Specialist Accountants for GPs, Consultants & Locum Doctors

Accountants for Doctors in Milnthorpe

Specialist accounting support for doctors in Milnthorpe, built around the way you actually work. Whether you combine NHS pay with private practice, take on locum shifts, run a consultancy or hold a salaried post, our doctor accountants help you keep clean records, file accurate Self Assessment returns, and understand the tax position across every income stream you have.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Jamie Fletcher profile picture
Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman profile picture
Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Muna Mohamoud profile picture
Muna Mohamoud
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I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail. Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable. I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
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Sergey M profile picture
Sergey M
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I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
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Ebba Qureshi profile picture
Ebba Qureshi
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Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
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Mael Leboucher profile picture
Mael Leboucher
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We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did. Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly. Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible. Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow. I would 100% recommend them.
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3rd Hub profile picture
3rd Hub
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Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
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Martin Tyrrell profile picture
Martin Tyrrell
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I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free. A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently. I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
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Matthew Lyon profile picture
Matthew Lyon
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Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
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Which Doctors Do We Support?

Medical careers rarely follow a single, tidy path, and the accounting side should reflect that. We support GPs, hospital doctors and consultants, locum doctors moving between contracts, salaried doctors on payroll, private practitioners running their own clinics, and doctors who combine NHS income with private or medico-legal work. A GP partner with practice profits needs something very different from a locum working through a limited company, and a consultant with a private practice plus NHS employment sits somewhere in between. Your accounting needs can also shift depending on whether you are a sole trader, a partner, a company director or an employee, and on how many separate income sources you are managing. We take the time to understand your working arrangements before recommending anything, so the advice fits your actual circumstances rather than a general template.

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

Our accounting services for doctors are designed around the mix of income, expenses and structures that medical professionals typically deal with. That usually starts with Self Assessment, where we bring together NHS employment income, private fees, locum earnings and consultancy income into one accurate return, and make sure allowable professional expenses such as medical indemnity, GMC and royal college subscriptions, training and professional development, equipment and business mileage are properly claimed. For doctors running a private practice, a clinic or a consultancy, we handle bookkeeping, annual accounts, management accounts and financial reporting, along with Corporation Tax where a limited company is involved, VAT registration and returns where turnover requires it, and payroll for practice staff or for yourself as a director. If you work in a partnership or a GP practice, we can prepare partnership accounts and help with profit allocation and drawings. Alongside the compliance work, we look at tax planning across your income sources and pension considerations, and we advise on business structure where it may be worth reviewing whether your current arrangement still suits how you work.

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

Doctors often carry a more complicated financial picture than most people assume, and small oversights can become time-consuming problems. These are the areas where we see doctors most often needing support.

  • Multiple income sources in one return. NHS salary, private fees, locum payments and consultancy income can all arrive through different routes and different pay dates, which makes it easy to miss something or to lose track of what has already been taxed at source.
  • Allowable expenses that go unclaimed. Medical indemnity cover, professional subscriptions, training costs and equipment are commonly overlooked. Because these costs are specific to medical work, they need to be identified correctly rather than treated as generic business expenses.
  • Determining employment status. Whether you are genuinely self-employed, an employee, or working through a limited company affects how income is taxed and what reporting is required, and locum arrangements in particular can be less clear-cut than they first appear.
  • Record keeping across the year. Receipts, mileage logs and private fee statements tend to accumulate in different places. Leaving everything until the filing deadline makes the process slower and increases the risk of missing legitimate deductions.
  • Pension considerations. Annual allowance and contribution questions interact with your earnings and tax position, and doctors with several income streams or changing hours often want to understand how their pension planning fits together.
  • Business structure decisions. Sole trader, partnership or limited company each carries different compliance obligations and tax consequences, and the right answer depends on your income levels, private work and long-term plans rather than a single rule of thumb.
  • Practice and partnership finances. Practice profits, drawings and profit share arrangements need clear bookkeeping so that each partner understands their position and their tax liabilities.
  • Keeping on top of deadlines. Registration requirements, filing dates and payment dates apply whether or not you have been busy at work, and penalties for late submission are avoidable with better organisation.

Why Doctors Choose CruseBurke

Doctors come to us because they want an accountant who already understands the language of NHS pay, private practice, locum work and consultancy income, rather than one who needs the basics explained each year. We keep the process straightforward: you share your information, we handle the returns, accounts and reporting, and we explain what we have done in plain English so you understand the numbers behind your tax position. We work with doctors across a range of arrangements, from salaried employees with a single Self Assessment obligation to company directors with payroll, VAT and management accounts. Our focus is on organised records, accurate compliance and practical advice you can act on, with communication suited to people who do not have spare hours in the week.

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 start with a conversation about how you actually work, covering your NHS income, private fees, locum shifts, consultancy work or salaried position, along with any practice, partnership or company involvement. From there, we review your current accounting and tax requirements, including your Self Assessment position, the records you hold, your expenses and any VAT, payroll or Corporation Tax obligations that apply. Once that picture is clear, we put the appropriate support in place, agree how information will be shared and on what schedule, and take responsibility for the filings and reporting that fall within the service. You stay informed without having to chase progress.

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 work apart is the willingness to look at the whole picture rather than file a return and move on. Doctors frequently have income arriving from employment, self-employment and company sources at the same time, and each element affects the others. We map those income streams together, make sure professional expenses specific to medical work are identified, and check that the structure you are using is still appropriate as your career changes. That might mean reviewing whether private work sits better inside or outside a limited company, confirming your VAT position if private turnover is growing, or tightening up bookkeeping so partnership or practice finances are clear throughout the year. We also keep the compliance side firmly under control, from Self Assessment and annual accounts through to payroll and Corporation Tax, so nothing is left to the last minute. The aim is straightforward, well-organised accounting support matched to the way you practise, delivered by people who are used to the questions doctors ask.

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 a single salaried NHS post taxed through PAYE may only need help with a Self Assessment return if they have additional income or expenses to declare. However, once private fees, locum shifts, consultancy work, a practice partnership or a limited company enter the picture, the tax position becomes considerably more involved, and professional support usually saves both time and unnecessary overpayment.

Your NHS salary is normally taxed through PAYE, while private fees and self-employed income are reported on your Self Assessment return. The return brings both together, applies the correct tax bands across your total income, and accounts for tax already paid through PAYE. If private work has grown substantially, we may also consider whether payments on account apply and how best to plan for them.

Commonly claimed items include medical indemnity insurance, GMC and royal college or specialist society subscriptions, professional development and training relevant to your current role, equipment used for your work, business mileage and a proportion of home office costs where genuinely used for business purposes. What is allowable depends on your employment status and how the expense relates to your work, so it is worth checking rather than assuming either way.

Locum income is often treated as self-employment, though this depends on the terms of each engagement and how you are engaged. That means registering with HMRC, keeping records of fees and expenses, and reporting profits through Self Assessment. Some locums work through a limited company, which changes the compliance requirements considerably and may affect how tax is calculated and paid.

It can be beneficial in some situations, but it is not automatically the right answer. A limited company brings additional obligations such as annual accounts, confirmation statements and Corporation Tax returns, and the tax outcome depends on your total income, how much you draw from the company and your longer-term plans. We review your particular circumstances before making a recommendation.

Yes. Partnership accounts, profit share calculations and drawings are a regular part of the work we do for doctors in practice arrangements. Clear bookkeeping throughout the year helps each partner understand their share of profits and the tax that follows, rather than discovering the position only after the year end.

VAT is most often a consideration for doctors with private practice income, medico-legal work or consultancy services where turnover approaches or exceeds the registration threshold. Some healthcare services are exempt, so the position is not the same for everyone. We look at what you actually provide before advising on registration and returns.

We begin with an initial conversation about your income sources, working arrangements and current accounting position. From there we confirm what support you need and how records will be shared. Much of the process can be handled remotely using secure document sharing and video or telephone calls, which suits doctors working shifts or across multiple sites. If you are moving from another accountant, we can help arrange the transition.

Speak to an Expert

Take the Pressure Out of Your Tax Position with Accountants for Doctors in Milnthorpe

Juggling NHS pay, private fees and locum income across several tax years is exactly where mistakes creep in and expenses get missed. CruseBurke provides accounting services for doctors that bring your income streams together, keep your records tidy and make sure your Self Assessment and any company or payroll obligations are handled properly. If your current arrangements feel harder to manage than they should, get in touch and we will talk through your situation.