Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in High Wycombe

Looking for Medical Accountants in High Wycombe? CruseBurke supports doctors, GPs, consultants, locum doctors and medical practice owners with accounting and tax that fits the way they work. We help with NHS and private income, bookkeeping, annual accounts, Self Assessment, payroll and Corporation Tax, so your records stay accurate and your obligations stay clear. You can spend your time on patients and patients’ care, not paperwork.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

Posted on Google Google
Jamie Fletcher profile picture
Jamie Fletcher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Mansur Liman profile picture
Mansur Liman
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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
Posted on Google Google
Muna Mohamoud profile picture
Muna Mohamoud
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Sergey M profile picture
Sergey M
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Ebba Qureshi profile picture
Ebba Qureshi
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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 .
Posted on Google Google
Mael Leboucher profile picture
Mael Leboucher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
3rd Hub profile picture
3rd Hub
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
Posted on Google Google
Martin Tyrrell profile picture
Martin Tyrrell
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Matthew Lyon profile picture
Matthew Lyon
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Supporting Medical Professionals Across High Wycombe

We work with doctors, GPs, hospital consultants, locum doctors and private practitioners, along with medical practice owners and partners running established practices. Whether you are employed, self-employed or a mix of both, we tailor our support to the income streams and structure you actually have. The focus stays firmly on medical accounting and the financial questions medical professionals face.

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 Built for 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 income rarely arrives in a single, tidy stream, and that is where the accounting pressure usually builds. From NHS payslips to private fees and locum work, keeping everything accurate and correctly reported takes care and attention.

  • Keeping NHS income and private income clearly separated and correctly recorded.
  • Managing multiple income sources such as locum shifts, consultancy work and private practice fees.
  • Tracking professional expenses including medical indemnity cover, subscriptions and training, where relief depends on individual circumstances.
  • Meeting Self Assessment deadlines when income levels and working patterns change from year to year.
  • Choosing and maintaining a business structure that suits your practice or consultancy arrangements.
  • Handling payroll and VAT obligations where these apply to your medical business.

Why Medical Professionals Choose Our Accountants

Working with an accountant who understands medical income makes everyday finances far less stressful. We keep communication clear, explain the tax position in plain English, and support you through Self Assessment, payroll and business accounting as your working arrangements change. You deal with a team familiar with different income structures, and you get ongoing support without jargon or inflated promises.

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 Simple Three-Step Process to Get Started

Getting started is straightforward. First, get in touch and tell us about your work, your income and any existing accounting arrangements, and we will then talk through exactly what you need, from bookkeeping and Self Assessment to annual accounts. From there you receive ongoing support that keeps your records accurate and your tax obligations clear 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.

Accounting Support Built Around Medical Professionals

Accounting support can be shaped around the way medical professionals and medical practices actually operate, whether income comes from NHS work, private practice or a combination of the two. That includes keeping bookkeeping accurate, managing tax administration, preparing business accounting records and identifying which professional expenses may be relevant to you. Because tax treatment depends on individual circumstances, guidance is always tailored to your own position rather than applied as a blanket rule.

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 High Wycombe support doctors, GPs, consultants, locum doctors and medical practice owners with the accounting and tax side of their work. That can include bookkeeping, annual accounts, Self Assessment, payroll, Corporation Tax and tax planning, depending on how you work and what income you receive.

The service is built for people working in medicine, including salaried doctors, locum doctors, private practitioners, consultants and the owners of medical practices. The exact support depends on your circumstances, so we look at your income sources and business structure before recommending anything.

Yes. Many medical professionals receive income from more than one source, such as NHS salary, private fees, locum shifts or consultancy work, and each needs to be recorded correctly. We help you keep those streams separate, understand the tax position and make sure the right figures reach the right place. How each element is taxed depends on your individual circumstances.

Not everyone does, but many medical professionals will, particularly where there is self-employed income, private practice earnings or other income that has not been taxed at source. We can review your position, confirm whether a return is required and, where it is, prepare and submit it accurately and on time.

Typical items include professional body subscriptions, medical indemnity cover, training and certain equipment, but whether relief is available depends on your individual circumstances and how closely the expense relates to your work. Rather than apply broad rules, we review what you actually pay for and explain what can realistically be claimed.

We can manage bookkeeping for medical professionals and medical practices, keeping records accurate, organised and up to date. Where your turnover means VAT registration is needed, we can help with registration, returns and ongoing VAT reporting, though VAT treatment depends on the specific services you provide.

The right structure depends on your income levels, how you work and what you plan to do next. We can explain the practical differences between sole trader, partnership and limited company arrangements for medical professionals, including the tax and administrative implications, so you can make an informed decision with confidence.

Switching is usually simpler than people expect. Send us your details, and we will discuss your circumstances, review what you currently have in place and agree a clear way forward, managing the handover from your existing accountant as part of the process.

Speak to an Expert

Need Accounting Support Made for Medical Professionals? Let's Talk

Mixed NHS and private income, rising expenses or an overdue Self Assessment can become stressful quickly. CruseBurke offers practical accounting and tax support for medical professionals, keeping your records accurate and your obligations clear. Speak with our team to see how we can help.