Accounting Services for Healthcare in Redhill

Accountants for Healthcare in Redhill

Healthcare work rarely fits a standard accounting mould. Income can arrive from NHS contracts, private fees, locum shifts, insurance work or a mix of all three, and the tax and reporting consequences differ from most other sectors. As accountants for healthcare in Redhill, CruseBurke helps doctors, dentists, pharmacists, therapists, carers, consultants, clinics and practice owners make sense of those differences. That means clear records, accurate returns, sensible tax planning and straightforward answers when something is unclear — so you can spend your time on patients and patients’ care rather than on paperwork you did not train for.

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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 Practices We Support Across Redhill

Our healthcare accounting work covers a wide range of people and organisations. That includes GPs and salaried doctors with additional private or locum income, dentists and dental practice principals, pharmacists and pharmacy owners, nurses and advanced practitioners, carers and care providers, and consultants working through a limited company or as sole traders. We also support physiotherapists, podiatrists, chiropractors, osteopaths, optometrists, psychologists, counsellors and other allied health professionals, along with clinics, medical practices, dental practices and multi-practitioner healthcare businesses. The accounting needs vary just as much as the roles do. A locum GP may need help with multiple income sources, pension considerations and Self Assessment. A practice principal may be dealing with payroll for clinical and administrative staff, VAT on mixed income streams, equipment purchases and the tax treatment of private and NHS work. A therapist running a small clinic may simply want reliable bookkeeping, quarterly management accounts and someone to keep an eye on deadlines. Whatever your situation, the aim is the same: accounting and tax support that reflects how healthcare actually works, rather than a generic approach that treats your income and expenses like any other business.

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 in Redhill

Healthcare clients tend to need a combination of compliance work and practical advice, so our services are built around both. On the compliance side, we prepare and file Self Assessment tax returns for sole traders, partners and directors, and annual accounts and Corporation Tax returns for limited companies and incorporated practices. We handle bookkeeping — either from your records or through cloud accounting software — and can manage payroll for clinical, locum and administrative staff, including PAYE, pensions and the reporting obligations that come with employing people. Where your turnover and income types require it, we look after VAT registration, returns and the treatment of mixed NHS, private and exempt income. Beyond the annual cycle, we provide tax planning that considers your income mix, business structure and long-term plans, including whether trading as a sole trader, partnership or limited company makes sense for your circumstances. Management accounts and financial reporting help practice owners understand profitability by activity, monitor cash flow and make informed decisions about staffing, premises and equipment. We also support clients through HMRC enquiries, record-keeping requirements and the practical questions that come up during the year — from whether a professional subscription is allowable to how to account for a new treatment room or piece of clinical equipment.

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 Redhill Healthcare Professionals

Healthcare income is often varied, seasonal and split between public and private sources, which creates tax and record-keeping complications that a generalist accountant may not spot. These are the issues we see most often.

  • Multiple income streams in one tax year. Many practitioners earn from NHS work, private consultations, locum shifts, insurance providers and teaching or medico-legal work simultaneously. Each source may involve different records, payment terms and tax treatment, and pulling them together accurately for Self Assessment takes discipline.
  • Distinguishing NHS and private income correctly. The reporting and tax treatment of NHS payments, private fees and insurer settlements is not always identical, and mixing them up can lead to errors in returns or missed reliefs. Clear separation in your records makes reporting far simpler.
  • Claiming the right allowable expenses. Professional body subscriptions, indemnity insurance, GMC or NMC fees, clinical equipment, specialist clothing, home-office use and travel between sites are common costs — but the rules around what is genuinely allowable, particularly for mixed private and personal use, require care.
  • Keeping records when you are clinically busy. Receipts, mileage logs, timesheets and bank reconciliations tend to slip when clinics run late and lists overrun. Poor records create problems at year end, during VAT checks and if HMRC asks questions.
  • Payroll complexity in practices. Employing receptionists, nurses, locums and admin staff brings PAYE, pension auto-enrolment and, in some cases, IR35 considerations into play. Getting this wrong creates cost and disruption.
  • VAT on mixed healthcare supplies. Some healthcare services are exempt while others are standard-rated, and a business can end up with a mix of both. Understanding partial exemption and how it applies to your income is essential before registering or filing returns.
  • Choosing the right business structure. Sole trader, partnership or limited company each carry different tax, National Insurance and administrative consequences. The right answer depends on your income levels, how many practitioners are involved, and your longer-term plans for the practice.

Why Healthcare Clients Choose CruseBurke as Their Accountants

Healthcare professionals often come to us after finding that a general accounting service does not quite fit. The questions they ask — about NHS and private income, pension contributions, indemnity cover, exempt and standard-rated supplies, or how to structure a practice with multiple partners — need answers from someone who understands the sector. CruseBurke provides that specialist perspective alongside the core accounting work. We explain things in plain English rather than jargon, set out deadlines clearly, and respond to questions in a reasonable timeframe rather than leaving you chasing. Our approach is practical: we look at your actual income mix, your practice arrangements and your plans, and then suggest how to handle the tax, payroll, VAT and reporting side with as little disruption to your working week as possible. Where deadlines, HMRC correspondence or record-keeping requirements are involved, we help you stay on top of them. And because healthcare careers change — moving between salaried and locum work, taking on a partnership, buying into a practice or setting up a limited company — our support adapts as your circumstances do.

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 in order does not need to be complicated or disruptive. We keep the process to three clear stages. First, we have an initial conversation to understand your role, your income sources, how you currently keep records and what you want from an accountant — whether that is straightforward compliance, tax planning, payroll support or help with a practice structure. Second, we review your existing accounting and tax position. That may involve looking at previous returns, your bookkeeping, VAT status, payroll arrangements and business structure so we can identify what is working, what needs attention and where there may be risks or missed opportunities. Third, we put the right support in place. That could mean taking over bookkeeping and payroll, preparing your Self Assessment or company accounts, advising on structure and tax planning, and agreeing a reporting timetable that suits your working pattern. From there, we stay in contact through the year so that nothing is left to the last minute.

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 Your Healthcare Accountants

Healthcare businesses generate financial information in unusual ways. Income may be recorded against appointment slots, treatment codes or contract schedules rather than conventional invoices. Expenses may include clinical supplies, indemnity cover and specialist equipment. Staff may be a mix of permanent employees, bank workers and locums. CruseBurke works with that reality rather than around it. We handle the day-to-day accounting — bookkeeping, payroll, VAT returns, supplier payments and reconciliations — and the annual obligations, including Self Assessment, statutory accounts and Corporation Tax filings where relevant. We also help with the decisions that sit behind the numbers: how to structure a practice, whether to incorporate, how to treat a new income stream, what to do about a pension contribution or a large equipment purchase, and how to prepare for a change in contract arrangements. Because our work is focused on healthcare, we understand the terminology and the timing pressures you deal with, from appraisal deadlines to year-end reporting. The result is accounting support that fits around clinical work, keeps compliance on track, and gives you a clearer view of how your practice or professional income is actually performing.

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 Redhill

The work covers the same core areas as any accountancy service — bookkeeping, annual accounts, Self Assessment, Corporation Tax, payroll, VAT and tax planning — but it is shaped around healthcare income and expenses. In practice that means handling mixed NHS, private and insurance income, dealing with exempt and standard-rated supplies for VAT purposes, accounting for clinical equipment, indemnity insurance and professional subscriptions, and supporting practice owners with management accounts and staff payroll. It also means interpreting tax rules in the context of how healthcare is actually delivered and paid for.

Yes. We work with sole practitioners as well as larger organisations. A locum doctor, a self-employed physiotherapist, a counsellor, a pharmacist or a single-handed dentist may only need help with Self Assessment, record keeping and straightforward tax planning. A multi-partner practice or an incorporated clinic is likely to need accounts preparation, payroll for clinical and administrative staff, VAT advice, management reporting and structure planning. The scope is agreed around what you actually need rather than a fixed package.

Both sources are reportable, so the first step is getting a clear record of what came from where. NHS payments, private patient fees, insurer settlements and locum earnings are usually all taxable trading or professional income, and they need to be brought together accurately. We separate the streams in your records, check that related expenses are attributed sensibly, and make sure the return reflects the full picture — including any pension contributions, professional fees or allowable expenses that may reduce the liability.

It depends on what you provide. Many medical and healthcare services are exempt from VAT, but not everything is — cosmetic treatments, some equipment sales, certain reports and non-healthcare services can be standard-rated. A business with a mix of exempt and taxable supplies may have to deal with partial exemption and input tax restrictions. If you are approaching the VAT registration threshold, it is worth reviewing your income types before registering, because the treatment of each stream affects what you can reclaim.

Yes. Many clients hand over bookkeeping entirely, either by giving us access to their accounting software or by passing records to us on an agreed schedule. Payroll is often included too, particularly where a practice employs receptionists, nurses, locums and administrative staff, and needs PAYE, pension auto-enrolment and payslips handled reliably. Taking these functions on means the information feeding your tax return and accounts is already accurate and reconciled.

At a minimum: records of all income received, from every source; receipts and invoices for expenses such as indemnity insurance, professional body subscriptions, registration fees, clinical equipment, specialist clothing and training; a mileage log if you travel between sites; and records relating to any staff you employ. If you work from home, a reasonable basis for calculating the business proportion of household costs is useful. Keeping this information digitally and up to date makes completion of your accounts and returns quicker and reduces the risk of queries.

That is a common part of the advice we give. The right structure depends on your income level, how many practitioners are involved, whether you are buying into a practice, how you want to take profits and what your longer-term plans look like — including eventual sale or retirement. Tax, National Insurance, administrative obligations and public visibility all differ between structures, so it is worth reviewing the position as your circumstances change rather than assuming the original choice remains best.

It begins with a conversation about your role, your income sources and what you want from an accountant. From there we review your existing position — current records, previous returns, VAT status, payroll arrangements and structure — and then set out how we would support you and what information we would need. If you are switching accountants, we can handle the transfer of information directly so you do not have to manage the handover yourself. If it would help, we can work remotely using cloud accounting and secure document sharing, which suits practitioners who move between sites.

Speak to an Expert

Speak to Accountants for Healthcare in Redhill About Your Tax and Accounts

If your income is spread across NHS work, private fees and locum shifts, or you are running a practice with staff, equipment and VAT to manage, the accounting side can quickly become the part of the week you keep putting off. CruseBurke can take that on — from bookkeeping and payroll through to Self Assessment, annual accounts and tax planning shaped around healthcare income. The aim is straightforward: accurate records, deadlines met without last-minute panic, and clear advice when a decision matters. Get in touch to talk through your circumstances and see how we can help.