Chartered Medical Accountants for the Whole Healthcare Sector

Specialist Medical Accountants in Nelson

CruseBurke provides practical accounting and tax support for medical professionals and medical businesses in Nelson. Whether you are a GP, consultant, locum doctor or private practitioner, we help with Self Assessment, annual accounts, bookkeeping, payroll and tax planning. Our Medical Accountants understand the mix of NHS and private income, professional expenses and the record keeping that sits behind them, and we aim to make compliance straightforward 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 in Nelson

Our Medical Accountants work with GPs, hospital doctors, consultants, locum doctors and private practitioners, along with the owners of medical practices and clinics. We support both salaried and self-employed medical professionals, including those with a combination of NHS and private income. Whatever your structure, the focus stays on accurate records, clear reporting and tax handled properly.

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 several income streams, detailed expense rules and demanding working hours, which can make day-to-day record keeping difficult to stay on top of.

  • Managing multiple income sources, including NHS, private and locum earnings received at different times
  • Keeping accurate records when working across several hospitals, practices or locum placements
  • Understanding which professional expenses may be allowable, as the treatment depends on individual circumstances
  • Accounting for medical indemnity cover and professional body subscriptions within your records
  • Meeting Self Assessment and filing deadlines alongside a demanding clinical schedule
  • Choosing an appropriate business structure, whether sole trader, partnership or limited company, and understanding any VAT considerations that follow

Clear, Practical Accounting Support for Medical Professionals

Working with an accountant who understands medical income structures makes a real difference to how smoothly your affairs run. Our Medical Accountants keep communication plain and straightforward, explain what is needed and when, and provide ongoing support as your circumstances change. From bookkeeping through to tax guidance, the aim is to reduce the administrative pressure so you can concentrate on your work.

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 to Get Started

Getting started is straightforward. Begin by getting in touch and telling us about your circumstances, then we will discuss your accounting and tax requirements in detail, including your income sources and any existing records. From there you receive appropriate ongoing support, with clear points of contact and a schedule that fits around your clinical commitments.

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

Accounting support for medical professionals works best when it reflects how you actually earn and spend. We tailor bookkeeping, tax administration and business accounting to your mix of income sources and your professional expenses, whether you work as a locum, a consultant or a practice owner. The result is a set of records and filings that reflect your circumstances rather than a generic template.

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 look after the accounting and tax side of your working life, from bookkeeping and annual accounts through to Self Assessment and tax planning. If you run a medical practice, that may also include payroll, Corporation Tax and VAT support. The exact mix depends on how you are structured and what income you receive.

We work with GPs, hospital doctors, consultants, locum doctors, private practitioners and the owners of medical practices and clinics. Both salaried and self-employed medical professionals can be supported, as can those with a combination of NHS and private income. If you are unsure whether your circumstances fit, it is worth having a conversation with us.

Different income streams often carry different reporting and tax requirements, so we start by mapping out where your income comes from and how it is paid. We then make sure each source is recorded accurately and reflected correctly in your accounts and tax returns. As with all tax matters, the treatment depends on your individual circumstances.

Many medical professionals do need to file a Self Assessment return, particularly where there is self-employed income, locum earnings, private practice income, or income from property and investments. Whether a return is required depends on your individual circumstances, so we review your position and confirm what applies to you.

Costs commonly considered include medical indemnity cover, professional body subscriptions, necessary travel between sites and certain equipment, but what is allowable depends on individual circumstances and how each expense relates to your work. We review your spending and identify what can properly be included, keeping your records clear and defensible.

Yes. We can handle bookkeeping for medical practices of different sizes, from straightforward record keeping through to payroll, VAT returns and management information. Keeping records tidy throughout the year makes annual accounts and tax returns far less stressful, and it gives you a clearer view of how the practice is performing.

We can review whether your current structure, whether sole trader, partnership or limited company, still suits the way you work. Where a change may be appropriate, we explain the implications, including any tax or VAT considerations, before anything is actioned. Any decision should be based on your individual circumstances.

Switching is usually simpler than people expect. Once you get in touch, we discuss your requirements and liaise with your existing accountant to obtain the records we need, so the transition happens with minimal disruption to you. From there, we agree a schedule and begin providing ongoing support.

Speak to an Expert

Need Medical Accountants in Nelson? Let's Make Tax Clearer

Mixing NHS and private income can make tax feel more complicated than it needs to be. CruseBurke’s Medical Accountants in Nelson handle Self Assessment, bookkeeping and tax planning around your working life, keeping records accurate and filings on time. Practical support from start to finish.