Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Harleston

CruseBurke provides Medical Accountants in Harleston for doctors, GPs, consultants, locum doctors and medical practice owners who need dependable accounting and tax support. Whether your income comes from NHS work, private fees or a combination of the two, we can help with Self Assessment, annual accounts, bookkeeping and tax planning. Medical practices also receive practical support with payroll, VAT and day-to-day business accounting, so your financial records stay accurate and your deadlines stay under control.

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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Supporting Medical Professionals Across Harleston and Beyond

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, each with their own mix of income and expenses. Medical practice owners, partnerships and clinics also rely on us for accounting that reflects how their fees, costs and staffing actually work in practice. Whether you work mainly in the NHS, privately, or across both, the support is shaped around your circumstances rather than a template.

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.

Medical Accounting Services Shaped Around Your Work

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 Medical Professionals Often Face

Medical professionals rarely have a single, simple income stream, and that is where the accounting pressure tends to build. Keeping NHS income, private fees and locum work straight while meeting filing deadlines takes time that is usually better spent on patients.

  • Managing NHS income alongside private fees and keeping both sets of records accurate
  • Reporting multiple income sources correctly on Self Assessment tax returns
  • Tracking locum, consultancy and session-based income across the tax year
  • Recording professional expenses such as medical indemnity cover and training costs
  • Keeping bookkeeping, payroll and VAT obligations up to date
  • Choosing and reviewing the business structure that suits your circumstances

Accounting Built Around Medical Professionals

Working with an accountant who understands medical income structures makes a practical difference, because NHS payslips, private invoices and locum work each raise their own questions. We explain things in plain language, keep communication clear and straightforward, and offer ongoing support as your role or practice changes. Tax treatment and allowable expenses depend on individual circumstances, and we will talk you through what applies in your case.

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.

A Straightforward Three-Step Process

Getting started is simple. First, get in touch and tell us about your role, your income sources and any existing records, then we will discuss your accounting and tax requirements and what needs to happen next. From there, you receive ongoing support that keeps your accounts, returns and records in good order throughout the year.

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

Accounting support for medical professionals needs to flex around how you actually earn, whether that is NHS work, private practice, locum sessions or a mix of all three. We tailor bookkeeping, tax administration and business accounting to your income sources and professional expenses, including items such as medical indemnity cover and training. For medical practices, we can also help with payroll, VAT and the reporting that comes with running a busy clinic.

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 Harleston handle the accounting and tax work that sits behind your clinical income, including bookkeeping, annual accounts, Self Assessment tax returns and tax planning. For medical practices, this can also extend to payroll, VAT and business accounting. The aim is to keep your records accurate, your filings on time and your tax position properly understood.

They suit doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, whether you work in the NHS, privately or across both. Practices, partnerships and clinics with employees or VAT registration are also well within scope. If your income comes from medical work, we can look at how it should be reported and managed.

In many cases, yes, particularly where you receive untaxed private fees, locum income or other earnings outside PAYE. The exact position depends on your individual circumstances, including how much you earn and how it is paid. We can review your situation and confirm what needs to be reported and by when.

Yes. We can keep day-to-day bookkeeping in order, run payroll for practice staff and prepare the figures needed for accounts and returns. That includes handling the routine record-keeping that often slips when clinical work takes priority. The level of support is agreed with you so it matches the size and shape of your practice.

Expenses such as medical indemnity cover, professional subscriptions and training are commonly claimed, but whether they qualify depends on your circumstances and how the cost relates to your work. Some expenses are allowable in full, while others may be treated differently or not at all. We will look at your records and explain the treatment that applies to you.

Whether you need to register depends on your turnover and the nature of the services you provide, and some medical services are treated differently from others. If registration applies, we can assist with VAT returns and record-keeping so the obligations are met accurately. Where the position is unclear, we will review your circumstances before advising.

Business structure affects how you are taxed, what you file and how profits are taken, so it is worth reviewing rather than assuming. Options such as sole trader, partnership or a limited company each bring different obligations. We can talk through how your income and plans fit with each option before you decide.

Switching is usually straightforward. We will ask about your current arrangements, take over the necessary records and communicate with your existing accountant where needed. To begin, simply get in touch and tell us about your role, income sources and what you need help with, and we will set out the next steps clearly.

Speak to an Expert

Medical Accountants in Harleston — specialist support, clear guidance

CruseBurke understands how NHS income, private fees and locum work complicate your tax position. Our Medical Accountants in Harleston handle Self Assessment, bookkeeping and payroll so your records stay accurate and deadlines are met. Clear guidance, whenever you need it.