Accounting Services for Healthcare in Okehampton

Accountants for Healthcare in Okehampton

Running a medical practice, clinic or healthcare career comes with financial pressures that a general accountant may not fully appreciate. As accountants for healthcare in Okehampton, we focus on the tax, compliance and reporting issues that healthcare professionals and healthcare businesses actually face — from mixed NHS and private income to payroll for clinical teams, VAT on mixed supplies and the record keeping that sits behind every Self Assessment. Our role is to bring clarity to your numbers, keep your filings on track and give you practical advice you can act on, so more of your time goes into patient care rather than paperwork.

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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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Who Our Healthcare Accounting Services Are For

We support a broad range of healthcare professionals and healthcare businesses, whether you work alone, in a partnership or through a limited company. That includes GPs and salaried doctors with additional private or locum income, consultants and specialist clinicians, dentists and dental practices, pharmacists and pharmacy owners, nurses, carers and care providers, physiotherapists and allied health professionals, and the clinics, medical practices and healthcare businesses that employ them. The accounting needs differ from one to the next. A locum GP may need help separating NHS and private earnings across Self Assessment, while a practice owner may be dealing with payroll for a mixed clinical and administrative team, VAT on private work, and accounts that need to satisfy both lenders and regulators. A pharmacist may be weighing up incorporation, and a care provider may need support with cash flow and management reporting. Whatever your setup, the aim is the same: accounts and tax returns that reflect how healthcare income really works, prepared by people who understand the sector’s terminology and pressures.

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 Professionals and Practices

Our healthcare accounting work is built around the way income and costs actually flow through a medical or clinical business. For individuals, that typically means Self Assessment tax returns that correctly bring together employed NHS earnings, private practice fees, locum shifts, pension income and any partnership share — with a proper review of allowable expenses such as professional subscriptions, indemnity insurance, medical equipment and home office costs. For practices, clinics and incorporated healthcare businesses, we can prepare annual accounts and Corporation Tax computations, maintain bookkeeping throughout the year, run payroll for clinical and support staff (including pension auto-enrolment), handle VAT registration and returns where private work or mixed supplies make it relevant, and produce management accounts that show how the practice is performing month to month. We also advise on business structure — sole trader, partnership, limited company or a combination — because the right answer for a single practitioner is rarely the right answer for a growing multi-clinician practice. Alongside that sits tax planning: timing of drawings, pension contributions, capital allowances on equipment, and making sure deadlines are diarised so nothing is left to the last minute.

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 in Healthcare

Healthcare income is rarely straightforward, and the tax position often reflects that. These are the issues we see most often when healthcare professionals and practices review their finances.

  • Multiple income streams in one tax return. NHS employment, private fees, locum work and a partnership share can all land in the same Self Assessment, each with different rules on expenses, and it is easy to miss relief or misreport a source.
  • Separating NHS and private income correctly. Where private work is carried out alongside NHS commitments, keeping the two clearly recorded matters for both tax reporting and VAT, and muddled records tend to surface at the worst possible time.
  • Allowable expenses and what can genuinely be claimed. Professional body subscriptions, indemnity cover, specialist equipment, training and travel may all be allowable in the right circumstances — but only where the records exist to support them.
  • VAT on mixed supplies. Private patient fees, dispensing, cosmetic work, pharmacy sales and zero-rated or exempt items can create a complex VAT picture, and getting registration or partial exemption wrong is costly.
  • Payroll for clinical teams. Practices often run a mix of salaried clinicians, part-time administrative staff, bank workers and locums, each with different treatment for PAYE, pensions and status.
  • Record keeping and deadline pressure. Clinical diaries leave little room for chasing receipts, and late or incomplete records put Self Assessment, accounts and VAT deadlines at risk, along with penalties.
  • Practice cash flow and financial visibility. Income can lag behind work delivered, particularly with insurer payments and contract funding, so without management information it is hard to plan drawings, equipment purchases or recruitment.

Why Choose Us as Your Healthcare Accountants

Choosing an accountant is really about choosing someone who understands your working life. A healthcare client needs more than a tax return prepared on time — they need an adviser who recognises the difference between NHS and private income, knows why indemnity cover and professional subscriptions matter, and can talk about practice finances in language that fits clinical work. We aim to take the administrative weight off your shoulders: bookkeeping kept in order, payroll processed accurately, VAT and tax deadlines monitored, and accounts prepared in good time so you are never making decisions from guesswork. When questions arise — a new private clinic, a change of structure, a first employee, a pension decision — you have someone to ask. We communicate plainly, explain the reasoning behind our advice, and keep our recommendations proportionate to the size of your practice rather than pushing complexity you do not need.

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 another administrative burden. The process starts with a conversation: we ask about your role, how you are engaged (employed, self-employed, in partnership or through a company), where your income comes from and what is currently causing you difficulty. From there we review your existing position — past returns, bookkeeping records, payroll arrangements, VAT status, software and upcoming deadlines — and identify anything that needs attention, whether that is a gap in records, a structure that no longer fits or a filing that is approaching. Finally, we set out a practical plan of support: what we will handle, what we need from you and when, how records will be passed across, and who to contact with questions. Once that is agreed, we put the ongoing work in place and keep you informed as deadlines approach rather than after they have passed.

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 on the accounting, tax and compliance matters that shape their finances. In practice that means handling the routine work reliably — bookkeeping, payroll, VAT returns, annual accounts, Corporation Tax and Self Assessment — so that nothing slips, while also offering the forward-looking side: advice on business structure, tax planning, pension contributions, equipment purchases and how to read your own management accounts. Healthcare clients often arrive with a specific problem, whether that is untangling years of mixed income, understanding why a VAT position has become complicated, or working out whether incorporation would suit their practice. We take the time to understand the circumstances behind the numbers, explain the options in plain English and let you decide with the full picture in front of you. Compliance is handled properly, records are kept in a usable state, and you have a consistent point of contact who already knows your history.

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 Okehampton

The technical work overlaps — accounts, tax returns, payroll, VAT — but the difference lies in familiarity with how healthcare income behaves. A healthcare-focused accountant expects a mix of NHS employment income, private fees and locum work in a single Self Assessment, understands which professional costs are typically allowable for clinicians, and recognises VAT complications arising from private patient work, dispensing or mixed supplies. That familiarity means fewer questions asked twice and fewer assumptions made about your records.

It suits anyone earning income from healthcare work or running a healthcare business. That ranges from individual GPs, consultants, nurses, carers, pharmacists and allied health professionals through to partnerships, clinics, medical practices and incorporated healthcare companies with employees. You may be a sole trader just starting out, or an established practice with payroll, VAT and management reporting to manage.

It depends on your circumstances. Many people in healthcare do need to file — for example, where you have self-employed private or locum income, a partnership share, untaxed income from a second source, or income above the thresholds that trigger a return. Salaried employment alone does not always require one. If you are unsure, it is worth reviewing your position before the deadline rather than assuming either way, as penalties for missed returns apply regardless of whether tax is actually owed.

The two are reported differently. NHS employment income normally arrives through PAYE and is included on the return as employment, while private practice and locum fees are typically reported as self-employment or as miscellaneous income, depending on how the work is arranged. Expenses need to be attributed to the right source rather than offset against the wrong one. We review contracts and payment records to make sure the split is accurate and that any overlap is treated sensibly.

Commonly claimed items include professional body subscriptions, indemnity and medical defence cover, professional registration fees, specialist equipment and uniforms, relevant training and CPD, and travel between sites where it is not ordinary commuting. What you can claim depends on whether you are employed or self-employed, and whether the cost is wholly and exclusively for the work. We review your records and confirm what is supportable before claims are made.

Not always. Many healthcare services are exempt from VAT, but registration can become relevant where you provide non-exempt services — certain cosmetic treatments, some pharmacy sales or product sales, for example. Mixed exempt and taxable activity can also create partial exemption issues. We look at your actual supplies and turnover, then advise on whether registration is required, beneficial or best avoided.

Yes. Payroll support can cover salaried clinicians, part-time administrative staff, bank workers and other employees, including PAYE calculations, payslips, Real Time Information submissions, statutory payments and pension auto-enrolment duties. Where you also engage locums or associates, we can advise on how their status affects the payroll and tax position.

Yes. Accounting work does not depend on face-to-face meetings, and many healthcare professionals prefer to handle things around clinical commitments. Records and documents can be shared securely, questions answered by email or phone, and calls arranged at times that fit around clinics and on-call rotas.

Start with a conversation about your circumstances — how you are engaged, where your income comes from, what records you already keep and what deadlines are approaching. From there we review your position, outline what support would be appropriate and agree how the ongoing work will run. If you have outstanding filings or gaps in your records, those are addressed as part of the process rather than left to one side.

Speak to an Expert

Speak to Accountants for Healthcare in Okehampton

If your income comes from more than one place — NHS employment alongside private fees or locum sessions — or your practice is juggling payroll, VAT and year-end reporting at the same time, the right support makes a real difference. CruseBurke can take on the bookkeeping, Self Assessment and Corporation Tax work, keep your payroll and VAT obligations in order, and give you management information you can actually use to plan. A straightforward conversation about your circumstances is the best place to start, and it costs nothing to find out where you stand.