Accounting Services for Healthcare in Haverfordwest

Accountants for Healthcare in Haverfordwest

Running a medical practice, clinic or healthcare business in Haverfordwest means clinical decisions come first — but the financial side still has to be accurate, timely and fully compliant. CruseBurke provides specialist accounting support built around the realities of healthcare work, from NHS and private income streams to payroll for clinical and support staff. Our aim is straightforward: to give you clear, practical accounting and tax advice, keep your records in order, and take the administrative weight off your shoulders so you can concentrate on patient care.

4.9/5.0

Google Reviews

See what our clients say about working with our accounting team

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 Our Healthcare Accountants in Haverfordwest Support

We work with a broad range of healthcare professionals and healthcare businesses, and the advice we give is shaped by the way each one earns and manages money. That includes GPs and salaried doctors with NHS income alongside private or locum work, dentists and orthodontists running mixed NHS and private practices, pharmacists and pharmacy owners, consultants and specialist clinicians, nurses, midwives and carers, and allied health professionals such as physiotherapists, occupational therapists and podiatrists. We also support the wider healthcare sector — private clinics, medical practices, care providers, cosmetic and aesthetic practitioners, and healthcare businesses structured as sole traders, partnerships, limited companies or LLPs. Their accounting needs often overlap: multiple income sources that must be reported correctly, Self Assessment returns and payments on account, staff and locum payroll, VAT on mixed medical and non-medical supplies, pension contributions, and the day-to-day bookkeeping that keeps a practice financially visible. Whether you are a single practitioner keeping your own books or a multi-partner clinic with employees, our role is to make those obligations manageable and to help you understand what your numbers are actually telling you.

Supporting independent practitioners with tax planning and NHS pension advice.

Offering tailored financial solutions for dental practices and their specific needs.

Supporting medical practices and private clinics with accounts, tax, bookkeeping, payroll and financial management.

Specialised accounting for pharmacies and locums.

Accounting and Tax Services for Healthcare Practices and Professionals

Our services are designed to cover the full financial lifecycle of a healthcare professional or healthcare business. For individuals — locum doctors, consultants, nurses, physiotherapists and carers — we handle Self Assessment tax returns, help you claim the expenses you are genuinely entitled to, and manage payments on account so there are no unwelcome surprises. For practices and healthcare businesses, we prepare annual accounts and financial statements, manage bookkeeping and digital records, and deal with Corporation Tax where you trade through a limited company or LLP. Payroll is a major consideration in healthcare, with clinical staff, reception and admin teams, and ad hoc locum payments all needing accurate PAYE and pension treatment — we can run this end to end. Where VAT applies, particularly where a practice mixes exempt medical services with standard-rated cosmetic, retail or dispensary income, we help you understand partial exemption, registration thresholds and the correct treatment of supplies. Alongside compliance, we provide tax planning, business structure advice for partnerships and incorporations, and management accounts that give you a clear view of profitability, drawings and cash flow. The practical value is simple: accurate filings, fewer administrative headaches, and better-informed decisions about how your practice or career is structured.

Professional preparation of your annual financial statements.

Accurate and timely filing of all required tax submissions.

Accurate and up-to-date records for your practice.

Efficient payroll management for your staff.

Tax Planning

Planning your tax position efficiently while staying compliant.

Common Accounting and Tax Challenges Facing Healthcare Professionals

Healthcare income rarely arrives from a single, simple source, and that complexity is where most tax and accounting problems begin. Below are the issues we see most often.

  • Multiple and overlapping income streams. Many healthcare professionals receive NHS salary or practice income, private fees, locum payments and occasionally rental or teaching income. Each source may need separate reporting and different tax treatment, which makes it easy to miss something or pay the wrong amount.
  • Payments on account and unpredictable tax bills. Where Self Assessment applies, tax is collected in advance instalments based on previous profits. If your income fluctuates — common with locum and private work — this can create cash flow pressure and unexpectedly large bills.
  • Allowable expenses and mixed-use costs. Claiming too little means paying more tax than necessary; claiming too much creates risk. Professional indemnity, GMC or regulatory fees, equipment, mileage, training, and the business proportion of home or practice costs all need careful treatment.
  • VAT on mixed medical supplies. Medical services are generally exempt, but cosmetic treatments, dispensing, retail products, and some consultancy work can be standard-rated. Partial exemption calculations and registration thresholds need regular attention as a practice evolves.
  • Payroll for clinical staff, admin teams and locums. Different contracts, pensions, holiday pay and locum arrangements each carry their own PAYE and auto-enrolment obligations. Errors here can lead to penalties and unhappy staff.
  • Record keeping and deadline pressure. Receipts, bank feeds, invoices and expense evidence must be maintained to HMRC standards and reconciled regularly. When records fall behind, accounts become slow, expensive and harder to defend.

Why Choose an Accountant Who Understands Healthcare

Healthcare professionals face a financial environment that generalist accountants often underappreciate — exempt and standard-rated supplies sitting side by side, complex payroll arrangements, regulatory and indemnity costs, and income that arrives from several directions at once. Working with an accountant who understands these patterns means fewer questions have to be explained from scratch, and more of the conversation can focus on decisions rather than definitions. You get someone who recognises why an NHS pension statement, a locum invoice or a mixed private practice income needs specific handling, and who can translate the numbers into practical guidance about drawings, tax reserves, staffing costs and practice profitability. Just as importantly, you get clear communication: plain explanations rather than jargon, agreed deadlines, prompt responses, and support with the compliance side — Self Assessment, annual accounts, Corporation Tax, VAT and payroll — so that admin does not continually fall to the bottom of your list.

Expertise in Healthcare Finance

Specialised knowledge of NHS funding and healthcare business accounting.

Healthcare-Focused Accounting

Our team focuses on your financial needs and provides solutions tailored to your business.

Personalised Strategies

We provide bespoke services to ensure your financial processes are accurate.

Accurate Reporting

We deliver precise financial reports on time, giving you full compliance with HMRC.

Transparent Pricing

Our services offer transparent, upfront pricing with no hidden costs.

Time-saving and Reliability

We handle all your accounting and financial tasks efficiently.

Our Simple 3-Step Process for Healthcare Clients

Getting the right accounting support in place should not feel like another administrative burden. In the first step, we take time to understand your circumstances — how you are structured, where your income comes from, whether you employ staff or engage locums, and what is currently causing you difficulty. In the second step, we review your existing accounting and tax position, looking at your records, returns, VAT treatment, payroll arrangements and deadlines, and identify where things need tightening, correcting or planning for. In the third step, we set out the support that fits, agree what you will send us and when, and put systems in place for bookkeeping, payroll, accounts and tax filings. From there it becomes a regular, organised routine rather than a scramble.

1. Initial Consultation (It’s Free):

We begin by getting to know your practice and your specific needs. This step ensures we have a clear picture of your challenges, goals, and the opportunities available to you.

2. Customised Plan:

Based on our initial discussion, we create a personalised plan designed specifically for you. Our aim is to keep your healthcare finances straightforward, with your numbers handled accurately and professionally by dedicated healthcare accountants.

3. Ongoing Support & Updates:

From there, we take care of the ongoing work and keep you updated with clear, regular reports. 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 Healthcare Accountants

CruseBurke supports healthcare professionals and healthcare businesses across the accounting areas that matter most to them. That includes preparing Self Assessment returns that correctly reflect NHS, private and locum income, filing annual accounts and Corporation Tax returns for incorporated practices and clinics, maintaining bookkeeping on digital records, running payroll for clinical and administrative teams, handling VAT registration and returns where mixed supplies are involved, and advising on business structures such as partnerships, LLPs and limited companies. We also help with tax planning around drawings and profit extraction, pension contribution considerations, and management accounts that show how a practice is genuinely performing rather than just what it has banked. Because healthcare work is demanding, our approach is built around clear communication, agreed timescales and straightforward explanations, so you always know what is due, what has been filed, and what it means for your finances. If something changes — a new contract, an expansion, a partner joining or leaving — we can adjust the support accordingly rather than starting again from scratch.

Technology Driven

We use the latest technology to offer customised financial strategies. Thus, helping healthcare practices grow and thrive.

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.

Switching to CruseBurke, Made Simple

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 Accountants for Healthcare in Haverfordwest

It covers the standard accounting work — Self Assessment, annual accounts, Corporation Tax, bookkeeping and payroll — but delivered with an understanding of how healthcare income behaves. That means dealing correctly with NHS and private income in the same return, treating locum fees properly, handling exempt medical services alongside standard-rated cosmetic or retail income for VAT, and recognising costs such as professional indemnity, GMC or regulatory fees and clinical training as legitimate business expenses where the rules allow.

Yes. Sole traders such as locum doctors, private physiotherapists, podiatrists and carers often need straightforward Self Assessment support with accurate expense claims and help managing payments on account. Larger practices, partnerships and incorporated clinics usually need annual accounts, payroll for several staff, VAT returns and management reporting. The scope changes, but the underlying principle does not: the support is matched to how your work is actually structured.

NHS salary is normally taxed through PAYE, while private fees, locum work and self-employed practice income are reported through Self Assessment. Both need to be brought together so the correct total tax is calculated. We check that PAYE has been applied accurately, report self-employed profits and expenses, and factor in payments on account so you have a realistic idea of what will be due and when.

Broadly, costs incurred wholly and exclusively for the purposes of your work. In practice that often includes professional indemnity insurance, registration and regulatory fees, continuing professional development and training, specialist equipment and uniforms, professional subscriptions, mileage or travel between sites, and a reasonable proportion of home or practice running costs where genuinely used for business. We review what you have actually incurred rather than applying a generic list.

Many medical and healthcare services are exempt from VAT, which is why some practitioners are not registered at all. However, cosmetic treatments, aesthetic procedures, retail sales, dispensing and certain consultancy or non-medical services can be standard-rated. If a practice mixes exempt and standard-rated supplies, registration thresholds and partial exemption rules come into play, and these need monitoring as turnover changes.

Yes. We can run PAYE for salaried clinical staff, reception and administrative teams, and handle the correct treatment of locum and associate payments. That includes pension auto-enrolment obligations, payslips, and reporting to HMRC in real time. Keeping payroll consistent also makes the figures in your annual accounts more reliable and reduces the risk of later corrections.

Most healthcare clients work with their accountant remotely. Records can be shared through digital bookkeeping software and secure document transfer, questions can be handled by phone, email or video call, and returns and accounts can be approved electronically. This suits clinicians with unpredictable diaries, and it means travel time never becomes the reason a filing is late.

The first step is a conversation about your circumstances — how you are structured, what income you receive, whether you employ anyone, and what is currently causing problems. We then review your existing records and filings, identify anything that needs attention, and outline the support that would suit you, along with what you would need to provide and when. There is no obligation to proceed after that initial discussion.

Speak to an Expert

Speak to Accountants for Healthcare in Haverfordwest About Your Practice Finances

If you are juggling NHS income and private fees, locum work and a salaried role, or running a practice with staff, VAT questions and accounts due, it may be time to hand the financial administration to someone who understands it. CruseBurke provides accounting and tax support for healthcare professionals and healthcare businesses, including Self Assessment, payroll and annual accounts preparation, so that deadlines are met correctly and your numbers make sense. A short, no-obligation conversation is often enough to clarify what needs attention and what support would look like for your circumstances.