Accounting Services for Healthcare in New Malden

Accountants for Healthcare in New Malden

Running a practice, clinic or healthcare business in New Malden means juggling patient care with the paperwork that keeps everything compliant. CruseBurke provides specialist accounting support for healthcare professionals, combining a clear understanding of how medical income streams work with practical, plain-English advice on tax, payroll, VAT and annual accounts. Whether you are a GP partner, a self-employed locum, a dentist, a pharmacist or a clinic owner, the aim is straightforward: accurate records, no nasty surprises, and financial information you can actually use to make decisions about your practice.

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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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Healthcare Professionals and Businesses We Support in New Malden

Our healthcare accounting work covers a broad range of practitioners and providers, because the financial structures in healthcare vary enormously. We support GPs and salaried doctors, hospital consultants with private practice income, locum doctors and specialist registrars, dentists and dental practices, pharmacists and pharmacy owners, nurses and advanced nurse practitioners, physiotherapists, chiropractors, osteopaths, podiatrists, psychologists and talking therapists, optometrists, veterinary practices, care home operators and domiciliary care providers, and the clinics, partnerships and limited companies that sit behind them. The accounting needs differ from one to the next. A locum may need Self Assessment support and help tracking travel, indemnity insurance and professional fees, while a GP partnership may need partnership accounts, profit-sharing arrangements and individual tax returns. A limited company clinic will typically need statutory annual accounts, Corporation Tax computations, payroll for clinical and administrative staff, VAT returns where turnover requires registration, and director Self Assessments. A pharmacy or care provider may have more complex cost structures, supplier arrangements and employment obligations. Many healthcare professionals also have a mix of NHS, private and medicolegal income, which needs to be tracked separately and reported correctly. Our role is to make sense of that mix and keep it well organised.

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 in New Malden

We provide the core accounting and tax services that healthcare professionals and healthcare businesses need, delivered in a way that fits around clinical commitments. Self Assessment is central for locums, consultants and sole practitioners with private or medicolegal income, and it depends on having complete records of income, expenses and payments on account. Annual accounts and Corporation Tax computations are needed by clinics, pharmacies and other healthcare companies, with the tax treatment reflecting the reality of how the business operates. Bookkeeping and record keeping sit underneath everything else, and good systems reduce both stress and the risk of errors at year end. Payroll and auto-enrolment pensions matter for practices employing receptionists, nurses, associates or carers, and VAT returns need attention where registration thresholds are met or where healthcare services are treated differently from goods. Beyond compliance, we can help with tax planning, business structure advice — for example whether a partnership, limited company or sole trader arrangement suits your circumstances — management accounts, and financial reporting that gives you visibility over practice profitability, associate arrangements and cash flow. Where relevant, we can also support you with NHS pension annualisation queries and the records you need to keep alongside your tax reporting.

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 for Healthcare Practitioners

Healthcare finances rarely follow a neat pattern. Income arrives from several directions, expenses can be unusual, and time is always short. These are the issues we see most often in healthcare accounting.

  • Multiple and mixed income streams. A single practitioner may receive NHS salary, private fees, medicolegal income, locum payments and perhaps teaching or royalty income in the same tax year. Each source needs to be recorded, categorised and reported correctly, and the tax treatment is not always the same.
  • Distinguishing allowable expenses from personal and professional costs. Indemnity insurance, GMC or NMC fees, specialist equipment, professional subscriptions, clinical clothing and travel between sites may be allowable, while commuting costs and personal items usually are not. Getting this boundary wrong can mean overpaying tax or inviting questions from HMRC.
  • Payments on account and unpredictable cash flow. Self Assessment payments on account are based on the previous year's liability, which can be awkward when private work fluctuates or a contract ends. Planning for those bills in advance avoids pressure on practice cash flow.
  • Payroll and pension complexity. Practices may employ a mix of salaried staff, associates and part-time administrators, each with different tax codes, pension arrangements and contractual terms. Errors are costly and time-consuming to correct.
  • VAT treatment of healthcare services. Some healthcare services are exempt while others are standard-rated, and mixed businesses — such as a clinic selling retail products alongside clinical care — need to apportion correctly and monitor registration thresholds.
  • Keeping records in order while working clinically. Receipts, bank transactions and invoices pile up quickly, and spreadsheets maintained in the evenings often fall behind. Poor records create extra work at year end and make it harder to claim legitimate expenses with confidence.

Why Choose a Healthcare-Focused Accountant?

A general accountant can file a return, but healthcare has enough quirks that sector familiarity genuinely matters. Income may come from the NHS, private patients, insurers or medicolegal work; expenses may include indemnity cover, registration fees and specialist equipment; and employment structures can range from sole trader to partnership to limited company with associates. Working with an accountant who understands these patterns means fewer basic explanations, fewer misclassified costs and better questions asked at the right time — such as whether your practice structure still suits you, whether your record keeping would withstand scrutiny, or how a change in working patterns will affect your tax position. You also get clarity. Healthcare professionals rarely want pages of jargon; they want to know what is due, when, and what it means for their income. Our approach is to keep compliance on track, communicate in plain English, and provide advice that reflects the realities of clinical work rather than a generic business model.

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 should not feel like an extra project. The first step is a conversation about your circumstances — how you work, where your income comes from, what structure you operate under, and what is currently causing you difficulty or uncertainty. That might be overdue returns, a change in working pattern, a new practice, or simply a sense that your current records are not fit for purpose. The second step is a review of your accounting and tax position: we look at your income streams, existing bookkeeping, payroll arrangements, VAT status, filing history and any compliance deadlines approaching, so we can identify what needs attention and what can be improved. The third step is putting appropriate support in place. That could mean taking over bookkeeping and Self Assessment, running payroll, preparing annual accounts and Corporation Tax returns, handling VAT, or providing ongoing advice as your practice develops. From there, the relationship becomes proactive rather than reactive, with deadlines managed and financial information available when you need it.

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 works with healthcare professionals and healthcare businesses across the range of structures and income types the sector produces. That means we are comfortable dealing with the details that matter: separating NHS, private and medicolegal income; preparing Self Assessments for locums, consultants and sole practitioners; producing annual accounts and Corporation Tax computations for clinics and healthcare companies; running payroll for practice staff, associates and carers, including pension obligations; managing VAT registration, returns and partial exemption questions where they arise; and advising on business structure and tax planning as circumstances change. Just as importantly, we handle the administration that eats into clinical time — bookkeeping, reconciliations, deadline tracking and correspondence — so your records are accurate and your filings are on time. We aim to be the sort of accountant you can actually reach, who explains the numbers clearly and flags issues before they become problems. If your financial affairs have grown more complicated than they need to be, that is usually a sign that a more structured approach will help.

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 New Malden

It covers the same core services as any accountancy relationship — bookkeeping, annual accounts, tax returns, payroll, VAT and tax planning — but applied to the way healthcare income and costs work. In practice, that often means reporting a mixture of NHS salary, private fees, locum work and medicolegal income; identifying the expenses that are genuinely allowable for clinicians; and structuring a practice or company in a tax-efficient and compliant way. For most healthcare clients, the day-to-day focus is Self Assessment, accurate records, and making sure deadlines are met.

Yes. Locum work commonly involves income from several sources, including NHS shifts, agency payments, private sessions and medicolegal reports. We can help you record and categorise those streams, claim the expenses that apply to your work — such as indemnity insurance, registration and professional body fees, specialist equipment and travel between sites — and prepare your Self Assessment with payments on account calculated so you are not caught out the following January and July.

We do. Limited companies in healthcare — dental practices, private clinics, pharmacies, allied health businesses and similar — need statutory annual accounts, Corporation Tax computations and returns, payroll for staff and directors, VAT support where it applies, and director Self Assessments. We can also help with the questions that sit behind the compliance work, such as whether the company structure remains appropriate, how to pay yourself efficiently, and how to keep the accounts meaningful enough to support decisions about growth, staffing and investment.

Broadly, expenses must be incurred wholly and exclusively for your work. For healthcare professionals that commonly includes professional indemnity and insurance, GMC, NMC or GDC registration fees, professional body subscriptions, specialist equipment and instruments, clinical clothing such as scrubs, relevant training and CPD, and travel to temporary or multiple work locations. Ordinary commuting to a permanent workplace is generally not allowable, and personal costs are not. Because the boundary depends on your specific working pattern, it is worth checking your circumstances rather than assuming.

It depends on the services provided and the level of taxable turnover. Many healthcare services are exempt from VAT, but not all, and a business that sells standard-rated items — such as retail products, cosmetic treatments or certain non-clinical services — may need to register once taxable turnover passes the threshold. Mixed businesses often need to apportion income between exempt and taxable supplies. We can review your position, handle registration and returns if required, and monitor turnover so you are not caught by surprise.

Yes. Payroll for a healthcare practice can involve salaried clinicians, associates, reception and administrative staff, and part-time or casual workers, each with different tax codes and pension arrangements. We can run payroll on a schedule that suits your practice, produce payslips, handle starter and leaver processes, manage auto-enrolment duties, and make sure the associated reporting is submitted correctly. Keeping payroll accurate also makes your year-end accounts and any pension-related queries far easier to deal with.

Yes. Most of the records an accountant needs — bank statements, invoices, receipts, payroll data, HMRC correspondence — can be shared digitally, and cloud accounting makes it straightforward to keep your books up to date without physically handing over paperwork. Many healthcare professionals prefer this because it fits around clinic lists, surgeries and on-call commitments. We can also arrange calls or meetings when a conversation would be more useful than an email, particularly when discussing structure, tax planning or a change in how you work.

It begins with a conversation about how you work, where your income comes from and what is currently causing you concern — whether that is overdue filings, a practice restructure, growing private income or simply unclear records. From there we review your accounting and tax position, identify what needs attention, and agree a scope of support that fits your circumstances. If you are moving from another accountant, we can help coordinate the handover of information and authorisations so the transition is orderly rather than disruptive.

Speak to an Expert

Speak to Accountants for Healthcare in New Malden

If mixed NHS and private income, growing payroll obligations or unclaimed expenses are making your tax position harder to manage than it should be, a specialist approach can simplify things considerably. CruseBurke supports healthcare professionals and healthcare businesses with Self Assessment, annual accounts, bookkeeping, payroll and VAT, keeping records accurate and deadlines under control while giving you a clearer view of your practice finances. Get in touch to talk through your circumstances and see what structured, healthcare-focused accounting support could look like for you.