Accounting Services for Healthcare in Worthing

Accountants for Healthcare in Worthing

Running a medical practice, clinic or healthcare career in Worthing involves financial decisions that general accountants do not always encounter. Income can arrive from NHS contracts, private patient fees, locum work, insurance billing and dispensing in the same tax year, and each element carries its own tax, VAT and record-keeping implications. CruseBurke provides accounting and tax support shaped around those realities. Our role is to bring clarity to your figures, keep your compliance on track and offer practical advice you can act on — whether you are a sole practitioner, a partner in a practice or a director of a limited company. From Self Assessment and annual accounts to payroll, VAT and tax planning, we help you understand where you stand and what needs attention next.

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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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Who We Work With in the Healthcare Sector

Our healthcare accounting service is designed for the breadth of professionals and organisations that make up the sector. We work with GPs, hospital doctors, consultants, surgeons and anaesthetists, dentists and dental practices, pharmacists and pharmacy owners, nurses and advanced nurse practitioners, physiotherapists, podiatrists, chiropractors and other allied health professionals, as well as carers, care home operators and domiciliary care providers. On the business side, this includes medical and dental practices, private clinics, multi-disciplinary health centres, locum agencies, cosmetic and aesthetic clinics, diagnostic services and healthcare consultancies. The accounting needs differ considerably across that range. A salaried consultant with private practice income may need straightforward Self Assessment support and advice on allowable expenses, while a partnership running a clinic may need annual accounts, partner profit allocations, VAT guidance and payroll for a mixed team of clinical and administrative staff. A limited company providing physiotherapy or aesthetics services may need Corporation Tax planning, dividend strategy and management accounts to understand profitability month to month. What these audiences share is a need for an accountant who understands how healthcare income actually behaves — irregular private fee streams, insurer payment cycles, NHS pension considerations, professional indemnity costs and regulatory registration fees — rather than one who treats them as a generic service 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 Professionals and Practices

The services that matter most to healthcare clients are the ones that keep income correctly reported and give you a clear view of how the practice or your career is performing financially. Self Assessment is central for sole traders, partners and clinicians with private or locum income, and it is where accurate expense treatment makes the biggest difference. We prepare and file Self Assessment returns, review what you have claimed and explain the reasoning behind each position so you are not relying on guesswork. For incorporated practices and clinics, we prepare annual accounts and Corporation Tax returns, covering statutory filing requirements and the disclosures that come with them. Bookkeeping sits underneath all of this. We can maintain records, reconcile bank and card transactions, track insurer payments and patient receipts, and use cloud accounting software so your figures are available when you need them rather than only once a year. Payroll support covers practice staff, salaried clinicians, locum payments and the pension contributions that follow from auto-enrolment, along with the payslips, RTI submissions and year-end reporting that accompany them. VAT advice is particularly relevant where a business mixes exempt healthcare services with standard-rated income such as cosmetic treatments, retail sales or non-medical consultancy — we help determine what is taxable, whether registration is required and how partial exemption affects your position. Beyond compliance, we provide tax planning and business structure advice. That might mean reviewing whether a limited company, partnership or sole trader arrangement suits your circumstances, how to take profits tax-efficiently, or how to plan for capital expenditure on equipment and premises. Management accounts and financial reporting give practice owners and partners regular visibility over income, overheads, profitability and cash flow, which supports better decisions about staffing, expansion and investment.

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 rarely fit into a single, simple pattern. Income arrives from several directions, expenses are a mix of clinical and administrative costs, and the tax rules do not always treat healthcare activity in the way people expect. These are the pressures we see most often.

  • Multiple and irregular income streams. Many clinicians combine an NHS salary, private patient fees, locum shifts, insurance-funded work, teaching or medico-legal reports, and sometimes rental or dividend income. Each element is taxed differently and must be reported correctly, which makes accurate record keeping throughout the year far more important than reconstructing figures at the filing deadline.
  • Getting allowable expenses right. Professional indemnity insurance, GMC, NMC or GDC registration fees, medical equipment, specialist clothing, professional journals, medical defence subscriptions and a reasonable home office claim are legitimate business costs. Meanwhile, some expenses people assume are allowable are not, or need apportioning. Misunderstanding this in either direction creates unnecessary tax or avoidable queries from HMRC.
  • Payroll for mixed clinical and administrative teams. Practices often pay salaried GPs, locum practitioners, nurses, receptionists and administrative staff — sometimes through different arrangements. Alongside auto-enrolment pension duties, holiday pay, statutory payments and RTI reporting, this creates an administrative load that is easy to underestimate.
  • VAT and exempt healthcare services. Much healthcare provision is exempt from VAT, but not everything a practice does is. Cosmetic or non-medical treatments, retail sales, dispensing, room hire and consultancy can be standard-rated, which raises questions about registration thresholds, partial exemption calculations and how VAT should be treated on mixed supplies.
  • Choosing and reviewing business structure. Whether to operate as a sole trader, partnership, limited company or through an expense-sharing arrangement affects tax efficiency, personal liability, pension contributions and how profits are withdrawn. Structures that suited you at the start may no longer be the most appropriate as income grows or a practice takes on partners.
  • Record keeping, deadlines and cash flow. Patient fees, insurer settlements and card payments arrive on different timelines, so cash flow can look healthy on paper while feeling tight in practice. Combined with filing and payment deadlines that carry penalties if missed, this makes organised records and forward planning genuinely valuable.

Why Choose Us as Your Healthcare Accountants

Healthcare clients tend to have limited time and a low tolerance for financial admin that does not move them forward. Choosing an accountant who already understands the shape of healthcare income means fewer explanations, faster answers and advice that reflects your actual circumstances rather than a generic small business template. We take the time to understand how your income is structured — NHS, private, insurer-funded or a combination — and how your costs behave, so the compliance work is accurate and the advice is relevant. Just as importantly, we communicate clearly. You should not need an accounting background to follow what we are telling you. We explain positions in plain terms, flag deadlines in advance and highlight the decisions that actually affect your tax position. For practice owners and partners, we can take on bookkeeping, payroll and VAT administration so those tasks are handled consistently and your records stay in order. For individual clinicians, we can manage Self Assessment from start to finish and help you claim what you are entitled to claim. Our aim is straightforward: dependable compliance support, sensible tax planning and financial information you can use to make better decisions about your practice and your career.

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 accounting support in place should not be a drawn-out process. We keep it structured and straightforward. Step one is an initial conversation. We ask about your role, how your income is made up, whether you work alone or within a practice, how you currently keep records and what you want from an accountant. This gives us a clear picture of your situation before any recommendations are made. Step two is a review of your accounting and tax position. We look at your existing records, previous returns, business structure, VAT status and payroll arrangements to identify what is being handled well and what needs attention. If there are gaps, overdue filings or unclear treatment of particular income, we will tell you plainly and explain the options. Step three is putting the right support in place. That might involve ongoing bookkeeping and payroll, an annual accounts and Corporation Tax service, Self Assessment preparation, VAT guidance or a combination. We agree responsibilities, set out a compliance calendar so deadlines are visible, and confirm how and when we will communicate. From there, the focus shifts to keeping your finances accurate and your tax position reviewed as your circumstances 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.

Why CruseBurke Works Well as Your Healthcare Accountants

CruseBurke supports healthcare professionals and healthcare businesses with the accounting, tax and compliance work that sits behind clinical practice. That means handling Self Assessment where private, locum or consultancy income sits alongside employment, preparing annual accounts and Corporation Tax returns for incorporated practices and clinics, and managing bookkeeping so records reflect reality rather than being assembled at the last minute. Payroll is often a significant part of healthcare accounting, and we support practices with wages for clinical and administrative staff, locum payments, pension contributions and the reporting obligations that come with them. Where VAT applies — typically because a business also provides non-medical, cosmetic or retail services — we help clarify what is exempt, what is standard-rated and how registration or partial exemption affects the numbers. Beyond compliance, we provide tax planning and structure reviews. Healthcare professionals frequently ask whether a limited company would suit them, how to extract profits sensibly, how to plan for equipment purchases or premises costs, or how a change in working arrangements affects their tax position. We answer those questions in practical terms. For practice owners and partners, management accounts give an ongoing view of profitability and cash flow, which supports decisions about staffing, investment and growth. The value of working with us is not only accurate filings — it is having a consistent point of contact for the financial questions that come with running a practice or building a healthcare career, with advice explained clearly enough to act on.

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 Worthing

It covers the accounting and tax work that healthcare professionals and healthcare businesses need. For individuals, that usually means Self Assessment covering NHS employment income, private patient fees, locum earnings and any other income sources, along with guidance on which expenses can be claimed. For practices and clinics, it includes annual accounts, Corporation Tax returns where incorporated, bookkeeping, payroll for clinical and administrative staff, VAT advice, and management accounts that show how the business is performing. Tax planning and business structure reviews are often part of the picture too, particularly when income grows or working arrangements change.

Yes. The scale of support needed varies considerably. A single physiotherapist, podiatrist, dentist or private GP working alone may need little more than accurate Self Assessment, sensible record keeping and advice on allowable expenses. A partnership running a multi-clinician practice may need full bookkeeping, payroll for a mixed team, VAT guidance and regular management accounts. A limited company providing healthcare services may need Corporation Tax planning, dividend strategy and statutory accounts. The service is shaped around the structure and size of your work rather than a fixed package.

NHS employment income is reported through PAYE, while private patient fees, locum work and consultancy income are typically self-employed or otherwise reportable on a Self Assessment return. When both exist, the return has to bring them together correctly, and the interaction between employment and self-employment can affect how much tax is payable and when. Accurate records of private income and related costs throughout the year make this far more manageable, and it is worth reviewing your position before the filing deadline rather than after.

Commonly claimed costs include professional indemnity and medical defence subscriptions, GMC, NMC, GDC or equivalent registration fees, continuing professional development and training relevant to your existing work, specialist equipment and clinical clothing, professional journals, and a proportionate share of home costs where you use part of your home for administration. Some items need apportioning, and some expenses people assume are allowable are not. Getting this right matters in both directions — claiming too little overstates your tax bill, while claiming incorrectly can lead to queries from HMRC.

Many healthcare services are exempt from VAT, which means they do not count towards the registration threshold and no VAT is charged on them. However, not everything a healthcare business does is exempt. Cosmetic and non-medical treatments, retail sales, dispensing, room hire, consultancy and some other services may be standard-rated. Where a business provides a mix of exempt and taxable supplies, registration can become necessary once taxable turnover passes the threshold, and partial exemption rules may then apply to how much input VAT can be reclaimed. The correct treatment depends on exactly what you supply.

Yes. Practice payroll typically involves salaried clinicians, locum practitioners, nurses, receptionists and administrative staff, sometimes on different pay arrangements. We can manage payslips, RTI submissions to HMRC, statutory payments, holiday pay calculations and pension contributions under auto-enrolment, along with the year-end reporting that follows. Keeping payroll consistent also makes it easier to reconcile staff costs against practice income, which helps when reviewing profitability.

Yes. Much of the accounting process can be handled remotely. Cloud accounting software allows records, receipts and bank transactions to be shared securely, which means you are not reliant on posting paperwork or visiting an office. Documents can be exchanged electronically, questions handled by phone, email or video call, and deadlines tracked without you needing to chase them. For healthcare professionals working across multiple sites or with limited time between clinics, this makes it considerably easier to stay on top of financial admin.

It starts with a conversation about your circumstances. We will ask about your role, how your income is structured, whether you work as a sole trader, partner or limited company, how you currently keep records, and what you find most difficult about your finances. From there we review your accounting and tax position and suggest the support that fits — whether that is Self Assessment, annual accounts, bookkeeping, payroll, VAT or a combination. You will have a clear idea of what is involved, what we need from you and how deadlines will be managed before anything begins.

Speak to an Expert

Speak to Accountants for Healthcare in Worthing About Your Finances

If your income comes from several places — NHS work, private fees, locum shifts or a practice you run — the tax position can become complicated quickly, and errors or missed deadlines are easier to make than you might expect. CruseBurke can help you bring that under control, with Self Assessment preparation, bookkeeping and payroll support that keeps your records accurate and your filings on time. Whether you are an individual clinician or running a practice with staff, we can review your position and explain the options clearly. Get in touch to talk through your circumstances and take the next step with confidence.