Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Pembroke

CruseBurke provides specialist accounting and tax support for medical professionals and medical businesses in Pembroke. From doctors and GPs to consultants, locum doctors and practice owners, we help make sense of NHS and private income, bookkeeping, annual accounts and Self Assessment. Our aim is straightforward: accurate records, clear tax guidance and practical support you can rely on 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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Supporting Medical Professionals and Practices in Pembroke

We work with doctors, GPs, medical consultants, locum doctors and private practitioners who need their accounts and tax affairs handled with care. We also support medical practice owners and partnerships, helping them keep on top of bookkeeping, payroll, VAT and annual accounts. Whatever your set-up, the focus stays firmly on the accounting needs of medical professionals.

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 Services Tailored to 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.

Common Accounting Challenges Facing Medical Professionals

Medical professionals often deal with income and expenses that are more varied than a standard salary, which can make record keeping and tax reporting harder to manage. A few common pressure points include:

  • Separating NHS income from private or locum fees so each source is recorded and reported correctly
  • Tracking professional expenses such as medical indemnity, registration fees and training costs
  • Keeping accurate, timely bookkeeping when working across several roles or practices
  • Completing Self Assessment accurately when tax treatment depends on individual circumstances
  • Managing payroll and pension arrangements for practice staff and partners
  • Choosing a business structure, and understanding VAT considerations, as a practice grows

Why Medical Professionals Choose Us

Working with an accountant who understands the way medical professionals earn and spend makes day-to-day admin noticeably easier. We take the time to understand your income structure, explain tax positions in plain terms and keep communication clear and timely. You get consistent, practical accounting support and guidance that adapts as your role or practice changes, without unnecessary jargon along the way.

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

It begins with getting in touch so we can understand your role, your income sources and what you need from an accountant. From there, we talk through your accounting and tax requirements and agree the most suitable approach for your circumstances. After that, you receive ongoing support with your records, accounts and tax obligations, 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.

Chartered Support Built for Medical Professionals and Practices

Our Medical Accountants in Pembroke tailor their support to the way medical professionals actually work, whether that means several income sources, consultancy or locum fees, or a practice with staff and partners. We can help with professional expenses, bookkeeping, tax administration and business accounting, adapting the approach to your structure. The result is accounting support that fits your working life rather than forcing it into 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 affairs of medical professionals and medical businesses, including Self Assessment, annual accounts, bookkeeping, payroll and tax planning. They also help with practice accounts, VAT where it applies and general business accounting support. The exact mix depends on how you work and how your income is structured.

Yes. Locum doctors, private practitioners and consultants often have several income streams across the year, which makes clear record keeping especially important. We can help you keep track of fees, expenses and payments so your Self Assessment and accounts reflect your actual position. Support is shaped around the way you work rather than a fixed template.

We can. Many medical professionals receive NHS income alongside private or locum fees, and each source needs to be recorded and reported correctly on your tax return. We help you pull that information together, check that reliefs and expenses are treated appropriately, and file on time. As always, what you can claim depends on your individual circumstances.

We can maintain your practice records throughout the year, reconcile income and expenditure, and run payroll for staff and partners where needed. Regular bookkeeping makes annual accounts and tax reporting far smoother and reduces last-minute pressure before deadlines. Payroll arrangements, including pension obligations, are set up to suit the size and structure of your practice.

Expenses such as medical indemnity insurance and certain professional costs are often allowable, but the treatment depends on your circumstances and how the expense relates to your work. We review your expenses with you and apply the appropriate treatment when preparing your accounts or tax return. Keeping accurate receipts and records makes this process much easier.

Not always. VAT registration depends on your turnover, the nature of your services and whether certain exemptions apply, so it is not a straightforward yes or no. We can review your position and explain whether registration is required and what it would involve. If you are already registered, we can help with returns and record keeping.

Sole trader, partnership, limited company and limited liability partnership arrangements all behave differently for tax, profit extraction and administrative obligations. The right choice depends on your income levels, how many people are involved and your longer-term plans. We talk through the practical implications so you can decide with a clear picture.

Yes, switching is usually straightforward. We can liaise with your existing accountant, request the information we need and make sure the transition happens without disrupting your filing deadlines. Once your records are in place, we confirm what is due and when, so you always know where things stand.

Simply get in touch and tell us a little about your role, your income sources and what you need help with. We will discuss your accounting and tax requirements and suggest a sensible way forward. From there, support can begin with a one-off piece of work or on an ongoing basis, depending on what suits you.

Speak to an Expert

Need Help With Your Medical Accounts? We Make It Simpler.

CruseBurke understands the pressure of balancing NHS and private income while keeping your records in order. From Self Assessment to practice bookkeeping, we handle the detail so you can focus on patients, with clear guidance throughout.