Accounting Services for Healthcare in Basingstoke

Accountants for Healthcare in Basingstoke

Running a medical practice, clinic or healthcare business in Basingstoke means your finances rarely follow a standard template. Mixed NHS and private income, locum and associate pay, payroll for clinical and administrative staff, and strict professional obligations all shape the way your accounts and tax position need to be handled. CruseBurke provides specialist accounting and tax support for healthcare professionals and healthcare businesses, giving you clear answers on Self Assessment, Corporation Tax, VAT, payroll and record keeping. The aim is straightforward: accurate compliance, sensible tax planning, and practical financial insight you can act on, so your time goes back to patients rather than paperwork.

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Google Reviews

See what our clients say about working with our accounting team

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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Healthcare Professionals and Businesses We Support

Our healthcare accounting service is designed for people and organisations whose income, expenses and reporting needs sit outside the ordinary. That includes GP partners and salaried GPs, dentists running NHS, private or mixed lists, consultants and private practitioners, pharmacists, physiotherapists and allied health professionals, practice nurses, and self-employed carers or agency clinicians working on short-term contracts. It also covers the business side of healthcare: medical and dental practices, clinics, specialist treatment centres, and care providers that employ staff and manage premises. Each of these groups tends to face a similar thread of accounting questions. How should a sole trader locum be set up compared with a limited company? How is practice profit share treated for a partner? What can be claimed when working between multiple sites? How should staff payroll, pension contributions and administrative costs be recorded? Our role is to make those answers clear and to keep the numbers behind your clinical work accurate, well organised and submitted on time.

Supporting independent practitioners with tax planning and NHS pension advice.

Offering tailored financial solutions for dental practices and their specific needs.

Supporting medical practices and private clinics with accounts, tax, bookkeeping, payroll and financial management.

Specialised accounting for pharmacies and locums.

Accounting and Tax Services for Healthcare Professionals and Practices

Healthcare clients rarely need accounting in isolation, so our services are built to work together rather than as disconnected tasks. Self Assessment sits at the centre for many clinicians, covering employment income alongside private fees, locum work or partnership profit share, with attention to allowable expenses and pension tax considerations. For practices and healthcare businesses, we prepare annual accounts and financial statements, handle Corporation Tax where a limited company structure is used, and provide bookkeeping that keeps clinical and administrative transactions properly categorised from the outset. Payroll support covers practice staff, salaried clinicians and administrative teams, including real-time submissions and pension duties. VAT advice is particularly valuable in healthcare, where the exemption for medical care is broad but not universal, and services such as cosmetic or non-medical work can fall on the taxable side of the line. Alongside this, we offer tax planning, business structure advice for those moving between sole trader, partnership and limited company arrangements, and management accounts that give practice owners a clearer view of profit, cash flow and cost pressures during the year rather than after it.

Professional preparation of your annual financial statements.

Accurate and timely filing of all required tax submissions.

Accurate and up-to-date records for your practice.

Efficient payroll management for your staff.

Tax Planning

Planning your tax position efficiently while staying compliant.

Common Accounting and Tax Challenges in Healthcare

Healthcare finances tend to be layered, and the complications usually come from the mix rather than from any single source of income. Some of the recurring issues we see include the following.

  • Multiple income streams in one tax year. A clinician might combine salaried employment, private consultations, locum shifts and partnership profit share. Each element is reported differently, and simply adding up payslips and bank credits rarely gives the correct taxable total.
  • Recording and separating NHS and private income. Where a practice or practitioner earns from both NHS contracts and private work, clean separation of income, fees and related costs is essential for accurate accounts, VAT treatment and, in some cases, contract reporting.
  • Allowable expenses and professional costs. Medical indemnity, registration and professional body fees, specialist equipment, uniforms, journals, CPD courses and travel between sites may all be claimable, but only where the expense is genuinely incurred for the business and properly evidenced.
  • Pension tax considerations for higher earners. NHS pension growth, added years, and personal contributions can interact with annual allowance rules in ways that create unexpected tax charges. Identifying this early gives time to plan rather than react.
  • VAT treatment of medical and non-medical services. The exemption for healthcare is broad but does not automatically cover everything, and mixed-service clinics can find themselves dealing with a partial exemption position that needs careful monitoring.
  • Bookkeeping, records and deadlines. Practice paperwork accumulates quickly between clinical sessions, and late or incomplete records make it harder to meet filing and payment dates without last-minute pressure.

Why Healthcare Clients Choose Us as Their Accountants

Healthcare professionals usually need an accountant who understands the sector, not one who has to learn it from scratch. Choosing CruseBurke means working with a team familiar with how NHS contracts, private fee income, associate agreements, partnership profit share and practice payroll actually behave in the accounts, and how those elements translate into tax. Just as importantly, our advice is practical. We explain what a figure means, what your options are, and what needs to happen next, in language that does not assume a finance background. Compliance is handled thoroughly, from Self Assessment and company filings to VAT returns and payroll submissions, so deadlines are managed and records are in order. Beyond compliance, we look for sensible structuring and planning opportunities, such as whether a limited company is appropriate for your circumstances or how to manage a fluctuating income profile across the year. The result is support that is responsive, clear and shaped around the way healthcare work is actually carried out.

Expertise in Healthcare Finance

Specialised knowledge of NHS funding and healthcare business accounting.

Healthcare-Focused Accounting

Our team focuses on your financial needs and provides solutions tailored to your business.

Personalised Strategies

We provide bespoke services to ensure your financial processes are accurate.

Accurate Reporting

We deliver precise financial reports on time, giving you full compliance with HMRC.

Transparent Pricing

Our services offer transparent, upfront pricing with no hidden costs.

Time-saving and Reliability

We handle all your accounting and financial tasks efficiently.

Our Simple 3-Step Process for Healthcare Clients

Getting the right accounting support in place should feel orderly rather than overwhelming, and we keep the process to three clear stages. First, we have an initial conversation to understand your circumstances: whether you are employed, self-employed, in partnership or running a limited company, how your income is structured, whether you employ staff, and what you want from an accountant. Second, we review your current accounting and tax position. That means looking at existing records, previous returns, bookkeeping systems, payroll arrangements and any outstanding filings, so we can identify what is working, what needs attention and where there may be risk or opportunity. Third, we put the right support in place. You receive a clear outline of the services that fit your situation, how information will be shared and deadlines managed, and who to contact when a question arises. From there, the relationship runs on a regular rhythm of bookkeeping, reporting and filing, with periodic reviews as your practice or contracts change.

1. Initial Consultation (It’s Free):

We begin by getting to know your practice and your specific needs. This step ensures we have a clear picture of your challenges, goals, and the opportunities available to you.

2. Customised Plan:

Based on our initial discussion, we create a personalised plan designed specifically for you. Our aim is to keep your healthcare finances straightforward, with your numbers handled accurately and professionally by dedicated healthcare accountants.

3. Ongoing Support & Updates:

From there, we take care of the ongoing work and keep you updated with clear, regular reports. We're always here to answer your questions, ensuring you have a clear picture of your financial health at all times.

CruseBurke as Your Healthcare Accountants

CruseBurke supports healthcare professionals and healthcare businesses across the accounting, tax and compliance work that sits behind clinical practice. In practical terms, that means maintaining accurate bookkeeping so that income from NHS work, private fees, locum assignments or partnership profit share is recorded correctly from the start, and preparing Self Assessment returns that reflect the full picture rather than a partial one. For incorporated practices and clinics, we prepare annual accounts and handle Corporation Tax, and for employers we manage payroll for clinical and administrative staff, including pension duties and submissions through the year. VAT support is tailored to healthcare, covering registration questions, the scope of the medical exemption, and partial exemption where a business provides a mix of exempt and taxable services. We also help with tax planning around pension considerations, business structure decisions and income timing, and with management accounts that show how the practice is performing before the year-end rather than after. If records have fallen behind or a filing has been missed, we can help bring things back into order. The overall goal is straightforward: fewer administrative worries, a dependable compliance position, and financial information you can actually use when making decisions about your practice.

Technology Driven

We use the latest technology to offer customised financial strategies. Thus, helping healthcare practices grow and thrive.

Personalised Service

Our team offers dedicated accounting services tailored to your specific healthcare business. This ensures financial stability and growth for you.

Ongoing Support

Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.

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.

Switching to CruseBurke, Made Simple

Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:

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 about Accountants for Healthcare in Basingstoke

It covers the same core work as any accountancy service, but applied to the way healthcare income and costs behave. In practice that means Self Assessment for clinicians with employment, private or locum income, annual accounts and Corporation Tax for incorporated practices, bookkeeping that separates NHS and private streams properly, payroll for practice staff, VAT advice on the scope of the medical exemption, and tax planning around pension and structure questions. The difference is in the detail: knowing how associate agreements, partnership profit share, indemnity cover and CPD costs should be treated.

You can file a return yourself, but self-employment brings obligations that are easy to underestimate. You need to register with HMRC, keep records of income and expenses, work out taxable profit rather than total turnover, and account for payments on account that can catch people out in the first profitable year. Locum and associate work often means several payers and inconsistent income, which makes accurate record keeping and a properly prepared return particularly valuable.

Each source is treated according to its nature. Salaried NHS pay is taxed through PAYE but still needs to be reported, private fee income is usually self-employment or partnership income, and practice profit share is reported as partnership income with an allocated share. The key is to reconcile all of these correctly rather than treating bank receipts as income. Where a practice operates both NHS contracts and private work, separating the associated costs helps produce accounts that reflect the true profit from each area.

Commonly claimed items include medical indemnity and insurance, professional body and registration fees, specialist equipment and instruments, uniform and laundry costs where applicable, professional journals and reference materials, CPD and training that maintains existing skills, and travel between separate work locations. The test is whether the cost was genuinely incurred for the business and is properly evidenced. Personal commuting, ordinary clothing and general living costs are not claimable, and mixed-purpose costs need apportioning.

Many medical services are exempt from VAT, but the exemption is not unlimited. Services that fall outside the scope of medical care, such as certain cosmetic treatments, some non-clinical products and specific advisory services, may be taxable. Where a business provides both exempt and taxable supplies, it may need to deal with partial exemption, which affects how much input VAT can be reclaimed. Registration thresholds, the value of taxable turnover and the nature of each service all need checking before any position is taken.

Yes. Payroll for a practice typically involves a mix of full-time staff, part-time clinicians, bank or sessional workers and administrative employees, often with different contract terms. We can handle regular payroll processing, statutory payments, real-time reporting to HMRC, and pension duties including automatic enrolment obligations, so staff are paid accurately and the practice meets its employer responsibilities on time.

It can. Records that have fallen behind are usually resolved by reconstructing the position from bank statements, invoices, payment records and prior filings, then bringing the bookkeeping up to date. Once the backlog is cleared, we agree a routine that suits your working pattern, whether that is sharing information monthly, quarterly or in a batch after a busy period. What matters most is establishing a reliable process so the same situation does not repeat.

Yes. Most of the work involved in accounts, tax returns, payroll and VAT does not require face-to-face meetings. Documents can be shared securely, questions handled by phone or video call, and filings submitted electronically. Many healthcare clients prefer remote arrangements precisely because clinic hours make travel difficult. What matters is having a clear point of contact and a reliable way to share information, which we agree at the start.

Speak to an Expert

Speak to Accountants for Healthcare in Basingstoke

If your income comes from a combination of NHS work, private fees, locum shifts or practice profit share, the tax position is rarely as simple as it first appears, and small oversights can become costly corrections later. CruseBurke can help by preparing accurate Self Assessment returns, managing payroll for your practice, and advising on VAT treatment and tax planning where it is relevant to your circumstances. If you would like a clearer picture of where your healthcare accounting stands, get in touch and we will talk through your situation.