Chartered Medical Accountants for the Whole Healthcare Sector

Trusted Medical Accountants in Malmesbury

CruseBurke provides Medical Accountants in Malmesbury supporting doctors, GPs, consultants, locum doctors and medical practices with their accounting and tax affairs. We help medical professionals manage NHS and private income, bookkeeping, Self Assessment, payroll and annual accounts. Whether you work as a sole trader, in a partnership or through a limited company, our team offers clear, practical guidance throughout the year.

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 support across Malmesbury

We support doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, along with the practices and clinics they run. Our work focuses on the accounting and tax needs of medical professionals, from routine bookkeeping and payroll to accounts preparation and tax planning. Whatever mix of NHS and private income you have, the approach is built around your circumstances.

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.

Clear, practical accounting 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 medical professionals face

Medical professionals often deal with several income streams, varying pay arrangements and expenses that need careful record keeping. Keeping everything accurate and reported correctly can be demanding alongside a clinical workload.

  • Separating NHS income from private fees and locum earnings
  • Keeping accurate records across multiple employers and pay structures
  • Understanding which professional expenses may be claimed, which depends on individual circumstances
  • Meeting Self Assessment and payment on account deadlines
  • Choosing between sole trader, partnership and limited company structures
  • Managing VAT where practice turnover or private work brings it into scope

An accountant who understands medical income

Working with an accountant who understands medical income means fewer explanations about NHS payslips, private fees, locum work and professional expenses. We focus on clear communication, practical support and helping you keep your records and filings in order throughout the year. As your circumstances change, we are on hand to review the position and guide you on the next steps.

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 takes three straightforward steps

Getting started is straightforward: get in touch to tell us about your work and what you need help with, then we will discuss your accounting and tax requirements in plain terms. From there, we put the right ongoing support in place, whether that is annual accounts, Self Assessment, bookkeeping or payroll, and stay available 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 their practices

Our medical accounting support is tailored to medical professionals and medical practices, taking account of different income sources, professional expenses, bookkeeping requirements and business structures. We help with tax administration, annual accounts and ongoing business accounting, keeping the detail appropriate to how you work. The aim is well-organised accounting support that fits around clinical commitments.

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 in Malmesbury provide accounts preparation, bookkeeping, Self Assessment, payroll, VAT support and tax planning for doctors, GPs, consultants, locum doctors and medical practice owners. The services you need depend on how your income is structured and whether you work through a practice, a limited company or as a sole trader, so we discuss your circumstances before recommending anything.

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, along with the practices themselves. Whether you receive NHS income, private fees or a mixture of both, the accounting approach is tailored to your situation rather than applied in a standard way.

Yes. Combining NHS pay, private fees and locum or consultancy income often means multiple payslips, pension contributions and varying tax codes, which can make record keeping and tax reporting more involved. We help you keep those income streams organised and make sure the figures reported to HMRC reflect your actual circumstances.

Many medical professionals need to complete a Self Assessment tax return, particularly where you have private income, locum earnings, consultancy fees, rental income or untaxed savings. Whether a return is required depends on your individual position, and we can confirm your obligations and prepare the return on your behalf.

Commonly claimed items include professional body subscriptions, medical indemnity insurance, registration fees, equipment, relevant mileage and a proportion of home office costs where they are used for work. What you can claim depends on your individual circumstances and the purpose of the expense, so it is worth reviewing your records with an accountant before submitting anything.

Yes, we can look after your bookkeeping and payroll, including payslips, pension contributions and RTI submissions for medical practices with employees. Keeping records accurate and up to date throughout the year makes the accounts and tax return process far smoother at the end of it.

Whether a medical practice needs to register for VAT depends on its taxable turnover and the specific services it provides, and some medical services fall outside the scope of VAT altogether. Because the rules can be nuanced, we review your turnover and activities before advising on registration and ongoing VAT returns.

Switching accountants is usually straightforward. We can contact your existing accountant on your behalf, request the relevant records and pick up your accounting from an agreed date so that filing deadlines are not missed.

Speak to an Expert

Need accounting support for your medical income? Let's talk

Juggling NHS payslips, private fees and locum income can make tax reporting feel complicated. CruseBurke provides Medical Accountants in Malmesbury who handle Self Assessment, bookkeeping and payroll, so your records stay accurate and deadlines are met. Clear guidance, whenever you need it.