Chartered Medical Accountants for the Whole Healthcare Sector

Trusted Medical Accountants in London

Medical Accountants in London offering clear, practical accounting and tax support to doctors, GPs, consultants, locum doctors and medical practice owners. Whether your income comes through the NHS, private practice or a mix of both, we help with bookkeeping, annual accounts, Self Assessment, payroll and tax planning. Our approach is shaped around the realities of medical income, so your records stay accurate and your reporting stays on track. From individual practitioners to established medical practices, the support is built around the way you 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 Medical Professionals Across London

We work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners across London, along with the medical practices and clinics they run. Each has a different mix of NHS income, private fees, consultancy work or locum shifts, so the accounting support is shaped around the individual or the practice. Whether you are newly self-employed or managing an established practice, we help keep the numbers clear and the reporting 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 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 Facing Medical Professionals

Medical income often arrives from more than one source, and each stream can carry its own tax and reporting requirements. Keeping records tidy alongside clinical commitments is a common pressure, and it is where small oversights tend to build up over time.

  • Managing a mix of NHS income, private fees, locum shifts and consultancy earnings within one set of records
  • Tracking professional expenses such as medical indemnity, professional body fees, training and equipment, where the treatment of each item depends on individual circumstances
  • Keeping Self Assessment accurate when income, expenses and payments on account shift from year to year
  • Choosing and reviewing a business structure, whether sole trader, partnership or limited company, as your work develops
  • Handling payroll, pension contributions and VAT considerations for a practice that employs staff or engages several clinicians
  • Maintaining accurate, well-organised bookkeeping so accounts and tax returns are prepared without a last-minute scramble

Why Medical Professionals Choose Our Accountants

We understand the accounting requirements that come with medical work, from multiple income streams and professional expenses to deadlines that do not move. You get clear communication, practical support with bookkeeping and accounts, and tax guidance explained in plain English rather than jargon. As your circumstances change, whether you take on more private work or grow a practice, we stay on hand to keep your accounting arrangements aligned.

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 Process

Getting started is straightforward. We begin with an initial conversation about your income, your business structure and the accounting or tax areas where you need help. From there, we agree a clear way forward and provide ongoing support with your bookkeeping, accounts, Self Assessment and tax affairs as your circumstances evolve.

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 support is tailored to medical professionals and medical practices, from locum doctors and consultants to practice owners with employees and several income streams. That can include bookkeeping, annual accounts, tax administration, payroll, VAT support and business accounting, arranged around the way you actually work. Professional expenses, income sources and the most suitable structure are reviewed in context, so decisions are made with the full picture in mind.

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 Medical Accountants in London handle the accounting and tax work that comes with medical income, including bookkeeping, annual accounts, Self Assessment, payroll, tax planning and VAT support where it applies. We can also help with practice accounting, partnership accounts and choosing a suitable business structure. The aim is to keep your records accurate and your reporting compliant while you concentrate on clinical work.

We work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, as well as the medical practices and clinics they operate. Some clients work entirely within the NHS, others earn purely from private work, and many have a combination of both. Because income structures differ so much, the support is shaped around your own circumstances rather than a fixed template.

Yes. Bringing NHS earnings, private fees, locum shifts and consultancy income together in one Self Assessment is exactly the kind of work we handle regularly. We help you record each income stream correctly, review allowable expenses and understand payments on account. How individual items are treated depends on your own circumstances, and we will talk that through with you.

We do. Our Medical Accountants in London can maintain day-to-day bookkeeping, prepare management information, run payroll for practice staff and clinicians, and help with pension contributions and related reporting. This keeps the financial records behind your practice organised and up to date. The exact scope depends on the size of the practice and the systems you already use.

Costs such as medical indemnity cover, professional body subscriptions, training and certain equipment are commonly reviewed as part of medical accounts and Self Assessment. Whether a particular expense is allowable depends on your individual circumstances, including how the cost relates to your work and how you are structured. We review your expenditure and explain what can reasonably be claimed.

VAT registration depends on your taxable turnover and the nature of the services you provide. Some medical services are exempt, while other private work may be treated differently, so the position is not the same for everyone. Our Medical Accountants in London can review your income and advise on whether registration applies to you and what it means for your fees.

There is no single answer, because the right structure depends on your income levels, how you work and your longer-term plans. Locum doctors, consultants and practice owners often have quite different considerations, including tax treatment and administrative responsibilities. We can talk through the options and help you review your structure as your work changes.

Switching is usually straightforward. We ask for some basic details about your income and current arrangements, then contact your existing accountant for the relevant records with your authorisation. From there we agree the services you need and provide ongoing support with your bookkeeping, accounts and tax affairs. You can get in touch at any point in the tax year to begin.

Speak to an Expert

Need Medical Accountants in London? Get Specialist Support You Can Rely On.

Juggling NHS payslips, private fees and locum income can make tax deadlines feel relentless. CruseBurke’s Medical Accountants in London keep your bookkeeping, Self Assessment and payroll organised, so nothing slips through. You get clear answers and steady support throughout the year.