Accounting Services for Healthcare in Lee-on-the-Solent

Accountants for Healthcare in Lee-on-the-Solent

Running a practice, clinic or healthcare business in Lee-on-the-Solent brings financial pressures that a general accountant may not fully appreciate. Between NHS income, private patient fees, locum sessions, payroll for staff and strict record-keeping expectations, the tax position of a healthcare professional is rarely straightforward. CruseBurke provides specialist accountants for healthcare in Lee-on-the-Solent, helping doctors, dentists, pharmacists, therapists, carers and practice owners keep their finances clear, compliant and properly organised. From Self Assessment and annual accounts to payroll, VAT and practical tax planning, our focus is on accurate figures, sensible deadlines and advice you can actually act on — so more of your time goes into patient care rather than paperwork.

4.9/5.0

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 Practices We Support in Lee-on-the-Solent

Healthcare accounting is not a single service, because the people working in healthcare rarely have a single source of income. We support GPs and hospital doctors who combine NHS salaries with private or medico-legal work, locum and sessional clinicians, dentists and dental practice owners, pharmacists and pharmacy businesses, nurses and advanced practitioners, carers and care providers, consultants, physiotherapists, chiropractors and other allied health professionals, as well as private clinics, medical partnerships and incorporated practices. Their accounting needs vary widely: some need a straightforward Self Assessment that correctly handles two or three income streams, while others need annual accounts, Corporation Tax computations, VAT returns, payroll for clinical and administrative staff, or advice on whether a partnership or limited company structure suits how their practice is growing. If your income, expenses or staffing arrangements are more complicated than a standard tax return, it is worth speaking to an accountant who deals with healthcare circumstances regularly.

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 in Lee-on-the-Solent

Our healthcare accounting work is built around the way medical and clinical income actually arrives. Self Assessment is often the starting point, particularly where NHS pay, private fees, locum earnings or teaching income need to be reported together accurately, with the right expenses claimed and payments on account planned for. For practices and clinics trading through a limited company or partnership, we prepare annual accounts and Corporation Tax computations, and handle bookkeeping so that records stay current rather than becoming a year-end scramble. Payroll covers salaried clinicians, reception and administrative teams, with payslips, Real Time Information submissions and pension obligations managed on your behalf. Where VAT applies — for example on non-exempt services, retail sales or mixed income — we advise on registration, partial exemption and return preparation. Beyond compliance, we help with tax planning, business structure reviews, management accounts and financial reporting, so you can see how the practice is performing and make decisions with real numbers in front of you rather than guesswork.

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.

Key Accounting and Tax Challenges for Healthcare Professionals in Lee-on-the-Solent

Healthcare work tends to create financial patterns that standard accounting templates handle poorly. These are the issues we see most often when healthcare professionals and practice owners review their tax position.

  • Multiple income streams arriving from different places. An NHS salary, private consultation fees, locum shifts, medico-legal reports and teaching or training income may all need reporting on one Self Assessment, each with its own treatment and timing. Miss one and the return is wrong; record them carelessly and you can end up overpaying tax.
  • Getting allowable expenses right, especially mixed-purpose costs. Professional registration and indemnity insurance, CPD and training, specialist equipment, clinical clothing, mileage between sites and homeworking costs are all commonly claimable — but the business proportion has to be worked out sensibly and supported by records.
  • VAT on mixed healthcare income. Many medical services are exempt, while cosmetic treatments, non-medical services, retail sales and some advisory work can be standard-rated. Where a practice has both, partial exemption rules and correct invoicing become important, and errors can be costly to unwind.
  • Payroll and pension administration for practice staff. Salaried clinicians, nurses, receptionists and practice managers all bring RTI reporting, auto-enrolment duties and pension contributions — and where NHS pension scheme membership is involved, additional considerations can affect the overall tax picture.
  • Record keeping that stands up to scrutiny. Clinical work leaves little time for filing receipts, reconciling bank accounts or keeping digital records in order, so information often arrives in a rush at deadline time. Poor records usually mean missed expenses and a more expensive, more stressful filing process.
  • Business structure and cash flow as a practice develops. Deciding whether to stay a sole trader, form a partnership or incorporate affects tax, national insurance, profit extraction and how easily you can bring in or buy out a partner. Irregular income and rising practice costs make forward planning essential.

Why Choose Us as Your Accountants for Healthcare in Lee-on-the-Solent

Healthcare professionals often come to us after years of working with an accountant who treated their practice like any other small business. The difference is in the detail: understanding how NHS pay interacts with private income, which clinical costs are genuinely allowable, how VAT exemption applies to your particular services, and what a change in working pattern means for your tax position. We take the time to understand your role and your practice before recommending anything, explain the reasoning behind our advice in plain English, and keep you informed of deadlines well before they arrive. Compliance work — accounts, returns, payroll, VAT — is handled accurately and on schedule, while our advisory work focuses on practical questions such as structure, profit extraction and planning ahead. You get a consistent point of contact, clear communication, and support that reflects the realities of working in healthcare rather than a generic small business 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 Accounting in Lee-on-the-Solent

Getting the right accounting support should feel organised, not overwhelming. Step one is an initial conversation about your circumstances: your role, how you are engaged, the income streams you have, the structure you trade through, any staff you employ, and what you want from an accountant. Step two is a review of where things stand — your current records, recent returns, VAT position if relevant, payroll arrangements and any upcoming deadlines or outstanding issues — so we can identify gaps, risks and opportunities before anything is filed. Step three is putting support in place: agreeing which services you need, setting out responsibilities and timelines, and establishing how and when we will communicate. From that point, bookkeeping, payroll, VAT and tax filing run on a predictable schedule, with your questions answered as they arise rather than saved up for year end.

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 as Your Healthcare Accountants in Lee-on-the-Solent

CruseBurke works with healthcare professionals and healthcare businesses on the accounting, tax and compliance matters that come with clinical work. That includes preparing Self Assessment returns that pull together NHS and private income correctly, producing annual accounts and Corporation Tax computations for incorporated practices and partnerships, maintaining bookkeeping so records are reliable throughout the year, running payroll for clinical and support staff, and managing VAT where registration applies. We also support tax planning, business structure decisions and management accounts for practice owners who want a clearer view of performance and cash flow. What makes this useful is the connection between the numbers and your working life: understanding that a locum’s income fluctuates month to month, that a dentist’s equipment purchases and associate arrangements need careful treatment, or that a growing clinic’s staffing costs change its VAT and payroll obligations. Our role is to keep the administrative side of your practice accurate, timely and understandable, so decisions about your career and your business are made with confidence rather than guesswork.

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 Lee-on-the-Solent

The work varies with your circumstances. For an individual clinician it usually means Self Assessment covering all income sources, correct expense claims, and planning for payments on account. For a practice or clinic it typically includes annual accounts, Corporation Tax or partnership returns, bookkeeping, payroll for staff, VAT where applicable, and management information. Many clients need a combination, and the aim is always the same: accurate filing, sensible deadlines, and advice that reflects how healthcare income really works.

It can, because each income stream may need separate reporting and different expense treatment, and tax is calculated on the combined total. Payments on account also need to reflect the overall liability rather than just one source. Pulling everything together in one accurate return, with the right expenses claimed against each stream, is usually the difference between a manageable tax bill and an unpleasant surprise.

Yes. A limited company needs statutory accounts, a Corporation Tax computation and a confirmation statement, and directors are usually also in Self Assessment. Partnerships need a partnership return plus individual returns for each partner. Both structures also affect how profits are extracted and how national insurance applies, so the record-keeping requirements are wider than for a sole trader — and running them properly throughout the year avoids a last-minute rush.

Many medical and health services are exempt from VAT, which is why a lot of clinical work does not carry VAT. However, not everything qualifies: cosmetic and non-medical treatments, retail sales and certain advisory or administrative services can be standard-rated. Where a practice provides a mix of exempt and taxable supplies, registration thresholds, partial exemption calculations and correct invoicing all need attention.

Yes. Payroll support typically covers weekly or monthly processing for salaried clinicians, nurses, reception and administrative staff, payslips, Real Time Information submissions to HMRC, deductions and pension contributions, together with year-end reporting. Where NHS pension scheme membership applies to some employees, we factor those arrangements into the payroll process so the information you receive is complete.

Commonly claimed costs include professional body and registration fees, professional indemnity insurance, CPD and training relevant to your work, specialist equipment and clinical clothing, business mileage between sites, professional subscriptions and a proportionate share of home working costs. The key is being able to demonstrate the business purpose and to calculate any private-use element fairly. We review your spending and advise on what is reasonable to claim.

Yes. Much of the information we need can be shared digitally, and cloud accounting software allows records and reports to be accessed securely without meeting in person. We still take time to discuss your circumstances properly at the outset, because the quality of the advice depends on understanding your role, structure and plans — not on where you happen to be sitting.

Begin with a conversation about your situation: how you are engaged, what income you receive, whether you have staff or a company, and what you currently have in place. From there we review your existing records and returns, highlight anything that needs attention, and agree which services you need and when they will be delivered. If you are switching accountants, we can manage the handover of information from your previous adviser.

Speak to an Expert

Speak to Accountants for Healthcare in Lee-on-the-Solent Who Understand Your Working Life

If your tax affairs currently involve NHS pay, private fees, locum income or payroll for practice staff, getting the detail right matters — and it is easy to lose track of deadlines while focusing on patients. CruseBurke provides healthcare accounting support covering Self Assessment, annual accounts, payroll and VAT, built around how clinical income actually arrives rather than a one-size-fits-all template. A short initial conversation is usually enough to establish what you need and what should happen next, so get in touch and let us take the administrative pressure off your practice.