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 income rarely arrives in one simple form, and that is where many accounting difficulties begin. Bringing together NHS work, private fees and locum or consultancy income into accurate records takes time and care, especially when deadlines and tax rules apply differently to each situation.
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 in Fishguard handle the accounting and tax work that medical professionals and medical businesses need, including Self Assessment, annual accounts, bookkeeping, payroll and tax planning. We also help with Corporation Tax, VAT support and medical practice accounting where these apply to your situation. The work is shaped around how you earn your income rather than a standard package.
Our services suit doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, as well as the practices themselves. If you receive NHS income, private fees, consultancy payments or a combination of these, we can help keep the records and returns in order. Different professionals need different levels of support, so we discuss your circumstances first.
In many cases, medical professionals with income from more than one source, or with untaxed private fees, need to file a Self Assessment tax return. 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 explain what applies to you.
Yes. Bookkeeping can be maintained throughout the year for medical practices and individual professionals, covering income, expenses, payroll records and supporting documentation. Keeping records accurate and up to date makes annual accounts and tax returns far easier to prepare, and it gives you a clearer view of how the practice is performing.
Professional expenses such as medical indemnity cover, professional subscriptions and certain equipment costs may be allowable, but the treatment depends on individual circumstances and how the expense relates to your work. We can review the costs you incur and explain which ones can be claimed. Records and receipts should always be kept to support any claim.
VAT registration depends on your turnover and the nature of the services you provide, and some medical services are treated differently from others. It is worth reviewing your position as your private work or practice income grows. We can help you understand whether registration applies and how it would affect your accounting.
The right structure depends on your income sources, how you work and your longer-term plans, and there is no single answer that suits every medical professional. Sole trader, partnership and limited company arrangements each carry different tax and administrative implications. We can talk through the options and the practical effects of each before you decide.
Switching accountants is usually a straightforward process, and we can liaise with your existing adviser to obtain the records and information needed. If you are unsure where to begin, simply get in touch with CruseBurke and we will explain the steps. From there, we discuss your accounting and tax requirements and agree how ongoing support will work.
