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 income and expenses that are more varied than a standard salary, which can make record keeping and tax reporting harder to manage. The challenges below are common, though the right treatment always depends on individual circumstances.
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, GPs, consultants, locum doctors and medical practices, including bookkeeping, annual accounts, Self Assessment and tax planning. At CruseBurke, we also help with payroll, Corporation Tax and VAT where it applies to your circumstances. The aim is to keep your records accurate and your filings on time while explaining what everything means.
Our support suits medical professionals working as sole traders, partners in a practice, company directors or locums, as well as the medical practices and clinics that employ or engage them. Whether you have NHS income, private income or a combination of the two, the way your accounts are prepared should reflect how you earn. We discuss your situation first before recommending any particular service.
Where you receive income from more than one source, each element usually needs to be recorded and reported correctly, and the tax due depends on your total income and personal circumstances. We help you keep those income streams separate in your records so nothing is missed or double counted. Because the treatment varies from person to person, we look at your specific position rather than applying a standard answer.
Many medical professionals do need to file a Self Assessment return, particularly where they have self-employed income, locum earnings, untaxed income or additional income on top of a salary. Whether a return is required depends on your individual circumstances, so it is worth checking before assuming you are exempt. We can confirm your position, prepare the return and help you plan for the payments due.
Expenses such as professional subscriptions, medical indemnity cover and costs that are wholly and exclusively incurred for your work may be allowable, but the rules are specific and not every cost qualifies. Keeping receipts and clear records throughout the year makes claiming easier and reduces the risk of queries. We review your expenses and explain what can reasonably be included based on your circumstances.
Yes, we can support bookkeeping so your records stay current and your year-end accounts are easier to prepare. Where your turnover or activities mean VAT registration applies, we can assist with registration, reporting and the Making Tax Digital requirements that come with it. VAT treatment depends on the nature of your supplies, so we look at your own position before advising.
The right structure depends on your income levels, how you work with practices and your longer-term plans, and each option carries different tax and administrative implications. There is no single answer that suits every medical professional, and the position can change as your earnings grow. We talk through the practical differences so you can make an informed choice.
Switching is usually simpler than people expect: once you decide to move, we can liaise with your existing accountant to obtain the records and information needed. From there, we review your position, agree which services you need and set out a clear way forward. To begin, simply get in touch with our Medical Accountants in Harborough and we will take it from there.
