Healthcare Bookkeeping for GP Practices, Clinics & Locums
As a GP, dentist, locum or private consultant, your time belongs to patients, not to bank reconciliations. Our healthcare bookkeeping service in London keeps NHS schedules, private fees, plan income and card takings reconciled every month, so your figures are always current and Making Tax Digital ready. CruseBurke has advised British businesses since before the Second World War.
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We work with healthcare professionals right across London. Each has a different income mix, so the bookkeeping is set up differently in each case:
We reconcile NHS pay, locum invoices and private fees, and track allowable expenses month by month so nothing is lost by the time the tax return is due.
UDA schedules, plan income such as Denplan, private takings and superannuation deductions reconciled against your NHS statements.
Partnership drawings, PCN income, supplier invoices and staff costs recorded so profit-share statements are ready without a year-end scramble.
Drug tariff and GOS income, stock movements and split VAT rates handled so your margin figures actually mean something.
Healthcare bookkeeping is not the same as retail or trades. NHS income arrives on schedule and out of your control, superannuation is deducted before you see it, and part of your income may be VAT exempt. Our service is built for that:
We raise and chase private patient and insurer invoices, so self-pay and insurer income does not sit unpaid for months.
Payroll for clinical and admin staff with RTI submissions, auto-enrolment and NHS Pension information filed on time each month.
Every NHS schedule, card settlement and bank receipt matched off, so your records are spotless and audit-ready at any point in the year.
We capture indemnity, GMC or GDC fees, courses, equipment and mileage, and handle partial exemption where you have both exempt and taxable income.
Cloud software with clear monthly reports, kept in line with Making Tax Digital for Income Tax requirements.
Most healthcare bookkeeping goes wrong in the same handful of places. These are the ones we see and fix most often:
NHS schedules that never match the bank statement
Superannuation deducted at source and never reconciled
Locum income from several trusts recorded inconsistently
Expenses lost because receipts are captured months late
Cash flow surprises from late insurer and NHS payments
Reports that show a total but never the profit driver
Making Tax Digital record-keeping rules not being met
For a medical practice you do not need a general bookkeeper, you need someone who already knows what a GP global sum statement or a UDA schedule looks like. Here is what you get:
We focus on healthcare bookkeeping, so NHS schedules, superannuation and plan income are routine to us.
We understand the pressures of practising in the capital, including London weighting and high-cost supplements.
Plain-English reports each month so you always know your position without reading a ledger.
Single-handed locums through to multi-partner practices and clinics, priced accordingly.
Digital records kept the way HMRC requires, so Making Tax Digital is never a scramble.
Books closed to a monthly timetable, not weeks after you have asked for the figures.
Managing the numbers is not why you went into healthcare. Our three-step process gets your books set up quickly and keeps them current:
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.
Our roots go back further than the Second World War and our team is built around the healthcare sector. Here is what working with us looks like:
Technology Driven
We use Xero, Quickbooks, Sage & many other online software.
Dedicated Medical Bookkeeper
Meet, call or email the same person every time — someone who knows your practice.
Unlimited Support
Free telephone & email support
throughout the year.
Experienced Team
Our team has over 100 years of combined accountancy experience.
Free - Email Reminders
Never Miss any deadline with our automated email reminders.
Yes, We Are Chartered!
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our healthcare bookkeepers handle everything. Switching mid-year is simple and we deal with your old provider for you:
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
We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Yes! Healthcare finances are unique, and regular accountants often don’t have the expertise to handle them properly. We specialise in healthcare, so we know what’s needed to make sure your finances are in order. We also make sure you’re not missing out on any tax reliefs or deductions.
It is our service that helps medical professionals manage their finances. From handling NHS payments and private billing to sorting out expenses, VAT, and payroll, our healthcare bookkeepers take care of it all. This means you can focus on seeing patients while we make sure everything is running smoothly behind the scenes.
Yes, we do! Whether you’re a doctor, dentist, or run a clinic, we offer bookkeeping for medical professionals across the healthcare sector. We understand that every practice is different, and we tailor our services to fit your specific needs.
We’ll discuss your practice’s needs during our first meeting. Then, we’ll recommend a package that fits your requirements and ensure you get the support you need.
Yes, all our bookkeeping for healthcare in London services complies with UK tax laws.
Locum bookkeeping requires precise tracking of mileage, professional indemnity (MDU/MPS), and GMC fees to maximize tax relief. We use technology that allows you to snap photos of receipts on the go. We reconcile income from various NHS Trusts and private clinics to ensure your year-end Self-Assessment is seamless.
General bookkeepers often miss healthcare-specific nuances like Capital Allowances on specialized medical equipment or the complexities of the NHS Pension Scheme. At CruseBurke, we focus exclusively on the medical sector, staying updated on BMA contract changes and specific tax reliefs available only to healthcare providers.
While most medical care is VAT-exempt, providing medico-legal reports, health certificates for insurance, or certain cosmetic procedures can be standard-rated. We monitor your “taxable” turnover to ensure you only register for VAT when required by HMRC’s Health Professionals manual, saving you unnecessary administrative burden.
Yes. Reconciling Open Exeter and PCSE statements is a major hurdle for GPs. We specialize in breaking down Global Sum payments, seniority pay, and superannuation deductions. We ensure your practice accounts accurately reflect your actual take-home earnings rather than just your gross receipts.
From April 2026, healthcare self-employed individuals and landlords with qualifying income over £50,000 must follow MTD for ITSA rules. This means you must keep digital records and send quarterly updates to HMRC using compatible software like Xero or QuickBooks. Our team ensures your bookkeeping is “MTD-ready” to avoid new points-based penalties.
