Chartered Medical Accountants for the Whole Healthcare Sector
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We help online coaches and advisors with accurate cloud-based accounting support.
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.
Medical professionals often deal with income streams and reporting requirements that are more complex than a standard payroll situation. Our Medical Accountants help you bring those threads together into records that are accurate, consistent and easy to understand.
We act for medical clients across London and understand London weighting and high-cost area supplements.
Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.
Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.
Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.
Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
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.
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.
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.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your practice, your income mix and your pension position.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Medical Accountants handle the accounting and tax work that sits behind your clinical income, which can include bookkeeping, annual accounts, Self Assessment, payroll and tax planning. At CruseBurke, we work with medical professionals and medical practices to keep records accurate and reporting deadlines under control. The exact scope depends on your role and how you are structured.
They suit doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, whether you work as a sole trader, within a partnership or through a limited company. If you have a mix of NHS and private income, or several different contracts, our Medical Accountants can help bring that together. If you are unsure whether your circumstances fit, it is worth a conversation.
Yes. Many medical professionals receive income from more than one source, and the way each element is taxed can differ depending on your circumstances. Our Medical Accountants help you record and report those income streams accurately through Self Assessment and, where relevant, company accounts. We will explain what applies to your situation rather than assuming a single approach.
Allowable expenses typically relate to costs incurred wholly and exclusively for your work, and common examples include professional subscriptions, some medical indemnity costs and certain travel. However, relief is not automatic and treatment depends on individual circumstances, so it is important not to assume a cost will qualify. Our Medical Accountants review your outgoings and advise on what can reasonably be included.
Yes, we support medical practices with bookkeeping, payroll and accounting administration, alongside year-end accounts. Reliable records make it far easier to see how a practice is performing and to meet reporting obligations without unnecessary pressure. We can work with your existing systems or help you put a clearer process in place.
Whether VAT registration is required depends on your taxable turnover and the nature of the services you provide, and some medical services are treated differently from others. Our Medical Accountants can review your position and explain the implications before you make any decisions. Because VAT treatment depends on individual circumstances, we look at your specific activities rather than applying a general rule.
There is no single right answer, as the most suitable structure depends on your income levels, working patterns and long-term plans. Some medical professionals operate as sole traders, others through partnerships or limited companies, and each option carries different tax and administrative considerations. Our Medical Accountants talk through the practical implications so you can make an informed choice.
Getting started is usually straightforward, and we can liaise with your existing accountant to obtain the records and information we need. Once we understand your accounting and tax requirements, we agree how the work will be handled going forward. From that point you have ongoing support for bookkeeping, accounts, Self Assessment and any questions that come up.
