Chartered Medical Accountants for the Whole Healthcare Sector
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We help online coaches and advisors with accurate cloud-based accounting support.
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.
Medical professionals often deal with several income sources, irregular working patterns and a steady flow of professional costs, all of which need to be recorded and reported correctly. Without a clear process, it is easy for paperwork to fall behind or for details to be missed.
We act for medical clients across London and understand London weighting and high-cost area supplements.
Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.
Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.
Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.
Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
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.
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.
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.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your practice, your income mix and your pension position.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Medical Accountants look after the accounting and tax affairs of doctors, consultants, locum doctors, private practitioners and medical practices. At CruseBurke, this can include bookkeeping, annual accounts, Self Assessment, payroll, Corporation Tax, tax planning and VAT support where relevant. The aim is to keep your records accurate and your filings submitted on time while you focus on your work.
They suit medical professionals at most stages, including GPs, hospital doctors, consultants, locum doctors, private practitioners and those running or owning a medical practice. Whether you work as a sole trader, within a partnership or through a limited company, the support can be shaped around your arrangements. If your circumstances are unusual, we will explain what is possible before you commit to anything.
NHS and private income are usually recorded separately so that each source can be reported accurately, and so you can see clearly where your earnings come from. We help you keep supporting records for both, since the way income is taxed can vary depending on your business structure and individual position. Where treatment depends on your particular circumstances, we will talk it through with you rather than apply a blanket approach.
Many medical professionals do need to file a Self Assessment tax return, particularly where they have income that is not taxed at source, multiple income sources, or income from self-employment or locum work. Whether a return is required depends on your individual circumstances, including your total income and how it is paid. We can review your position and manage the return and any related payments on your behalf.
Yes, we can help you record and review costs such as medical indemnity cover, professional body subscriptions, training and equipment, alongside everyday running costs. Whether a particular expense qualifies for tax relief depends on its nature and your individual circumstances, so each item needs to be considered rather than assumed. We will explain what can be claimed and what cannot, and keep the supporting records tidy.
We can manage your bookkeeping so that income and expenses are recorded consistently throughout the year, which makes annual accounts and tax returns far simpler. VAT support is also available where it applies, including registration considerations and returns, since VAT treatment depends on your turnover and the nature of your services. Not every medical professional needs VAT support, and we will tell you honestly whether it is relevant to you.
There is no single answer that suits everyone, as the right structure depends on your income levels, how you work and your longer-term plans. Sole trader, partnership and limited company arrangements each carry different reporting and tax implications. We can talk through the practical differences with you and help you decide which structure fits your circumstances.
Yes, switching is usually straightforward, and we can liaise with your existing accountant to obtain the records we need. We will confirm what information is required and set out a clear timeline so the transition does not disrupt your filing deadlines. Once everything is transferred, your accounting and tax support continues without interruption.
