Chartered Medical Accountants for the Whole Healthcare Sector

Trusted Medical Accountants in Grazeley

CruseBurke provides practical accounting and tax support for medical professionals and medical businesses in Grazeley. Whether you are a doctor, GP, consultant or locum, we help you make sense of NHS and private income, bookkeeping and annual accounts. Our Medical Accountants also assist medical practices with payroll, tax planning and VAT matters, so your finances stay organised and you can concentrate on your patients.

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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Accounting Support Built Around Medical Professionals

We work with doctors, GPs, hospital consultants and locum doctors, along with private practitioners and medical practice owners across Grazeley. Whether you operate as a sole trader, partner or limited company, our Medical Accountants tailor their support to the way your income and expenses actually arise. Medical practices also come to us for practice accounting, payroll and bookkeeping that fit the rhythm of clinical work.

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 Services Shaped for Medical Careers

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 careers rarely follow a single, simple income pattern. Combining NHS work, private fees and locum or consultancy income often creates records that are difficult to keep on top of, and the tax treatment of certain expenses depends on individual circumstances.

  • Keeping NHS and private income clearly separated and properly recorded
  • Managing multiple income sources across employed and self-employed work
  • Tracking locum, consultancy and private practice fees throughout the tax year
  • Recording professional expenses such as medical indemnity and professional body fees
  • Staying on top of bookkeeping, Self Assessment deadlines and payments on account
  • Choosing an appropriate business structure and understanding VAT implications

Clear, Practical Accounting for Medical Professionals

Working with an accountant who understands medical income means fewer explanations and more useful conversations about your finances. Our Medical Accountants in Grazeley keep communication clear and jargon-free, help you understand how different income streams and expenses are treated, and provide ongoing support as your role or practice changes. We focus on accurate records, sensible tax guidance and accounting that fits around your clinical commitments.

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

Simply get in touch and tell us a little about your medical work and the accounting support you are looking for. We will then talk through your income, expenses, deadlines and any tax questions, so we understand your position properly. From there, you receive ongoing support tailored to your circumstances, with guidance as your needs evolve.

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.

Accounting Tailored to Medical Professionals and Practices

Our Medical Accountants tailor their support to the realities of medical work, from NHS and private income through to locum and consultancy arrangements. We can help with day-to-day bookkeeping, annual accounts, tax administration and business accounting for medical practices, as well as guidance on professional expenses and the structure that best suits your circumstances. Because individual situations differ, we discuss your position in detail before recommending any approach.

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

Medical Accountants handle the accounting and tax work that comes with clinical careers, including bookkeeping, annual accounts, Self Assessment, Corporation Tax and payroll where these apply to you. They also help medical practices with practice accounting, tax planning and VAT matters. The exact mix of services depends on how you work and whether you operate as a sole trader, partner or limited company.

We work with doctors, GPs, hospital consultants and locum doctors, as well as private practitioners, medical practice owners and partners in medical practices. Support is equally relevant whether you have a single income source or a combination of NHS, private and locum income. If you are unsure whether your circumstances fit, a short conversation will usually make it clear.

NHS and private income can be treated differently depending on whether you receive it as an employee or as a self-employed individual, so the first step is understanding how each payment reaches you. We help you keep both streams clearly recorded and reported correctly. Because tax treatment depends on individual circumstances, we review your position before advising on how figures should be presented.

Yes. We prepare and submit Self Assessment returns for medical professionals with employment, self-employment, locum or consultancy income, and we help you keep the records needed to support the figures. We also explain payments on account and relevant deadlines so there are no unwelcome surprises. Where your circumstances are more complex, we will discuss the details before the return is finalised.

Professional costs such as medical indemnity, professional body subscriptions and certain training or equipment costs may be allowable, but the treatment depends on your individual circumstances and how the expense relates to your work. We review your outgoings and explain what can be claimed and what cannot. Our aim is to make sure your records are accurate and defensible rather than simply maximising a figure.

We can look after bookkeeping for medical professionals and medical practices, keeping income and expenses organised throughout the year so reporting is simpler at the end of it. Where VAT registration applies, we help with returns and record-keeping requirements. VAT treatment varies between services and situations, so we assess your own position before recommending an approach.

The right structure depends on your income levels, how many people you work with, your plans for the future and your attitude to administration. Each option carries different tax, National Insurance and compliance implications, and there is no single answer that suits every medical professional. We talk through the practical advantages and drawbacks before you decide.

Getting started is simple: get in touch, tell us about your medical work and current arrangements, and we will explain what information we need from you. If you are moving from another accountant, we can usually handle the handover of records and authorisations on your behalf. From there, support continues as your role, income or practice changes.

Speak to an Expert

Need Accounting Support That Fits Medical Work? Let's Simplify Your Tax.

Sorting out NHS and private income alongside Self Assessment can quickly become overwhelming. CruseBurke’s Medical Accountants keep your records clear, your tax position understood and your practice accounts in order, so you can focus on patients.