Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Orpington

CruseBurke provides practical accounting and tax support for medical professionals in Orpington, helping doctors, GPs, consultants and locum doctors keep their finances in order. From NHS and private income to locum and consultancy earnings, we assist with bookkeeping, annual accounts, Self Assessment and tax planning. Whether you run a medical practice or work as a sole practitioner, our team helps you stay organised and understand your numbers with confidence.

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 Orpington

We support doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, along with the wider accounting needs of medical practices. Whether your income comes from NHS work, private fees or a mixture of both, we help you keep accurate records and understand your tax position. Our focus stays firmly on medical accounting, so the support you receive is relevant to how you actually work.

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.

Medical Accounting Services Built Around Your Working Life

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 income and expenses that are more varied than they first appear, and keeping everything accurate alongside clinical commitments can be difficult. The areas below cover some of the points we help with, though how tax, expenses and VAT are treated always depends on individual circumstances.

  • Managing NHS income alongside private fees, and keeping clear records for each source
  • Tracking locum, consultancy or self-employed income across multiple engagements or practices
  • Recording professional expenses such as medical indemnity cover, subscriptions, training and equipment correctly
  • Keeping bookkeeping up to date so Self Assessment and annual accounts never become a last-minute rush
  • Choosing and reviewing a business structure, whether sole trader, partnership or limited company
  • Understanding payroll and VAT considerations where these apply to your practice or earnings

Why Medical Professionals In Orpington Work With Us

We understand that medical income rarely arrives in a single, simple form, and that your time is better spent on patients than on paperwork. Working with an accountant who deals with medical professionals means clear communication, practical support with bookkeeping and tax, and guidance that reflects how you actually earn. We aim to be a dependable point of contact for ongoing questions, not just a once-a-year service.

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 Start For Medical Professionals

It begins with getting in touch and telling us a little about how you work and what you need. We then talk through your accounting and tax requirements, including any challenges around income sources, records or deadlines. From there, you receive ongoing support suited to your circumstances, with someone available when questions come up.

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 and medical practices can be shaped around the way you work, rather than fitted into a standard template. That might include handling different income sources, recording professional expenses, keeping bookkeeping tidy, and managing tax administration and business accounting as your situation changes. As your circumstances evolve, the support can be reviewed so it continues to reflect what you actually need.

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 Orpington help with the core accounting and tax work that medical professionals need, including bookkeeping, annual accounts, Self Assessment, payroll, Corporation Tax and tax planning. We also support medical practice accounting, VAT and wider business accounting where these apply. The exact mix depends on how you work and what you need.

These services are designed for doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, as well as medical practices themselves. If your income comes from NHS work, private fees, locum sessions or consultancy, the support can be shaped around that. We keep our focus on medical professionals rather than offering a generic service.

We help you keep NHS and private income recorded clearly where that is needed, so the figures behind your accounts and tax returns are accurate. How each source is treated for tax purposes depends on your individual circumstances and contracts, so we take time to understand your position before advising. Where anything is unclear, we explain the options rather than assuming.

Yes. Locum doctors often have several income sources, irregular working patterns and expenses to track, and Self Assessment needs to reflect all of that accurately. Our Medical Accountants in Orpington can help you gather the right records, work out what is taxable and file on time. We can also keep an eye on deadlines so nothing is missed.

Some professional costs, such as medical indemnity cover, professional subscriptions and certain training or equipment costs, may be allowable, but the treatment depends on your individual circumstances and how the expense relates to your work. We review expenses as part of your bookkeeping and accounts rather than applying a one-size-fits-all rule. If something is not allowable, we will explain why.

VAT registration depends on your turnover and the nature of your services, and some medical services may be exempt while others are not. If you are approaching or have passed a threshold, we can help you understand your position, register if required and keep VAT records in order. Because the rules depend on individual circumstances, we look at your case before advising.

The right structure depends on your income, how you work and your longer-term plans, so there is no single answer that suits everyone. We can talk through the practical and tax implications of each option, including how they affect your accounts, tax returns and payroll. Many medical professionals review this as their circumstances change.

Switching accountants is usually straightforward. We ask for permission to contact your current accountant, gather the information we need and confirm any deadlines that are coming up. Once that is done, we set up a simple way of working together, then review your accounting and tax requirements so the support fits your circumstances.

Speak to an Expert

Need Accounting Support That Fits Medical Life? We Make It Straightforward

CruseBurke helps medical professionals and practices in Orpington stay on top of varied income sources, expenses and tax deadlines without the last-minute stress. With clear bookkeeping and Self Assessment support, you get reliable guidance that fits how you actually work.