employment, which means you need to record income and expenses carefully and report the profit through Self Assessment. You may also need to consider whether registering for VAT is required, depending on the nature and level of your work. Keeping a clear record of shifts, travel, agency fees and professional costs throughout the year makes the return far simpler and reduces the risk of missing something important.
There is no single answer that suits every doctor. Sole trader status is straightforward, partnerships are common in general practice, and a limited company can suit some private practitioners and consultants. The right structure depends on your income level, how you work, whether you have business partners, and your wider financial plans. Because the tax and administrative implications differ, it is worth reviewing your structure periodically as your career develops.
Yes. Alongside Self Assessment, we can support with bookkeeping so your records stay current, payroll where you employ staff or pay yourself through a company, VAT registration and returns where relevant, annual accounts, Corporation Tax, management accounts and partnership accounts. Which of these you need depends on how your medical work is structured, and we can help you work out what is actually required.
Yes, many doctors prefer to handle their accounting remotely, sharing documents and communicating by email, phone or video call at times that fit around clinics and on-call commitments. Working remotely does not reduce the level of support you receive; what matters is that your records reach us in good time and that we understand your circumstances clearly. If you would rather meet in person, that can be discussed when you get in touch.
Changing accountants is usually more straightforward than doctors expect. Once you decide to move, we can contact your existing accountant to request the relevant records and information, and handle the handover on your behalf where possible. It helps to have your most recent accounts, tax return and bookkeeping records available, but we can guide you through what is needed. The aim is to make the transition as smooth as possible without disrupting your filing deadlines.
Speak to an Expert
Stop Wrestling With Multiple Income Streams and Let Specialist Accountants for Doctors in Midhurst Take the Strain
If your income arrives from several directions at once, from NHS pay and private fees to locum shifts or consultancy work, pulling it all together for Self Assessment can quickly become overwhelming, and professional expenses such as medical indemnity and subscriptions are easy to overlook along the way. CruseBurke provides accounting support for doctors that covers tax returns and bookkeeping, helping you keep your records accurate and your reporting obligations under control. Get in touch with our team to talk through your circumstances and explore how we can support you.