Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Lancaster

CruseBurke provides accounting and tax support for medical professionals and medical businesses across Lancaster. Whether you are a GP, hospital doctor, consultant, locum doctor or private practitioner, we help you make sense of NHS and private income, practice accounts, bookkeeping and Self Assessment. Our aim is straightforward: clear numbers, sensible tax planning and support that fits around clinical work.

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 a broad range of medical professionals, including salaried doctors, GP partners, hospital consultants, locum doctors and private practitioners. Medical practice owners and practice managers also rely on us for bookkeeping, payroll, annual accounts and tax returns. Whatever your role, the focus stays on the accounting and tax needs that come with a medical career or medical business.

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.

Accounting Challenges Facing Medical Professionals

Medical professionals often deal with income and expenses that behave differently from those in most other careers. Bringing it all together accurately, and on time, is where many people need a helping hand.

  • Managing several income streams at once, including NHS work, private fees, locum shifts and consultancy payments
  • Keeping accurate records of professional expenses, such as medical indemnity cover, professional subscriptions and equipment
  • Understanding which expenses can be claimed and how they are treated, which depends on individual circumstances
  • Meeting Self Assessment deadlines when income and expenses change from one year to the next
  • Choosing a suitable business structure, whether that means working as a sole trader, in a partnership or through a limited company
  • Dealing with VAT registration and reporting where turnover or the nature of your services means it applies

Why Medical Professionals Choose Us

Working with an accountant who understands medical income makes a real difference to how straightforward your finances feel. We explain things in plain language, keep communication clear and offer practical support whether you are employed, self-employed or running a medical practice. From tax guidance to ongoing bookkeeping and accounts, you get continuity rather than a once-a-year scramble.

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.

Our Simple Three-Step Process

Getting started is straightforward. Begin by getting in touch and telling us about your work, your income sources and what you need from an accountant. From there, we discuss your accounting and tax requirements in detail and put the right ongoing support in place, reviewing it 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 approach is shaped around the realities of medical work, from mixed NHS and private income to professional expenses and practice administration. Support can be tailored to suit individual medical professionals, partners and limited companies, covering bookkeeping, accounts preparation, tax administration and business accounting. As your circumstances change, the support can adapt with them.

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

Support typically covers Self Assessment, annual accounts, bookkeeping, payroll and tax planning, with Corporation Tax and VAT assistance available where relevant. Exactly what you need depends on how you work and how your income is structured, so we agree the scope with you before anything begins. The aim is to keep your records accurate and your filings on time.

They are designed for medical professionals and medical businesses, including GPs, hospital doctors, consultants, locum doctors and private practitioners. Medical practice owners and partners also come to us for bookkeeping, payroll, accounts and tax returns. If your work involves NHS income, private fees or a mix of both, the support can be shaped around that.

Yes. Many medical professionals receive income from more than one source, and each source can be taxed or reported differently. We look at your overall position, keep the records organised and make sure the right figures reach the right place. How income and expenses are treated always depends on your individual circumstances.

Not everyone does, but self-employment, partnership income, untaxed private fees and certain other sources usually mean a return is required. We can confirm your position and handle the return for you where one is needed. If your circumstances change during the year, it is worth reviewing whether your filing obligations have changed too.

Commonly considered items include medical indemnity cover, professional subscriptions, registration fees and equipment used for work, though the position varies from person to person. Some costs are allowable in full, some partially, and some not at all, so each claim needs to be looked at on its own facts. We review your expenses carefully so you claim what is appropriate and no more.

There is no single answer that suits everyone, because the right structure depends on your income, how you work and your longer-term plans. A locum doctor working occasional shifts may have different considerations from a practice owner with partners and staff. We can talk through the practical and tax implications so you can make an informed choice.

Yes, switching accountants is usually a smooth process. We ask for the details of your existing adviser, handle the handover of records and information, and pick up the work from an agreed point. You do not need to manage the transition yourself, and there is no need to wait until the end of a tax year.

Simply get in touch and tell us about your work, your income sources and what you would like help with. We will then discuss your accounting and tax requirements and set out how the ongoing support would work for you. From there, you can decide whether to proceed at a pace that suits you.

Speak to an Expert

Need Specialist Accounting Support in Lancaster? CruseBurke Keeps Your Medical Finances in Order.

Juggling NHS and private income can make tax and bookkeeping difficult to keep on top of. CruseBurke provides practical Self Assessment and payroll support for medical professionals across Lancaster, so your finances stay accurate, organised and ready when deadlines arrive.