Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Leyburn

CruseBurke provides practical accounting and tax support for medical professionals and medical businesses in Leyburn. We work with doctors, GPs, consultants, locum doctors and private practitioners, helping to keep NHS and private income, bookkeeping and records properly organised. Whether you are self-employed, a partner in a medical practice or running your own limited company, we help make sense of your accounts and tax position.

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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Who We Support Across the Medical Profession

We look after GPs, hospital doctors, consultants, locum doctors and private practitioners, along with medical practice owners and partners running established practices. Whether your income comes solely from the NHS or is a mix of NHS and private work, we help keep your accounts, tax and financial records in order.

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 and Tax Services 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.

Common Accounting Challenges for Medical Professionals

Medical professionals often juggle several income streams and a set of expenses that are specific to the profession. Keeping those records accurate and understanding how each element is treated for tax is where the real difficulty tends to sit.

  • Reporting a mix of NHS and private income correctly
  • Tracking locum, consultancy or freelance fees across multiple sources
  • Recording professional expenses such as indemnity cover and subscriptions
  • Keeping on top of Self Assessment deadlines and payments on account
  • Managing payroll and bookkeeping for a medical practice
  • Understanding how business structure, VAT registration and expenses affect your tax position

Accounting Support Built Around Medical Work

Working with an accountant who understands the accounting requirements of medical professionals means less time spent explaining how your income actually arises. We focus on clear communication, practical bookkeeping and accounts, and straightforward guidance on how different income structures and expenses are likely to be treated. Support continues throughout the year, so questions do not have to wait until a filing deadline.

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

It begins with a conversation about how you work, what your income looks like and what you need help with. We then review your accounting and tax requirements and agree a practical way forward, whether that is a single Self Assessment return or full bookkeeping, payroll and accounts for a medical practice. From there, we provide ongoing support so your records and filings stay up to date.

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.

Specialist Accounting Knowledge for Medical Professionals and Practices

Accounting support for medical professionals needs to reflect the reality of NHS salaried work, private fees, locum shifts and practice income side by side. We tailor bookkeeping, annual accounts, tax administration and business accounting to the way your income and expenses arise, and explain how each item is being treated along the way. Where something depends on your individual circumstances, we say so plainly rather than applying a blanket approach.

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 support doctors, GPs, consultants and medical practices with their day-to-day accounting, tax and compliance needs. That can include bookkeeping, annual accounts, Self Assessment, payroll, VAT and tax planning, depending on how your work and income are structured.

Our support is built for medical professionals and medical businesses, including salaried doctors, GP partners, consultants, locum doctors, private practitioners and medical practice owners. If you are not sure whether your circumstances fit, we are happy to talk it through with you.

NHS and private income can be reported and taxed in different ways, and the correct treatment depends on your individual circumstances and how each payment reaches you. We help you keep both streams clearly recorded so that your accounts and tax returns show an accurate picture.

Many medical professionals do need to file a Self Assessment tax return, particularly where there is locum income, private fees, untaxed income or earnings from more than one source. Whether it applies to you depends on your own circumstances, and we can confirm this and prepare the return on your behalf.

Typical items may include professional indemnity or medical defence cover, professional body subscriptions, registration fees, and certain equipment or travel costs. What can properly be claimed depends on individual circumstances and the reason for the expense, so we review each item before it goes into your accounts.

Yes. We can maintain accurate bookkeeping, prepare annual and management accounts, and run payroll for practice staff and partners where needed. Where a practice is VAT registered, we can also assist with VAT returns and the record keeping that supports them.

The most suitable structure depends on your income level, how you work and your longer-term plans, and there is no single answer that fits every medical professional. We can explain the practical differences and the tax implications before you make a decision.

Simply get in touch and tell us about your current accounting arrangements and what you need help with. Where you are happy for us to do so, we can manage the handover with your existing accountant and then confirm what information we need to keep your accounts and tax affairs current.

Speak to an Expert

Need Specialist Accounting Support in Leyburn? Let Us Simplify Your Medical Finances.

Mixed NHS and private income, locum fees and practice records can quickly become difficult to keep straight. CruseBurke provides bookkeeping, Self Assessment and tax planning shaped around medical professionals, so your figures stay accurate and your filings stay on time. Clear, practical support you can rely on throughout the year.