Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Great Milton

Medical Accountants in Great Milton support doctors, GPs, medical consultants and locum doctors with the accounting and tax demands that come with NHS and private income. From Self Assessment and annual accounts to bookkeeping, payroll and tax planning, we help medical professionals and medical practices keep clear, accurate records. Whether you work as a sole practitioner or run a growing medical practice, our team makes your finances easier to manage.

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 Great Milton

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, along with medical practice owners and partners running established medical practices. Each of these roles brings its own mix of NHS income, private fees, professional expenses and reporting obligations. Our medical accounting support is shaped around the way you actually 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 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.

Accounting Challenges Facing Medical Professionals

Medical professionals often deal with a more complex financial picture than most. NHS and private income, locum work and consultancy fees can arrive from several sources, each with its own records and reporting requirements. Getting the detail right matters, and it takes time that clinical work rarely leaves free.

  • Keeping NHS and private income streams recorded separately and accurately.
  • Managing multiple income sources, including locum sessions, consultancy fees and private practice receipts.
  • Recording professional expenses correctly, including medical indemnity and registration costs, where these are allowable for your circumstances.
  • Keeping bookkeeping and Self Assessment deadlines on track when clinical commitments take priority.
  • Choosing an appropriate business structure, whether as a sole trader, partnership or limited company.
  • Understanding VAT considerations that may apply to private practice income or wider medical services.

Why Medical Professionals Choose Our Support

Working with an accountant who understands medical income makes a practical difference. We take time to understand whether you are a locum, a partner in a practice or running your own medical business, and we explain your accounts and tax position in plain English. You get clear communication, ongoing support and guidance you can act on throughout the year.

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 Simple

Getting started is straightforward. First, get in touch and tell us about your role and income sources; then we will talk through your accounting and tax requirements in detail. From there, you receive ongoing support that fits around your clinical commitments.

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 for Medical Professionals and Medical Practices

Our approach is built around the way medical professionals earn and spend. We can tailor bookkeeping, tax administration and business accounting to your mix of income, from NHS pay and private fees to locum sessions and consultancy work. Professional expenses, record keeping and reporting obligations are handled with the detail your role requires.

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 in Great Milton handle the accounting and tax affairs of doctors, consultants, locum doctors and medical practices. Depending on your circumstances, this can include annual accounts, Self Assessment, bookkeeping, payroll, VAT support and tax planning, so your records stay accurate and your deadlines are met.

Our support is suited to GPs, hospital doctors, medical consultants, locum doctors, private practitioners and medical practice owners or partners. Medical income often arrives from several sources, so the work is shaped around your own mix of NHS work, private fees and any consultancy or teaching income.

Yes. We can bring together your NHS pay records, private practice income and any locum or consultancy fees into one accurate Self Assessment return. Because the tax treatment of each income source can differ, we review your individual position before anything is submitted to HMRC.

Medical professionals may be able to claim for items such as medical indemnity cover, professional registration fees, subscriptions and certain travel or equipment costs. Whether a particular expense is allowable depends on your individual circumstances and how it relates to your work, so we review each item rather than assuming.

We can keep day-to-day bookkeeping in order and prepare VAT returns where a practice or individual is registered for VAT. Private practice income, consultancy fees and certain medical services may carry VAT implications, and the correct treatment depends on your circumstances, so we look at your position in detail.

The right structure depends on your income level, how many sources you have and whether you work alone or with partners. A locum doctor working occasional sessions may have different needs from a GP partnership or a limited company running a private practice, so we compare the options with you.

Yes, switching accountants is usually straightforward. Once you get in touch, we can liaise about the handover of records and previous filings, then confirm what is needed to bring everything up to date, so the change does not disrupt your accounting or tax deadlines.

Simply get in touch and tell us about your role, your income sources and what you need help with. We will discuss your accounting and tax requirements, explain how we can support you, and outline the next steps so you know exactly what happens from there.

Speak to an Expert

Need Clear Accounting Support for Your Medical Income? CruseBurke Makes It Straightforward

Juggling NHS and private income, expenses and Self Assessment deadlines can leave little time for anything else. CruseBurke provides bookkeeping, tax planning and accounts support shaped around medical professionals, so your financial records stay accurate and you can focus on patients.