Accounting Services for Healthcare in Galashiels

Accountants for Healthcare in Galashiels

Running a medical practice, clinic or healthcare business in Galashiels means juggling patient care with the financial side of things — and the tax rules that apply to healthcare professionals are rarely straightforward. As accountants for healthcare in Galashiels, CruseBurke helps doctors, dentists, pharmacists, therapists, practice owners and other healthcare businesses make sense of Self Assessment, NHS and private income, payroll, VAT and annual accounts. Our aim is simple: clear explanations, dependable compliance support and practical advice you can act on, so you can spend more time on the work you trained to do and less time worrying about HMRC 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 in Galashiels

Healthcare in and around Galashiels is delivered by a wide mix of people and organisations, and their accounting needs vary enormously depending on how they are structured and paid. We work with sole trader practitioners such as physiotherapists, podiatrists, counsellors, dietitians and complementary therapists, who need help with Self Assessment, allowable expenses and keeping their income records in order. We also support GPs, consultants, dentists, pharmacists, nurses and carers who receive income from several sources — NHS contracts, private work, locum shifts or out-of-hours sessions — and who therefore need their tax position managed carefully rather than guessed at. Alongside individual practitioners, we help partnerships and limited company medical practices, clinics, dental practices, care providers and healthcare businesses that need annual accounts, Corporation Tax returns, payroll for staff, VAT returns and management information they can rely on. If your work sits somewhere in the healthcare sector and your finances have become more complicated than a single payslip, it is worth a conversation.

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.

Our Accounting and Tax Services for Healthcare Clients in Galashiels

The services that matter most depend on how you work. If you are a self-employed healthcare professional, Self Assessment is usually the starting point — we prepare and file your return, review your income from every source and make sure you are claiming the expenses you are genuinely entitled to, such as professional registration fees, indemnity insurance, specialist equipment, mileage between appointments and a proportionate share of home or vehicle costs. If you operate through a limited company or a partnership, we prepare annual accounts and Corporation Tax returns, and can advise on whether your current structure still suits your circumstances as your practice grows. Bookkeeping sits underneath all of it, keeping your records accurate and HMRC-ready throughout the year rather than in a rush at the deadline. We also handle payroll for practice staff — including pension auto-enrolment duties — prepare and submit VAT returns for practices and clinics that are VAT registered, and provide management accounts and financial reporting that help you understand profit, costs and cash flow before making decisions about hiring, equipment or expansion. Where a change of structure, a new contract or an unusual income stream raises tax questions, we work through the options with you and explain the implications in plain English.

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 for Healthcare in Galashiels

Healthcare finances tend to be more layered than they first appear. These are the issues we see most often when healthcare professionals and practices ask for help.

  • Multiple income streams — combining NHS work, private fees, locum or sessional pay and part-time employment creates a tax picture that a simple Self Assessment return cannot always capture accurately, particularly where tax has already been deducted at source.
  • Expenses that are easy to miss — professional body fees, indemnity cover, clinical equipment, uniforms, CPD courses and travel between sites are commonly allowable, but only if they are recorded and evidenced properly.
  • Structure questions as a practice grows — deciding whether to remain a sole trader, move into partnership or incorporate can have a real effect on tax and on how profits are shared between colleagues, and the right answer changes over time.
  • Payroll and pension duties — practices employing receptionists, nurses or associate clinicians must run payroll correctly, handle starters and leavers, and meet automatic enrolment obligations without administrative gaps.
  • VAT on mixed supplies — healthcare exemptions are nuanced, and practices that also sell retail products, provide cosmetic treatments or charge for non-medical services may find part of their income is taxable and part is not.
  • Record keeping and deadlines — patient-facing work rarely leaves time for filing receipts or reconciling bank accounts, which is why so many healthcare clients fall behind and end up dealing with HMRC queries or late filing penalties they could have avoided.

Why Healthcare Clients Choose CruseBurke as Their Accountants

Healthcare professionals often come to us after a difficult experience elsewhere — a return filed late, a tax bill they were not expecting, or an accountant who did not understand why NHS income and private fees are treated differently. What we offer is an accounting relationship built around how healthcare actually works. That means taking the time to understand your contracts, your pay arrangements and your practice structure before we start filing anything. We explain what we are doing and why, in language that does not require an accounting qualification to follow. We keep compliance work — returns, payroll, VAT, confirmation statements — moving steadily so nothing lands on your desk at the last minute. And we look ahead, flagging the tax points that may matter to you at the next year end rather than only reporting what has already happened. Clear communication, dependable deadlines and advice grounded in your real circumstances, not a generic template.

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 your accounting properly organised should not feel like an additional burden. The process starts with a conversation about how you work — your contracts, your income sources, whether you operate alone or with colleagues, and what has been causing you difficulty. From there we review your current accounting and tax position: what is already filed, what is outstanding, how your records are kept, and where there may be gaps or risks, including anything you have not yet told HMRC about. Once we understand the detail, we set out a clear plan of support — which returns and reports we will handle, how payroll and VAT will be managed, what records we need from you and when, and the points in the year where your input will be required. You then have a single, organised route through your accounting obligations, with someone to ask when something changes.

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.

Why CruseBurke Works Well as Healthcare Accountants

CruseBurke provides accounting, tax and compliance support designed around healthcare clients — from individual practitioners and locums to clinics, dental practices and care providers. In practice, that means we handle Self Assessment returns that reflect all of your income correctly, prepare annual accounts and Corporation Tax returns for incorporated practices and partnerships, run payroll for staff and associates, and manage VAT returns where your activities require registration. Where tax planning is relevant — for example, timing the purchase of equipment, deciding how to draw income from a company, or reviewing your business structure as a practice expands — we work through the position with you and explain the trade-offs honestly, without overstating what any option can achieve. We also keep the day-to-day side in order, so bookkeeping stays current, records are complete and there are no surprises when a deadline arrives. If you have fallen behind, we will help you establish where you stand and work through the steps needed to put things right.

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 Galashiels

The core work is tax and compliance: preparing and filing Self Assessment returns, annual accounts, Corporation Tax returns and VAT returns, running payroll for practice staff, and keeping bookkeeping records accurate throughout the year. Beyond filing, the useful part is interpretation — helping you understand what your income from NHS contracts, private fees, locum sessions or employment actually means for your tax position, which expenses are genuinely allowable, and whether your current business structure still works for you.

Both streams need to be reflected on your Self Assessment return, and it matters that they are recorded in the right places. NHS income is usually reported as self-employment or as employment depending on your contract, and tax may already have been deducted under PAYE on some of it. Private fees are generally treated as self-employment income. Getting this wrong can result in paying too much tax, or receiving an unexpected bill later, so we review your contracts and payment summaries before preparing the return.

Commonly allowable items include professional registration and body fees, indemnity or professional insurance, specialist equipment and clinical clothing, CPD and training that maintains existing skills, and travel between work sites that is not ordinary commuting. Mileage, home office costs and a proportion of phone and internet use may also be relevant. The rules depend on your circumstances and the expense must relate to your work, so we review what you have before deciding what to include.

Yes. We can run payroll for receptionists, nurses, associate clinicians and other practice staff, covering payslips, RTI submissions to HMRC, starters and leavers, statutory payments and pension auto-enrolment duties. For practices with a mix of salaried employees and self-employed associates, it is also worth checking that each working arrangement is classified correctly, since HMRC scrutiny of status in healthcare has increased in recent years.

Possibly. Many healthcare services are exempt from VAT, but the exemption does not automatically cover everything a practice does. Retail sales, cosmetic or non-medical treatments, some consultancy work and certain administrative services can be taxable. If your income is mixed, you may need to be VAT registered, and part of your turnover may be exempt while another part is standard-rated. We can review your activities and advise on registration and reporting.

Yes. Most of what we need can be handled by email, secure document sharing and telephone or video calls, which suits healthcare clients whose working hours rarely line up with a standard office day. Records can be sent digitally, and we can schedule conversations at times that fit around clinics and appointments.

Being behind is more common than people expect, particularly after a busy period or a change of contract. The first step is establishing exactly where you stand — which returns are outstanding, what HMRC has already issued, and what information is missing. From there we can prepare what is needed, help you address any penalties or queries, and set up a routine that keeps records current going forward, so the backlog does not rebuild.

It begins with a conversation about how you work: your contracts, income sources, whether you are a sole trader, partnership or limited company, and what you would like help with. We then review your accounting and tax position and set out what support would look like in practice. If you would like to discuss your circumstances, get in touch and we can take it from there.

Speak to an Expert

Speak to Accountants for Healthcare in Galashiels About Your Practice Finances

If your income comes from a mix of NHS work, private fees and locum sessions, or if running a practice leaves you no time to keep on top of bookkeeping and returns, the risk is that something gets missed — a deadline, an allowable expense, or a tax point that only becomes clear after the year has closed. CruseBurke can take that pressure off by handling your Self Assessment, annual accounts, payroll and VAT obligations, and by explaining what your figures actually mean for the decisions ahead. A short conversation about how you work is usually enough to see where support would make the biggest difference, so please do get in touch when you are ready to talk it through.