Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in North Harrow

CruseBurke provides Medical Accountants in North Harrow supporting doctors, GPs, consultants and locum doctors with their accounting and tax affairs. We help with Self Assessment, annual accounts, bookkeeping, payroll and tax planning across NHS and private income. Whether you run a medical practice or work as a private practitioner, the aim is clear records, informed decisions and compliance that stays on track.

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 and Practices We Support

We work with doctors, GPs, medical consultants and locum doctors, along with private practitioners and medical practice owners. Our Medical Accountants in North Harrow also support medical practices that need dependable bookkeeping, payroll and annual accounts. Whatever your specialty or how your work is structured, the focus stays on accounting that fits the way you actually earn.

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 We Help Medical Professionals Solve

Medical income rarely arrives in a single, tidy stream, and that is where record-keeping and tax reporting tend to become complicated. Our Medical Accountants in North Harrow help you make sense of the detail before deadlines arrive.

  • Managing NHS income alongside private fees, with each stream needing clear and accurate records
  • Keeping on top of Self Assessment deadlines when income comes from several sources
  • Recording professional expenses such as medical indemnity, subscriptions and training costs correctly, subject to individual circumstances
  • Separating personal and business spending across locum, consultancy and practice work
  • Running payroll and pension contributions for staff employed within a medical practice
  • Understanding when VAT registration may be relevant to private fees and practice services

Accountants Who Understand Medical Income and Practices

Working with Medical Accountants in North Harrow means dealing with someone familiar with NHS and private income, locum work and practice accounts. We explain matters in plain English, keep you informed about deadlines and offer practical guidance as your circumstances change. The aim is steady, ongoing support rather than jargon or last-minute scrambling.

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.

Three Straightforward Steps to Get Started

It begins with getting in touch and telling us about your work, whether you are a locum doctor, a consultant or a practice owner. We then talk through your income sources, records and accounting or tax requirements so the right approach becomes clear. From there, you receive appropriate ongoing support with your accounts, returns and bookkeeping as needed.

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 Medical Accountants in North Harrow tailor their support to the way medical professionals and medical practices actually earn and spend. That can include separating NHS and private income, tracking professional expenses, keeping accurate bookkeeping records, and handling tax administration and business accounting. As your role, income mix or practice structure evolves, the approach can be adjusted to match.

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

They look after the accounting and tax side of working in medicine, which can include Self Assessment, annual accounts, bookkeeping, payroll and tax planning. Our Medical Accountants in North Harrow also help with business accounting for medical practices and can advise on VAT where it is relevant to your circumstances.

They suit doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, whether you work within the NHS, privately or a combination of both. The support is shaped around your income sources, business structure and how much record-keeping you would like us to handle.

In many cases a return is required, particularly where you have untaxed income such as private fees or locum work, but the position depends on your own circumstances. Our Medical Accountants in North Harrow can review your income streams and confirm what needs to be reported and when.

Expenses such as medical indemnity, professional subscriptions and certain training costs may be allowable, but the treatment depends on individual circumstances and how the expense relates to your work. We review your outgoings and keep the supporting records in order so nothing allowable is overlooked.

Yes. Our Medical Accountants in North Harrow can maintain day-to-day bookkeeping, reconcile income and expenditure, and prepare the figures needed for accounts, payroll and VAT returns. This keeps the practice records current and reduces the pressure at year end.

VAT registration depends on your taxable turnover and the nature of the services you provide, so the answer is not the same for everyone. Private fees and practice services can affect the position, and our Medical Accountants in North Harrow can assess where you stand and explain the options available.

It can. Working as a sole trader, through a partnership or via a limited company each carries different reporting and tax considerations, and the right choice depends on your income, plans and personal circumstances. We can talk through the alternatives and the practical implications of each.

Simply get in touch and tell us about your current arrangements. We will discuss your accounting and tax requirements, agree what information we need, and liaise with your existing accountant where necessary so the transition is handled smoothly and deadlines are not missed.

Speak to an Expert

Need Accounting Support Built for Medical Professionals? Let's Talk

Juggling NHS payslips, private fees and locum income quickly makes record-keeping messy. CruseBurke provides Medical Accountants in North Harrow who handle Self Assessment, bookkeeping and tax planning so nothing slips through. Clear guidance, sensible deadlines, and support that keeps pace with your work.