Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Lampeter

Medical Accountants in Lampeter provide accounting and tax support for doctors, GPs, consultants, locum doctors and medical practice owners. Whether you earn NHS or private income, run a practice or work through a company, we help with bookkeeping, annual accounts, payroll and Self Assessment. Our aim is to keep your financial records accurate and your tax position clear 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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Supporting Medical Professionals With Clear, Practical Accounting

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, along with medical practice owners and partners running medical practices. Each has a different mix of income, whether NHS, private fees, locum work or consultancy, so the accounting and tax approach should reflect that. Because our focus stays on medical professionals and medical businesses, the support remains relevant to how you actually work.

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 for Medical Professionals

Medical professionals often deal with a mix of income sources and expenses that change from year to year, which can make record keeping and tax reporting harder than it needs to be. Some of the challenges we commonly help with include:

  • Managing NHS and private income side by side, often with different payment cycles and record keeping needs
  • Keeping accurate records for locum shifts, consultancy work and other self-employed income
  • Claiming the right professional expenses, including medical indemnity and professional subscriptions, where these are allowable in your circumstances
  • Meeting Self Assessment and payment on account deadlines when income varies during the year
  • Running payroll for a medical practice, including salaried staff, partners or directors
  • Choosing and reviewing a business structure, with VAT considerations where registration is relevant

Why Medical Professionals Choose Our Accounting Support

We take time to understand how you earn your income, whether that is NHS work, private practice, locum shifts or a combination, so the accounting support fits your situation rather than forcing you into a template. Communication is clear and practical, with guidance on expenses, tax deadlines and record keeping explained in plain English. You receive ongoing support through the year, not just at filing time, so there are no surprises when Self Assessment or year-end accounts come around.

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 Start With Medical Accountants

Getting started is straightforward: simply get in touch and tell us about your work, your income and what you need help with. We then talk through your accounting and tax requirements, including bookkeeping, Self Assessment, payroll or medical practice accounting as relevant to you. From there you receive ongoing support that keeps your records in order and your filing on track.

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 Around the Needs of Medical Practices

Accounting support for medical professionals is tailored to the way you work, whether you are a locum doctor, a GP partner, a consultant with private fees or a medical practice owner. We help with bookkeeping, day-to-day tax administration, annual accounts, Self Assessment and business accounting across your different income sources. Professional expenses, business structures and VAT considerations are reviewed against your own circumstances, because the right treatment depends on your individual position.

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 Lampeter look after the accounting and tax needs of doctors, GPs, consultants, locum doctors and medical practices. Depending on your circumstances, that might include bookkeeping, annual accounts, Self Assessment tax returns, payroll, Corporation Tax, tax planning and VAT support where registration applies. The work is tailored to your income structure rather than applied as a fixed package.

They suit self-employed locum doctors, private practitioners, GP partners, consultants with mixed NHS and private income, and owners or directors of medical practices. If you are unsure whether your situation fits, a short conversation about your income sources and records is usually enough to work it out.

The two income streams are usually recorded separately so the figures are clear for both tax reporting and your own records, with NHS income often arriving through payroll and private fees invoiced directly. The right treatment depends on whether you are employed, self-employed or operating through a company, so we review your position before advising.

Common items include medical indemnity insurance and professional body subscriptions, but whether something is allowable depends on your circumstances and how the expense relates to your work. We review your outgoings, flag what may be claimable and help keep records that support the figures in your return.

Many medical professionals do, particularly where they have self-employed income, private fees, untaxed income or income from a partnership, while employed doctors with only taxed income may not. Because this depends on your individual position, we look at your income sources and confirm whether a return is needed and when it must be filed.

Yes. We can maintain day-to-day bookkeeping, reconcile income and expenses, prepare management information and run payroll for practice staff, partners or directors. Keeping records up to date through the year generally makes annual accounts and tax reporting simpler and less stressful.

Sole trader, partnership and limited company each carry different accounting and tax implications, and the right choice depends on your income, how you work and your future plans. VAT registration depends on your taxable turnover and the services you provide, so we explain when registration may be required and how returns work once you are registered.

Switching is usually straightforward: we handle the handover with your existing accountant, obtain the information we need and confirm any deadlines already in progress. You do not need to prepare anything complicated to start the conversation, and we explain each step as it happens.

Speak to an Expert

Need Accounting Support That Understands Medical Income? We Can Help.

CruseBurke supports medical professionals and practices in Lampeter with clear, practical accounting. If mixed NHS and private income or practice payroll is creating paperwork headaches, our bookkeeping and Self Assessment help can ease the load. Straightforward guidance and ongoing support you can rely on.