Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Hayes

CruseBurke offers specialist accounting and tax support for medical professionals and medical businesses in Hayes. From doctors, GPs and consultants to locum doctors and private practitioners, we help with Self Assessment, annual accounts, bookkeeping, payroll and tax planning. Our focus is straightforward, accurate accounting that keeps your financial affairs organised throughout the year.

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 and Practices We Support in Hayes

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, as well as medical practice owners and partnerships running established medical practices. Each group has its own mix of income, expenses and reporting obligations, so the accounting support is shaped around how you actually work. Whether your income comes from NHS work, private fees or a combination of both, we help keep your records and your tax position in order.

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 and Tax Services Built Around Medical 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 often deal with finances that are more complex than a single salary would suggest. NHS and private income, locum work and consultancy fees can all arrive through different routes, each with its own record-keeping and tax implications, so keeping everything accurate and on time takes planning.

  • Managing several income sources, including NHS salary, private fees, locum shifts and consultancy income
  • Tracking professional expenses such as medical indemnity, professional subscriptions, training and equipment, where the treatment depends on individual circumstances
  • Keeping bookkeeping up to date when working patterns change from week to week
  • Meeting Self Assessment and payroll deadlines without falling behind during busy clinical periods
  • Choosing a business structure that suits your work, whether that is sole trader, partnership or a limited company
  • Understanding VAT considerations for private practice and other fee-based work where turnover and the services provided affect registration

Why Medical Professionals in Hayes Work With CruseBurke

We understand that medical professionals want Medical Accountants who recognise the difference between NHS income, private fees and locum earnings, and who can explain the tax position in plain language. Our approach is practical: clear communication, well-organised records and support that continues well beyond the tax return. You get guidance on the accounting questions that matter to your role, without jargon or unnecessary complexity.

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: you get in touch, we discuss your accounting and tax requirements, and then we put the right ongoing support in place. The conversation covers how you work, what income you receive and which deadlines apply to you. From there, we agree a clear way of working together and keep things moving 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.

Chartered Support for Medical Professionals and Medical Practices

Our accounting support is tailored to medical professionals and medical practices rather than a one-size-fits-all approach. We look at your different income sources, professional expenses, bookkeeping requirements, tax administration and business accounting needs, then build a sensible plan around them. As your circumstances change, the support can be adjusted so your records stay accurate and your reporting stays on schedule.

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 Hayes work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners. They provide accounting, bookkeeping and tax support shaped around the way medical professionals earn and report their income. If your work involves NHS income, private fees or a mixture of both, the accounting approach is built around those arrangements.

Support can include Self Assessment, annual accounts, bookkeeping, payroll, Corporation Tax, business accounting and tax planning, with VAT support where it applies. Not every medical professional needs every service, so the work is agreed around your role, business structure and income sources. We also help with questions about allowable expenses and how different types of income are treated.

Locum doctors, consultants and others with untaxed income or income from several sources often need to complete a Self Assessment tax return, although this depends on individual circumstances. HMRC rules look at total income, how it has already been taxed and whether anything remains to be declared. We can review your position and handle the return and any related correspondence.

Yes. Receiving NHS income alongside private fees is common, and it usually means keeping separate, accurate records so that each stream is reported correctly. We help you track that income, understand what can be claimed and make sure the figures in your accounts and returns match what you have actually earned.

Medical indemnity, professional subscriptions, training and certain equipment costs may be allowable, but the treatment depends on individual circumstances and how the expense relates to your work. Keeping receipts and clear records makes the position far easier to support. We can review your expenses and explain what is likely to be claimable before anything is submitted.

VAT registration depends on taxable turnover, the services provided and whether any exemptions apply, so it is not a straightforward yes or no for every medical practice. Some private fees and other services may be treated differently from NHS work. We can review your position and explain the practical implications before you register or make changes.

Sole trader, partnership and limited company structures each carry different reporting and tax obligations, and the right choice depends on your income, your plans and how you want to work. There is no single answer that suits everyone. We can talk through the practical differences so you can make an informed decision.

Yes. Switching is usually a simple process: we contact your existing accountant for the relevant records, confirm what is needed and make sure nothing is missed at the handover. If you are partway through a tax year, we can take over the remaining deadlines and keep your filings on track.

Speak to an Expert

Expert Medical Accountants in Hayes Who Understand Your Income. Let's Talk.

Juggling NHS pay, locum shifts and private fees can make tax deadlines feel overwhelming. CruseBurke provides Medical Accountants in Hayes who handle your Self Assessment, bookkeeping and tax planning with clarity. You get practical support and straight answers when you need them.