Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Lee-on-the-Solent

CruseBurke provides accounting and tax support for medical professionals and medical businesses in Lee-on-the-Solent. We work with doctors, GPs, medical consultants, locum doctors and medical practice owners who need help with NHS and private income, annual accounts, bookkeeping and Self Assessment. Whether you are newly self-employed or running a well-established medical practice, we help you keep accurate records, understand your tax position and plan ahead with confidence.

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 Work With Across Lee-on-the-Solent

We support doctors, GPs, medical consultants, locum doctors and private practitioners, as well as medical practice owners and partners. Our medical accounting work also covers clinics and medical practices that need reliable bookkeeping, accounts and tax support. Whatever your role or business structure, the focus stays firmly on the accounting needs of medical professionals.

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.

Our Medical Accounting Services, Explained Clearly

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 professionals often deal with income and expenses that are more varied than a standard employed role. Keeping track of it all, while staying on top of deadlines, can become difficult without the right support.

  • Managing NHS income alongside private fees, with different records and reporting needs
  • Multiple income sources, including locum shifts, consultancy work and part-time practice roles
  • Professional expenses such as medical indemnity cover, subscriptions and training, where treatment depends on individual circumstances
  • Keeping accurate bookkeeping records throughout the year rather than scrambling at the deadline
  • Self Assessment filing, payments on account and understanding how tax is calculated on mixed income
  • Choosing and maintaining a suitable business structure, plus VAT considerations where turnover and activities require registration

Why Medical Professionals Choose Our Support

We understand that medical professionals have limited time and need accounting support that is clear, practical and easy to act on. We explain your position in plain English, help you understand how different income streams and expenses fit together, and keep you informed about upcoming tax deadlines. Support continues throughout the year, so you are not left waiting once your accounts or tax return have been filed.

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 Straightforward

The first step is to get in touch and tell us how you work, whether that is as a locum doctor, a GP, a consultant or a medical practice owner. We then talk through your accounting and tax requirements, including what records you hold and what deadlines apply. From there, you receive ongoing support suited to your circumstances, with clear communication at every stage.

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 accounting support is shaped around how medical professionals actually earn and spend, from NHS payments and private fees to professional expenses and practice overheads. We help with bookkeeping, tax administration, annual accounts and business accounting so that your records stay accurate and your filings are submitted on time. Where your circumstances raise more complex questions, we set out the options clearly so you can make informed decisions.

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

Our work typically covers annual accounts, Self Assessment tax returns, bookkeeping, payroll, Corporation Tax, tax planning and VAT support where it applies to you. Because medical professionals work in different ways, the exact mix depends on whether you are employed, self-employed, a locum doctor or running a medical practice. We agree the scope with you before any work begins.

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, along with clinics and practices that need ongoing accounts and bookkeeping support. Some clients are sole traders, while others trade through a limited company or partnership. If you are unsure which category fits you, we can help you work it out.

NHS income and private fees are usually recorded and reported differently, so it helps to keep both sets of records clear and well organised. We help you track each income stream, reconcile payments and understand how the totals feed into your tax return. The correct treatment depends on your individual circumstances, so we review your position before advising.

Locum doctors are often treated as self-employed for at least part of their work, which usually means registering with HMRC and filing a Self Assessment tax return. Agency and direct locum work can be taxed differently, and payments on account may apply. We can review your arrangements and confirm what is required in your case.

Commonly considered expenses include medical indemnity cover, professional body subscriptions, required training and certain equipment, but whether a cost is allowable depends on your individual circumstances and how it relates to your work. We help you separate genuine business costs from personal spending and keep the supporting records you may need. Where the position is unclear, we explain the reasoning rather than simply applying a blanket rule.

Yes. We can maintain your bookkeeping, prepare management information, handle payroll and assist with VAT registration and returns where your practice turnover or activities require it. Good records throughout the year make annual accounts and tax filings far smoother. We can work with your existing systems or help you put better ones in place.

There is no single answer that suits every medical professional, as the right structure depends on your income levels, how you work and your longer-term plans. A limited company may suit some consultants and practice owners, while others are better served as a sole trader or within a partnership. We talk through the practical tax and administrative implications so you can decide with confidence.

Getting started usually begins with a conversation about how you work, your current accounting arrangements and any deadlines approaching. If you decide to move across, we can contact your existing accountant and request the information needed to take over smoothly. Once set up, you receive ongoing support and clear explanations of anything that needs your attention.

Speak to an Expert

Struggling With NHS and Private Income Tax? We Make It Simpler.

CruseBurke helps medical professionals and practices stay on top of mixed income, with clear bookkeeping, Self Assessment and tax planning support. Practical guidance and plain English keep your finances in order all year round.