Chartered Medical Accountants for the Whole Healthcare Sector

Trusted Medical Accountants in Kirkwall

CruseBurke provides specialist accounting and tax support for medical professionals and medical businesses in Kirkwall. Whether you are a GP, hospital doctor, consultant, locum doctor or private practitioner, we help with bookkeeping, annual accounts, Self Assessment and tax planning. Our team understands how NHS and private income sit together, along with medical practice accounting and the compliance requirements that come with them.

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

Medical Professionals We Support Across Kirkwall

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, along with medical practice owners and partners running established medical practices. Whether your income comes from NHS work, private patients, locum shifts or a mix of sources, the focus stays on accounting that reflects how medical professionals actually earn. Medical practices looking for help with partnership accounts, payroll and day-to-day bookkeeping are equally well supported.

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 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 income and record-keeping demands that differ from most other professions. Bringing together NHS work, private practice and locum income can make tax reporting far more involved than expected.

  • Managing combined NHS and private income, where different payment streams need to be recorded accurately throughout the year
  • Keeping track of multiple income sources, including locum shifts and consultancy work, so nothing is overlooked at year end
  • Recording professional expenses such as medical indemnity cover, subscriptions and equipment, where the treatment can depend on individual circumstances
  • Maintaining accurate bookkeeping as the year progresses instead of reconstructing records close to a filing deadline
  • Choosing and reviewing a business structure, since the most suitable option depends on your income, plans and personal circumstances
  • Handling VAT considerations on private practice work, where registration and treatment depend on your turnover and the services you provide

Why Choose Our Medical Accountants in Kirkwall

Working with an accountant who understands medical income makes a practical difference, because the mix of NHS work, private fees and locum income rarely fits a standard template. We keep communication clear and straightforward, explain the reasoning behind our guidance, and help you plan ahead rather than simply reacting to deadlines. Support continues throughout the year, covering bookkeeping, tax guidance and the accounts requirements that apply to your particular setup.

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 Straightforward Three-Step Start to Support

Getting started is simple. You contact us and tell us briefly about your medical work and the accounting or tax help you are looking for, then we discuss your income sources, records and deadlines in more detail. From there, we agree the support that suits you and provide ongoing assistance 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.

Chartered Accountants Experienced With Medical Professionals

Our Medical Accountants in Kirkwall tailor their approach to medical professionals and medical practices, recognising that income may arrive through NHS work, private practice or a combination of both. Support can cover bookkeeping, tax administration, business accounting and the accurate treatment of professional expenses, adapted to how your work is structured. Because every medical professional’s position is different, we take time to understand yours before suggesting a course of action.

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

They handle the accounting and tax work that sits behind your medical income, including annual accounts, Self Assessment tax returns, bookkeeping, payroll and tax planning. The aim is to keep your records accurate and your filings on time, while helping you understand the tax position you are in.

They suit doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners or partners. Whether you work mainly within the NHS, run a private practice or combine both, the accounting support can be adapted to your income structure and how your work is arranged.

NHS earnings, private fees and locum income are usually reported together, but the way each is recorded and the expenses offset against them can differ. We gather the relevant figures, check that nothing has been missed and make sure the return reflects the actual nature of your work.

Many doctors, consultants and locum doctors do need to file a Self Assessment tax return, particularly where they have income outside standard PAYE arrangements or multiple sources of earnings. Whether you are required to file depends on your individual circumstances, so it is worth reviewing your position each year.

Yes. We can maintain day-to-day bookkeeping for medical practices and assist with VAT registration and returns where the services you provide make this relevant. VAT treatment depends on your turnover and the nature of your services, so we review the specifics before advising on the most suitable approach.

Many costs associated with medical work, such as indemnity cover, professional subscriptions and necessary equipment, may be allowable, but the treatment depends on your individual circumstances and how the expense relates to your income. We review each expense carefully and explain what can reasonably be claimed before the return is submitted.

There is no single answer that suits every medical professional. The right structure depends on your level of income, how you work, your plans for the future and your personal circumstances, so we discuss the options with you and outline the practical tax and administrative implications of each.

Switching is usually straightforward. Get in touch with a summary of your current arrangements and we will discuss your requirements, request the relevant information from your existing accountant where needed, and agree how ongoing support will work before anything is transferred.

Speak to an Expert

Need Medical Accountants in Kirkwall? Let Us Handle the Numbers

Juggling NHS and private income can make tax feel far more complicated than it should. CruseBurke offers practical bookkeeping and Self Assessment support for medical professionals in Kirkwall, keeping records accurate and filings on time. Speak with us about straightforward accounting support.