Cruse+Burke is now part of ACCOTAX.
Looking for healthcare accountants in London who genuinely understand GP practices, locum work and NHS pensions? You didn’t spend a decade in training to spend your evenings decoding pension statements and chasing receipts.
Whether you’re a salaried GP, a practice partner, a locum juggling multiple engagements or a consultant with private income, CruseBurke handles the numbers so you can get back to your patients. We have advised British businesses since before the Second World War, so your accountant is never learning your profession on your time.
See what doctors, dentists, and care providers say about working with us.
Not every accountant understands GP partnership accounts, locum work, NHS Pension Annual Allowance charges or private practice expenses. Instead of explaining your job to a general accountant, you get a healthcare accountant who already knows how a GP practice prepares its partnership accounts, how superannuation is reported, and where doctors most often overpay tax.
That is why choosing a specialist healthcare accountant in London means you get someone who:
Protects your NHS pension from unexpected charges.
Handles locum and freelance income effortlessly.
Makes self-assessment tax returns simple and accurate.
Manages payroll and superannuation reporting for your practice.
Plan your finances to support growth and expansion.
Keeps your tax position legally efficient year-round.
Prepares GP practice partnership accounts and profit-share statements.
We provide complete accounting support for GP practices, locum doctors, clinics and healthcare businesses across London. As specialist healthcare accountants, our work is focused on protecting your income, your NHS pension and your compliance position. Here is what we can handle for you:
Accurate records built around the way GP practices, partnerships and locum doctors actually work.
Pension input calculations, tapering checks and Scheme Pays advice to protect your retirement savings.
Accurate and timely filing for high-earning doctors.
Contract reviews, IR35 status decisions, allowable expenses and tax returns for self-employed locum doctors.
Running secure, accurate payroll, including specific NHS superannuation reporting.
Strategic planning to minimise CGT liability on practice assets or investment sales.
Advice on the most tax-efficient setup (Ltd Company, Partnership, Sole Trader) for your professional career.
Budgeting and cash flow modelling to support your practice's growth and expansion plans.
Our expertise is specialised, but our client list is broad. Whether you are a partner in a GP practice, a salaried GP picking up locum shifts, a consultant with a private list, or a director running a care home or pharmacy group, the support is shaped around how you actually earn. Our healthcare accountants in London work with:
Clear numbers, smooth reporting to keep your clinic financially healthy.
Simple bookkeeping and stress-free tax returns that fit your schedule.
Partnership accounts, profit-share statements, superannuation and PCN income handled end to end.
Self-assessment, Annual Allowance checks and expense claims for GPs with mixed NHS and private income.
VAT, payroll and management accounts for healthcare businesses with staff across multiple sites.
Support that keeps your finances organised while you focus on patients.
Reliable accounting with practical advice for running and growing your practice.
Scalable support for teams, staff payments and multi-location operations.
Physiotherapists, radiographers, optometrists and more. If you're in healthcare, we can help.
CruseBurke’s roots stretch back to the years before the Second World War, and the firm was formally established in 1992. That is a long track record of guiding British businesses through changing tax regimes, and it means the advice you get is not theoretical. We have seen the NHS Pension Scheme reformed more than once, watched IR35 reshape locum work, and helped GP practices adapt through every change. Your accountant will not be learning your profession on your time.
We use Xero, Quickbooks, Sage & many other online software.
Meet, Call, E-mail or Skype to your dedicated accounts manager.
Free telephone & email support
throughout the year.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert healthcare accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Your financial situation is different from most businesses. With things like NHS pensions, locum work, and private practice income, you need someone who understands how all these elements work together. Our Accountants for Healthcare in London know the ropes of your profession and can help you manage things properly.
You want someone with experience in healthcare finance. Make sure they’ve worked with NHS salaries, pension contributions, and locum or freelance income. It’s a bonus if they know how private practices are set up, too.
Yes, without a doubt. Even if your finances seem straightforward, a general accountant might not know how to make the most of tax-saving opportunities or could miss something with pensions. Our accountants for Healthcare in London understand your income streams and the rules to benefit your practice.
Though it’s not mandatory, it’s highly recommended. Healthcare accountants can guide you through the setup process. They can help you with financial planning from day one. In short, having a healthcare accountant means saving time as you establish your practice.
You cannot always avoid it, but you can plan for it. We calculate your pension input amount for the year, check it against your available carry forward, and tell you early if a charge is likely. If one is due, we advise on whether paying it personally or using Scheme Pays leaves you better off, and we report it correctly on your tax return.
It depends on how much you earn, how you are engaged, and whether IR35 applies to your contracts. Agency and trust work is often caught by the off-payroll rules, which removes much of the benefit of a company. We review your actual contracts before recommending a structure rather than applying a blanket rule.
Typically your medical indemnity, GMC and defence body fees, professional subscriptions, training and exam costs, equipment, travel between workplaces that are not your main base, and a proportion of home office costs where you do genuine administrative work there. We check each claim against HMRC guidance so nothing is left on the table or wrongly claimed.
Yes. Partners are taxed personally on their share of practice profits through self assessment, and each partner also has superannuation to account for. A limited company pays corporation tax and directors are taxed on salary and dividends. The right structure depends on profit levels, pension membership and long term plans, and we model both before you decide.
Fees depend on whether you are a locum filing a single tax return, a partner in a multi-site GP practice, or a healthcare business with payroll and VAT. We work on fixed monthly fees agreed in advance so there are no surprise bills, and you can get an instant quote in a couple of minutes.
Yes, and it is straightforward. Once you confirm, we write to your existing accountant for professional clearance and your records, handle the handover, and pick up from wherever things were left. In most cases you need to do very little beyond signing the engagement letter.
