Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Houghton Le Spring

CruseBurke provides specialist accounting and tax support to doctors, GPs, consultants and locum doctors in Houghton Le Spring. Whether your income comes from the NHS, private practice or a combination of both, we can help with bookkeeping, annual accounts and Self Assessment. Medical practices also receive ongoing support with payroll, VAT and tax planning where those services are needed.

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 We Support in Houghton Le Spring

We work with GPs, hospital doctors, medical consultants, locum doctors and private practitioners, along with medical practice owners and partnership-based medical practices. Our focus stays firmly on the accounting and tax requirements that come with medical work, from NHS income to private fees. Whatever your setup looks like, we aim to make the numbers straightforward to manage.

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.

Practical Accounting Support 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 work rarely produces simple finances. Income often arrives from several sources at once, and keeping records accurate across all of them takes time that most medical professionals would rather spend on patients.

  • Separating NHS income from private fees and keeping clear records for both
  • Managing multiple income sources, including locum shifts and consultancy work
  • Recording professional expenses such as medical indemnity, subscriptions and training, where these are allowable
  • Keeping bookkeeping up to date across a full working week with little spare time
  • Completing Self Assessment accurately when income and circumstances change during the year
  • Choosing an appropriate business structure and understanding VAT considerations for medical practices

Why Medical Professionals Choose Our Support

Working with an accountant who understands medical income structures means fewer explanations and clearer answers. We keep communication straightforward, help you understand your tax position and provide practical support with bookkeeping, accounts and compliance. As your circumstances change, our guidance changes with them.

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 Way to Get Started

Getting started begins with a conversation about your work, your income sources and what you need from an accountant. We then talk through your accounting and tax requirements and agree how the work will be handled. From there, you receive ongoing support that fits your circumstances rather than a fixed template.

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 is tailored to medical professionals, medical practices and the mix of income sources that come with them. That includes careful recording of professional expenses, well-maintained bookkeeping, and clear help with tax administration and business accounting. The aim is straightforward support that reflects how you actually work.

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 look after the accounting and tax affairs of doctors, GPs, consultants, locum doctors and medical practices. That can include bookkeeping, annual accounts, Self Assessment, Corporation Tax, payroll and VAT returns where they apply. The exact mix depends on your circumstances and how your income is structured.

Our services suit medical professionals at most stages of their career, from locum doctors and private practitioners to consultants and medical practice owners. Sole traders, partnerships and limited companies can all be supported. If you are unsure which category fits you, we can talk it through during an initial conversation.

Yes. Many medical professionals receive income from more than one source, and each needs to be reported correctly on your tax return. We can help gather the figures, consider allowable expenses and prepare the return in good time. The tax treatment of specific items depends on your individual circumstances, so we review each case on its own merits.

Expenses like medical indemnity cover, professional subscriptions and certain training costs may be allowable, but the position depends on your individual circumstances and the nature of the expense. We review what you have paid and identify what can reasonably be claimed. Where something is uncertain, we explain the reasoning clearly rather than guessing.

Bookkeeping is worthwhile for most locum doctors because income arrives from several places and records need to be accurate for your tax return. Good records also reduce time spent chasing figures at the end of the tax year. We can either maintain the records for you or help you set up a simple system that works.

We can explain how sole trader, partnership and limited company structures typically work for medical professionals and medical practices. Each has different implications for tax, administration and record keeping, and the right answer depends on your circumstances. We set out the practical differences so you can make an informed decision.

VAT treatment for medical services and medical practices is not always straightforward, and some services may fall outside the scope of VAT while others do not. Where VAT registration or reporting is relevant, we help you understand your obligations and keep the paperwork in order. Whether VAT applies depends on the services you provide and your individual circumstances.

Switching usually means letting your current accountant know and giving us authority to act on your behalf, after which we handle the handover of information. Once your records are with us, we review your position and agree how the ongoing work will run. If you would rather start without changing anything yet, an initial conversation is a good first step.

Speak to an Expert

Need Medical Accountants in Houghton Le Spring? Let CruseBurke Help

Juggling NHS income, private fees and a full clinic list leaves little time for tax paperwork. CruseBurke provides Medical Accountants support with Self Assessment, bookkeeping and annual accounts, so nothing slips behind. Clear guidance, dependable records and support you can rely on.