Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Kings Langley

CruseBurke provides practical accounting and tax support for medical professionals and medical businesses in Kings Langley. From doctors, GPs and medical consultants to locum doctors and private practitioners, we help with bookkeeping, annual accounts, Self Assessment and tax planning. Whether your income comes from NHS work, private fees or a mix of both, our focus is on keeping your records accurate and your tax position clear. We also work with medical practices on payroll, VAT and business accounting where it applies.

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 Doctors, GPs, Consultants and Medical Practices

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners across Kings Langley. Our support is built around the way medical professionals actually earn, whether that is NHS income, private fees, locum shifts or a combination of several sources. Medical practices also come to us for bookkeeping, payroll and business accounting that reflects how their practice is structured.

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 Shaped Around 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 Facing Medical Professionals

Medical professionals often deal with several income streams, complex expense rules and strict deadlines at the same time. Keeping on top of all of it while working clinical hours is rarely straightforward, and small oversights can create avoidable pressure later.

  • Keeping NHS income, private fees and locum earnings separate and properly recorded
  • Understanding which professional expenses can be claimed, as treatment depends on individual circumstances
  • Recording medical indemnity, subscription and training costs accurately in your books
  • Managing Self Assessment deadlines alongside a demanding clinical schedule
  • Choosing the right business structure, whether as a sole trader, partner or limited company
  • Handling payroll, pension contributions and VAT considerations where they apply to your practice

Accounting Support That Understands Medical Professionals

Working with an accountant who understands medical income makes a real difference to how smoothly your finances run. We explain things in plain English, keep communication clear and adapt our support to the way you earn, whether that is through NHS work, private practice or both. You get practical tax guidance and ongoing support, so decisions about your accounts and business structure are made with proper information.

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.

Getting Started Is Simple and Straightforward

The first step is to get in touch and tell us a little about your work and what you need help with. We then talk through your accounting and tax requirements in detail, including your income sources, records and current structure, and agree what support is appropriate. From there, you receive ongoing help with your accounts, tax and bookkeeping as your circumstances change.

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 support is tailored to medical professionals and medical practices, taking account of NHS income, private fees, locum work and consultancy earnings where they apply. We help with professional expenses, bookkeeping, tax administration and business accounting in a way that matches how you actually work. Where your circumstances raise a specific question, such as a structure or VAT point, we explain the options and the treatment that applies to you.

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

The service typically covers annual accounts, Self Assessment, bookkeeping support, Corporation Tax and tax planning, with payroll and VAT support included where they are relevant to you. We agree the scope at the outset based on your income sources and business structure, so you know exactly what is being handled on your behalf.

We work with doctors, GPs, medical consultants, locum doctors, private practitioners, medical practice owners and medical practices. Some clients are sole traders, some work through a limited company, and some have a mix of NHS and private income alongside locum or consultancy work.

Yes. Multiple income sources are common in medical work, and we help you keep them recorded separately so your accounts and tax returns are accurate. How each source is reported depends on your individual circumstances, and we explain that clearly before anything is submitted.

We review the costs you incur in the course of your work, which can include medical indemnity, professional subscriptions, training and equipment. Whether a particular expense can be claimed depends on your individual circumstances, so we look at each item rather than assuming a blanket treatment.

Many medical professionals do, particularly where there is self-employed income, untaxed income or higher-rate earnings. Whether you need to file depends on your individual circumstances and total income, and we can confirm your position and manage the return on your behalf.

Yes. We can work with the records you already keep or set up a straightforward bookkeeping routine that fits around your clinical schedule. Accurate, up-to-date records make your year-end accounts, tax returns and any VAT work far easier to complete on time.

VAT treatment for medical services and practices is not straightforward, and whether registration is required depends on your individual circumstances and the services you provide. We look at what your practice does and advise on the position that applies to you.

Getting started is a simple process: contact us, tell us about your work and requirements, and we will discuss what support is appropriate. If you are moving from another accountant, we can handle the handover of information and communicate with your previous adviser on your behalf.

Speak to an Expert

Need Medical Accountants Who Understand Your Income? CruseBurke Makes It Straightforward

Juggling NHS income, private fees and locum work can make tax and bookkeeping feel overwhelming. CruseBurke provides Self Assessment and medical practice accounting support that keeps your records accurate and your deadlines met. Speak with our team and get clear, practical guidance you can rely on.