Chartered Medical Accountants for the Whole Healthcare Sector
Medicine pays in ways no other profession does: NHS schedules, private fees, partnership drawings, locum invoices and a pension scheme that trips up even experienced accountants. Our medical accountants in London look after doctors, dentists, pharmacists, opticians, clinics and care providers — and CruseBurke has advised British businesses since before the Second World War, so nothing about your sector is new to us.
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We act for the full range of medical and healthcare clients across London. Each has its own tax quirks, so pick the one closest to you — every service below is tailored, never templated.
Self-assessment, NHS Pension Annual Allowance checks and private practice structuring. See our dedicated page for accountants for doctors in London.
UDA income, superannuation and associate returns. More detail on our dental accountants page.
From single-site clinics to multi-site groups: management accounts, payroll and VAT partial exemption. See accountants for hospitals.
Drug tariff and NHS contract income, stock valuation and GOS payments. See accountants for pharmacists and opticians.
Whether you need one tax return or a full outsourced finance function for a clinic, our medical accountants build the service around your income mix.
Incorporation reviews, profit extraction, capital allowances and timing of private income to keep your effective tax rate down.
Pension input calculations, tapered Annual Allowance checks and Scheme Pays advice, based on NHS Pension Scheme guidance.
Cloud bookkeeping that reconciles NHS schedules, private takings and card receipts so you always know where the practice stands.
Payroll for clinical and admin staff, locum payments, statutory pay and pension auto-enrolment filed on time each month.
Most medical care is VAT exempt but cosmetic treatment, dispensing and product sales are not. We handle partial exemption calculations properly.
Acting as accountants for medical practitioners means we already know the hurdles: income from several sources in one year, superannuation deducted before you are paid, and pension charges that arrive long after the event. These are the ones we solve most:
Several income sources in a single tax year
NHS Pension Annual Allowance and tapering charges
IR35 status on locum and sessional work
VAT partial exemption on mixed exempt and taxable income
Cash flow when NHS and insurer payments run late
Payroll, locum pay and auto-enrolment admin
Keeping up with changing NHS and HMRC rules
Healthcare finances need specialist knowledge. We already understand GP partnership profit shares, dental UDAs, pharmacy drug tariff income and consultant private practice. Here is what that means for you:
We act for medical clients across London and understand London weighting and high-cost area supplements.
Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.
Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.
Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.
Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
Managing the finances is not why you went into healthcare. Our three-step process gets you set up fast and keeps you informed all year:
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.
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.
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 today our team is built around the healthcare sector. Here is what working with us looks like:
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your practice, your income mix and your pension position.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our medical accountants handle everything. Switching part way through the year is simple and you never need to contact your old accountant:
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.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Yes. CruseBurke focuses entirely on medical and healthcare clients.
Yes. Healthcare finances are not the same as general business. Having an accountant for medical professionals ensures your finances are managed accurately and with maximum benefit to you.
It can be. As a self-employed doctor, you will need accurate tax returns and smart expense claims. We simplify it all to help you avoid overpaying in taxes.
Yes, we do. Many of our clients have mixed income streams. We are here to ensure everything is reported correctly.
Definitely. From payroll to VAT, we’ll take care of the details so you can focus on patient care.
Not at all. We work with dentists, surgeons, consultants, and other healthcare professionals across London.
While we are based in London, we support healthcare clients across the UK.
A medical accountant already understands NHS pay schedules, superannuation deducted at source, the NHS Pension Annual Allowance, partnership profit shares and VAT partial exemption on healthcare income. A general accountant has to learn all of that on your time and at your cost.
Yes. Most medical care is VAT exempt, but cosmetic treatment, dispensing, product sales and some cross-charging are taxable. We calculate partial exemption and reclaim the input VAT you are entitled to.
Yes. We handle incorporation, register the company for the right taxes, set up payroll and advise on the most efficient split of salary and dividends alongside your NHS income.
We calculate your pension input amount, check whether tapering applies to your threshold income, use carry-forward from earlier years, and compare paying any charge personally against Scheme Pays.
We work with Xero, QuickBooks and Sage and will set up whichever suits your practice, including bank feeds and reconciliation of NHS and private income streams.
It depends on whether you need a single tax return, a limited company with payroll, or full practice accounts and bookkeeping. We agree one fixed fee up front so you know the cost before you commit.
