Accounting Services for Paramedics

Accountants for Paramedics in London

After a demanding 12-hour shift, the last thing you want to deal with is spreadsheets, receipts, and HMRC rules. And that is exactly where we step in. 

At CruseBurke, as expert accountants for paramedics, we help you stay on top of tax and make sure you are not paying more than you should.

Our goal is simple: to keep your finances organised while you focus on saving lives.

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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Who We Work with

Paramedics don’t all work the same way, and we get that. Some are full-time NHS staff, and some others pick up bank shifts. A growing number work entirely as locums moving between trusts and private providers. As expert accountants for paramedics, we tailor our support depending on where you sit.

NHS Employed Paramedics

We help NHS paramedics understand tax codes, additional income and allowable professional expenses.

Locum Paramedics

Our accountants for locum paramedics help manage self assessment tax returns, expenses and income from different assignments.

Agency Paramedics

Working through one or several agencies? We can help bring your income records together and keep things organised.

Self-Employed Paramedics

We support self-employed paramedics with bookkeeping, Self Assessment and day-to-day tax matters.

Our Comprehensive Specialist Accounting Services for Paramedics

Our accountants for paramedics focus on keeping your finances organised. We don’t expect you to know every tax rule. We just handle it all for you behind the scenes.

Receipts, payments and income records can quickly become messy. As expert accountants for paramedics, we keep your financial information organised and much easier to follow.

HMRC Compliance And Support

If HMRC contacts you with a query, we can help explain the issue and communicate with HMRC on your behalf where authorised.

We prepare and file your tax return correctly and on time. We also make sure all relevant income is properly included.

Limited Company Accounts

Many locum paramedics choose to operate through a limited company where it is suitable for their circumstances. We help you decide if it’s right for you and manage the company once it’s set up.

Expense Claims And Allowable Allowances

Uniforms, laundry, travel between placements, professional body fees. As expert accountants for paramedics, we know exactly what paramedics can and can’t claim.

Key Accounting Challenges Faced by Paramedics

Life-saving work comes with financial challenges that can feel overwhelming. Many paramedics struggle with tax codes and pension rules. Irregular shift patterns can make it hard to predict your yearly income. Consequently, tax planning becomes genuinely difficult.
On top of that, many paramedics aren’t sure what they can legitimately claim. As a result, they either overclaim and risk an HMRC enquiry, or underclaim and lose money they’re entitled to. Besides these, if you add in pension contributions, agency fees, and the odd late payment from a trust, it’s easy to see why so many paramedics feel lost with their finances. As expert accountants for paramedics, we understand all these challenges you face. We deal with them for you before they become a major problem.

Mixed income from NHS and locum work

Messy bookkeeping caused by unpredictable shift patterns

Confusion over allowable expenses

Managing multiple payslips from different agencies

IR35 status uncertainty

NHS pension complications

Late or delayed contract payments

Why Choose CruseBurke as Your Accountants for Paramedics?

At CruseBurke, we work closely with paramedics and understand how your work actually operates. In short, we specialise in your industry to provide elite and stress-free support.

Industry-Specific Knowledge

We understand NHS pay structures, agency contracts, locum work, and the tax considerations that apply to healthcare professionals.

Locum-focused Support

Built specifically for paramedics working as locums across multiple sites.

End-to-End Care

From bookkeeping to payroll, we provide comprehensive financial support.

Trusted Reputation

We’ve earned a reputation as expert accountants for paramedics by delivering every single time.

Fair, Fixed Fees

Clear, upfront pricing. So, you get full expert service without any hidden costs.

Tailored Advice

Every client’s situation is different, and we take time to build a personal plan that fits your goals and circumstances.

Our Simple 3-Step Process for Managing Your Paramedic Accounts

As expert accountants for paramedics, we know that managing the financial side of your freelance career isn’t why you got into the paramedic profession. That’s why we’ve kept our process simple and flexible. The idea is to make things clear from the start and then stay by your side with ongoing support.
Our 3-step process is designed to free up your valuable time. Thus, allowing you to focus completely on what you do best: emergency medical care.

1. Initial Consultation (It’s Free):

We begin by getting to know your working patterns and understanding your unique needs. This step ensures we have a clear picture of your working arrangements 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. We ensure your accounts are managed accurately and efficiently.

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.

Why CruseBurke as Your Paramedics Accountants?

Is managing your finances stressing you out? Let our expert accountants for paramedics help you build smart, long-term strategies. We’ll provide regular financial reviews to help keep your finances organised and support your long-term financial goals.

Technology Driven

We use Xero, Quickbooks, Sage & many other online software.

Personalised Service

Our team offers dedicated accounting services tailored to your specific healthcare business. This ensures financial stability and growth for you.

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 have over 100 years of combined experienced.

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 Join/Switch

Focus on your patients and let our expert accountants for paramedics handle everything. Here’s how easy it is to get started with us:

Get in touch

Reach out to us (It’s free). We’ll discuss your needs and how we can help your career 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 healthcare business running smoothly.

FAQs about Accountants for Paramedics

Do paramedics need an accountant?

Not every paramedic will need one. This is true especially if all income is taxed correctly through a single PAYE job. However, accountants for paramedics can be useful if you have locum income, agency shifts, self-employed earnings or other taxable income to report.

Can accountants for paramedics help with a Self Assessment tax return?

Yes. As expert accountants for paramedics, we can prepare and file your Self Assessment tax return and make sure relevant income is included. We can also review your records and discuss expenses that may be allowable under HMRC rules.

I work both for the NHS and as a freelancer. How does CruseBurke handle this?

This is a very common scenario, and as expert accountants for locum paramedics, we balance both income streams perfectly. We review your NHS salary to ensure your tax code is correct. Simultaneously, we manage the books for your private work. Our team helps you understand the tax implications of your combined income and plan accordingly.

What sort of things can I actually write off as a self-employed paramedic?

If you are working via an agency or running things yourself, you may be able to claim allowable business expenses that are incurred wholly and exclusively for your self-employed work, subject to HMRC rules. This can be your clinical gear, stethoscopes, uniform boots, and insurance. You can also claim mandatory training courses. As expert accountants for paramedics, we go through everything you spend money on to make sure that you claim every single legal expense possible.

How does my NHS pension affect my tax if I also do locum work?

Your NHS pension contributions and your locum income can both affect your overall tax position. Depending on your total taxable income, you may move into a higher Income Tax band. As expert accountants for paramedics, we look at both sides together so nothing gets miscalculated.

How do I get started with CruseBurke service?

To get started with CruseBurke, you can call us directly at 020 8686 8876 or send your inquiry to [email protected]. We will review your situation and handle the rest. It’s that easy!