Chartered Medical Accountants for the Whole Healthcare Sector

Expert Medical Accountants in Fermanagh

CruseBurke provides accounting and tax support to medical professionals across Fermanagh, including GPs, consultants, locum doctors and private practitioners. From Self Assessment and annual accounts to bookkeeping, payroll and VAT, we help you keep accurate records and stay on top of your obligations. Whether you work in the NHS, run a private practice or manage a medical business, our team offers clear, practical guidance shaped around your circumstances.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

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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Medical Professionals We Support Across Fermanagh

We work with the full range of medical professionals and medical businesses, from doctors, GPs and consultants to locum doctors and private practitioners. Medical practice owners, partners and clinic directors also rely on us for accounting that reflects how their income and costs genuinely arise. Whatever your working arrangement, the focus stays firmly on medical accounting.

Supporting independent practitioners with tax planning and NHS pension advice.

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

We help online coaches and advisors with accurate cloud-based accounting support.

Specialised accounting for pharmacies and locums.

Accounting and Tax Services Tailored to Medical Professionals

Medical Tax Planning

Tax planning for doctors and medical professionals with different sources of income and professional expenses.

Pension input calculations, tapered Annual Allowance checks and Scheme Pays advice, based on NHS Pension Scheme guidance.

Accurate bookkeeping for medical professionals, practices and businesses.

Payroll for clinical and admin staff, locum payments, statutory pay and pension auto-enrolment filed on time each month.

Most medical care is VAT exempt but cosmetic treatment, dispensing and product sales are not. We handle partial exemption calculations properly.

Common Accounting Challenges Facing Medical Professionals

Medical professionals in Fermanagh often deal with a mix of income sources, expenses and reporting obligations that a straightforward tax return does not easily accommodate. Recognising these pressure points early makes the whole process far more manageable.

  • Bringing NHS and private income together in one Self Assessment return without losing track of what belongs where.
  • Managing multiple income streams, including locum sessions, consultancy work and private fees, each with its own records.
  • Keeping accurate, well-organised bookkeeping when clinical commitments leave little time for administration.
  • Understanding which professional expenses may be allowable, as the treatment can depend on individual circumstances.
  • Handling payroll and pensions for a medical practice with several employees, partners or clinicians.
  • Choosing the right business structure and knowing when VAT registration or VAT rules may affect your work.

Why Medical Professionals Choose Our Accountants

We understand that medical income rarely follows a simple pattern, so we take the time to understand how you work before advising on tax and accounts. You get clear communication, practical help with records and deadlines, and guidance that reflects your own circumstances rather than a one-size-fits-all approach. As your working arrangements change, our support moves with you.

Specialist London Focus

We act for medical clients across London and understand London weighting and high-cost area supplements.

Every Allowance Claimed

Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.

NHS Pension Specialists

Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.

Deadlines Handled for You

Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.

IR35 & Locum Confidence

Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.

Fair, Fixed Fees

Clear pricing agreed up front, so you get full expert service with no hidden extras.

A Simple Three-Step Process to Get Started

Getting started is straightforward: get in touch and tell us about your work, your income sources and what you need help with. We then talk through your accounting and tax requirements and agree how the work should be handled. From there, you receive ongoing support with accounts, Self Assessment, payroll and bookkeeping as your circumstances require.

1. Initial Consultation (It’s Free):

We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.

2. Customised Plan:

Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.

3. Ongoing Support & Updates:

From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.

Built Around Medical Professionals and Medical Practices

Our accounting support is tailored to medical professionals and medical practices, shaped around different income sources such as NHS work, private fees and locum or consultancy sessions. We help with bookkeeping, professional expenses, tax administration and business accounting, so your records stay in order and your deadlines are met. The aim is straightforward accounting support that fits around clinical work rather than adding to it.

Technology Driven

Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.

Named Medical Accountant

A dedicated accountant who knows your practice, your income mix and your pension position.

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 has over 100 years of combined accountancy experience.

Free - Email Reminders

Never Miss any deadline with our automated email reminders.

Yes, We Are Chartered!

We’re an ICAEW, ACCA & AAT accredited Firm.

How to Switch to a CruseBurke Medical Accountant

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 Medical Accountants

Support typically covers Self Assessment, annual accounts, bookkeeping and tax planning, with payroll, Corporation Tax and VAT guidance available where they apply to you. Because medical professionals work in different ways, the exact package is shaped around your income sources, business structure and reporting obligations. We agree the scope with you before any work begins.

We work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, along with partnerships and limited companies operating in the medical sector. Whether you work mainly in the NHS, privately, or a combination of both, the accounting approach is adjusted to match how your income arises. If you are unsure whether your circumstances fit, a short conversation is usually enough to find out.

Yes. A Self Assessment return can bring NHS income, private fees, locum sessions and consultancy work together into one clear picture of your position. We help you record each income stream accurately, keep supporting documentation in order and file by the relevant deadline. Where your circumstances are unusual, the treatment of certain items can depend on individual factors, so we review your position before advising.

Common items medical professionals ask about include medical indemnity cover, professional body subscriptions, training and equipment, although whether an expense is allowable depends on your individual circumstances and how it relates to your work. We review your spending and explain what can reasonably be included. Keeping records throughout the year makes this far easier at filing time.

Yes, we support medical practices with bookkeeping, payroll and ongoing management reporting, which is often useful where several staff, partners or clinicians are involved. Regular bookkeeping keeps your records accurate and reduces the pressure at year end. Payroll can be handled alongside your accounts so the two stay consistent.

Whether VAT registration is required depends on your taxable turnover and the nature of the services you provide, so it is a question we look at individually rather than assume. Some medical services are treated differently from other income, and the rules are not always straightforward. We can review your position and explain what it means for your practice or your self-employed work.

The most suitable structure depends on your income levels, how many people are involved, your plans for the future and your approach to risk and tax. We talk through the practical differences so you can make an informed decision rather than a guess. If your circumstances change, the structure can be reviewed again.

Getting started is simple: contact us with a short outline of your work and what you need help with, and we will arrange a conversation about your accounting and tax requirements. If you are moving from another accountant, we can handle the handover of information and correspondence on your behalf. From there, you receive ongoing support as your circumstances require.

Speak to an Expert

Specialist Medical Accountants in Fermanagh — Practical Support, Clear Advice

CruseBurke helps medical professionals and practices across Fermanagh keep their accounts accurate and their tax affairs in order. If mixed income streams, missed expenses or looming filing deadlines are causing stress, our Self Assessment and bookkeeping support can put things back on track.