Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Harrow

CruseBurke provides practical accounting and tax support as Medical Accountants in Harrow, helping doctors, GPs, consultants and locum doctors keep their finances in order. We assist with Self Assessment, annual accounts, bookkeeping and tax planning for NHS and private income, alongside payroll and VAT where it applies. Whether you work as a sole practitioner, run a medical practice or take on consultancy and locum work, our team can help you stay compliant and understand your numbers with confidence.

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 Harrow

As Medical Accountants in Harrow, we work with doctors, GPs, medical consultants, locum doctors and private practitioners who need clear, reliable accounting support. We also assist medical practice owners and partnerships with practice-level bookkeeping, payroll and annual accounts. Whatever your specialty or working arrangement, the focus stays firmly on your medical income, expenses and reporting obligations.

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.

Common Accounting Challenges Medical Professionals Face

Medical professionals often deal with income from several sources and rules that are not always straightforward. Our Medical Accountants in Harrow help make sense of these pressures.

  • Keeping NHS, private practice, locum and consultancy income clearly separated and correctly recorded
  • Understanding which professional expenses and subscriptions may be allowable, as treatment depends on individual circumstances
  • Managing medical indemnity costs, training and registration fees within accurate bookkeeping records
  • Meeting Self Assessment deadlines when income comes from multiple employers or contracts
  • Choosing an appropriate business structure, such as sole trader, partnership or limited company
  • Handling payroll, pension contributions and VAT where the practice or individual is registered

Medical Accountants Who Understand Your Working Life

Working with accountants who regularly support medical professionals means fewer explanations and more practical guidance on the income structures you actually use. We keep communication clear, explain the reasoning behind our recommendations and help you stay organised throughout the year rather than only at filing time. As Medical Accountants in Harrow, we offer consistent support on bookkeeping, tax administration and business accounting as your circumstances change.

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 Way to Get Started

Getting started with our Medical Accountants in Harrow begins with a conversation about how you work and what you need help with, whether that is Self Assessment, practice accounts or bookkeeping. From there, we review your current records, income sources and deadlines, then confirm an approach that suits your circumstances. You then receive ongoing accounting and tax support, with clear points of contact when questions come up during 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

Our approach as Medical Accountants in Harrow is shaped around the way medical professionals and medical practices actually earn and report income. We tailor support to your mix of NHS, private, locum or consultancy work, helping with professional expenses, bookkeeping, tax administration and annual accounts. For practice owners, we can also assist with business accounting, payroll and VAT matters where these apply to your structure.

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

Support typically covers Self Assessment tax returns, annual accounts, bookkeeping, tax planning and payroll, with VAT and business accounting added where relevant to your circumstances. Medical practice owners may also need partnership or limited company accounts. We confirm the exact scope with you before any work begins.

They suit doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners who need help keeping their financial records and tax filings in order. If your income comes from several sources, or you are unsure which structure fits best, an initial discussion usually clarifies the position.

Yes. Many medical professionals receive income from NHS work, private patients or consultancy arrangements, and each source needs to be recorded and reported correctly. We help you organise those income streams, keep supporting records and understand what needs to be included on your tax return.

It depends on your individual circumstances. If you have untaxed income, self-employment or partnership income, or certain higher-rate obligations, a return is often required even where PAYE applies. We can review your situation and confirm whether a return is needed and by when.

Commonly considered items include medical indemnity cover, professional body subscriptions, registration fees and relevant training, though whether a specific cost qualifies depends on your individual circumstances and the reason it was incurred. We review expenses case by case rather than applying a blanket rule, and we keep the supporting records tidy.

Yes. We can maintain regular bookkeeping, reconcile income and expenditure, and prepare VAT returns where the practice is registered, including making sure the correct scheme and treatment are applied. For many practices this also links into payroll, pension contributions and management information.

There is no single answer that suits everyone. The right structure depends on your income levels, how you work, your plans for the future and the tax treatment of your circumstances. We talk through the practical differences so you can make an informed decision, and we can revisit it as your work develops.

Simply get in touch and we will discuss your current arrangements, existing accountant and any outstanding filings or deadlines. We can then handle the handover, request the records we need and set up a timetable that fits around your clinical commitments.

Speak to an Expert

Need specialist accounting support in Harrow? Speak to Medical Accountants who understand your income.

CruseBurke helps medical professionals and practices manage multi-source income, Self Assessment and bookkeeping without last-minute scrambling. Our Medical Accountants in Harrow provide clear tax guidance and dependable ongoing support, so your finances stay accurate and compliant.