Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Fleet

Medical Accountants in Fleet provide accounting, tax and bookkeeping support shaped around the way medical professionals actually earn. Whether you are a GP, consultant, locum doctor or medical practice owner, we help you make sense of NHS and private income, Self Assessment, annual accounts and Corporation Tax. Clear communication, practical guidance and no jargon, so you can stay focused on patients rather than paperwork.

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 Fleet

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners throughout Fleet. Whether you earn solely through the NHS, entirely from private work, or from a mix of both, we tailor our support to your income structure and reporting obligations. Medical practices and clinics also rely on us for bookkeeping, payroll, annual accounts and ongoing tax guidance.

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 for 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.

Accounting Challenges Facing Medical Professionals

Medical income rarely arrives in a simple, predictable way. NHS work, private fees, locum shifts and consultancy payments can each follow their own rules, which makes record keeping and tax reporting more involved than many people expect.

  • Keeping NHS income, private fees and locum earnings recorded separately and accurately
  • Managing Self Assessment deadlines when income comes from several sources or engagements
  • Tracking professional expenses such as medical indemnity, registration fees, subscriptions and equipment
  • Choosing and maintaining a suitable business structure as your medical work develops
  • Handling payroll and bookkeeping for a medical practice with employed staff
  • Understanding VAT considerations where your income or services approach the relevant thresholds

Why Medical Professionals Choose Our Support

We understand that medical income, expenses and reporting obligations do not behave like those of a typical business, and we plan accordingly. You get clear explanations of what is due, why it is due and what records you need to keep, explained in plain English rather than accountancy jargon. Support continues throughout the year, so questions about a locum payment, a practice expense or a tax deadline are answered as they arise.

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.

Getting Started Is Straightforward

Begin by getting in touch and telling us about your medical work, whether that is a single role, several income streams or a practice with staff. We then talk through your accounting and tax requirements and agree the support that fits. From there you receive ongoing assistance with bookkeeping, accounts, tax filings and planning as your circumstances change.

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

Accounting support is tailored to the realities of medical work, from single-source NHS income to a mix of private fees, locum shifts and consultancy payments. We help medical practices and individual professionals keep clean records, manage professional expenses, stay on top of tax administration and prepare accurate business accounts. Where treatment of income or expenses depends on your individual circumstances, we explain the position clearly so you can make informed decisions.

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

Most engagements include preparing annual accounts, completing tax returns, bookkeeping support and advice on Corporation Tax or income tax as applicable. Payroll, VAT returns and tax planning can be added where your circumstances call for them, and the scope is agreed with you before any work starts. This means you only pay for the support you actually need.

They suit doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners across Fleet. That includes individuals with a single income source as well as practices employing staff and managing multiple streams of revenue. If you are unsure whether your situation fits, a short conversation will usually clarify it.

Many medical professionals do, particularly where you have locum income, private fees, consultancy earnings, untaxed income or multiple sources of pay. Whether a return is required depends on your individual circumstances, so it is worth checking rather than assuming. We can review your position and handle the return and any related filings if one is needed.

Yes. We regularly help clients bring NHS pay, private fees, locum shifts and consultancy income together into one clear set of records. The way each source is taxed can differ, so accurate recording and correct reporting matter. We review how your income is structured and explain what needs to be declared and when.

Commonly considered items include medical indemnity cover, professional registration and subscription fees, certain equipment, and travel between work locations. Whether an expense qualifies depends on your individual circumstances and how the cost relates to your work. We help you identify what is likely to be allowable and keep the supporting records in order.

VAT registration depends on your taxable turnover and the nature of the services you provide, and some medical services are treated differently from others. It is not something to assume either way, because the thresholds and rules can change. We can review your position and advise on registration, record keeping and returns where VAT applies to you.

There is no single right answer, as the most suitable structure depends on your income level, how you work and your plans for the future. A limited company can suit some medical professionals while sole trader or partnership status suits others. We talk through the practical and tax implications so you can decide with confidence.

The process is usually simpler than people expect. We ask for your authority to contact your current accountant, request the relevant records and check that filings are up to date. Once everything is in place, we take over the ongoing work and keep you informed at each stage.

Speak to an Expert

Need Specialist Accounting for Your Medical Income? CruseBurke Makes It Straightforward.

Mixed NHS and private income, locum shifts and practice payroll can make tax feel far more complicated than it should. CruseBurke provides Medical Accountants in Fleet who handle Self Assessment, bookkeeping and tax planning around your working life. Clear guidance, dependable support and no jargon.