Accounting Services for Healthcare in South West London

Accountants for Healthcare in South West London

If you work in healthcare, your financial circumstances are rarely straightforward. Whether you’re a GP balancing NHS and private income, a locum doctor with multiple contracts, a dentist running a practice, or a pharmacist operating through a limited company, you need an accountant who understands the sector. Our accountants for healthcare in South West London provide specialist support with Self Assessment, tax planning, payroll, VAT, and compliance — helping you stay on top of HMRC requirements while focusing on patient care. We explain things clearly, keep deadlines under control, and offer practical advice tailored to your role.

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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 We Work With: Healthcare Professionals and Businesses in South West London

Our healthcare accounting services are designed for a wide range of professionals and businesses. This includes GPs, hospital doctors, consultants, locum doctors, dentists, dental practices, pharmacists, nurses, physiotherapists, and other allied health professionals. We also work with private clinics, care providers, and medical practices operating as sole traders, partnerships, or limited companies. Their accounting needs often involve preparing Self Assessment tax returns that combine NHS salary with private fees, dealing with pension annual allowance charges, running payroll for practice staff, managing VAT on mixed exempt and standard-rated services, and deciding on the right business structure. Whether you’re a single practitioner or managing a team, we can help you keep your finances organised and your tax position clear.

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.

Our Accounting Services for Healthcare Professionals in South West London

Our accounting services are built around the realities of healthcare work. That means dealing with multiple income streams, irregular hours, and the specific tax rules that apply to medical professionals. We can help with: – Self Assessment tax returns, including combined NHS and private income – Annual accounts and Corporation Tax for limited company contractors and practice owners – Bookkeeping and management accounts to keep you on top of practice performance – Payroll for practice staff, including auto-enrolment pensions – VAT returns and advice on exempt versus standard-rated healthcare services – Tax planning, including pension annual allowance considerations and business structure reviews – Advice on allowable expenses such as professional subscriptions, indemnity insurance, and equipment – Support with HMRC investigations and compliance matters We aim to make the process straightforward, whether you’re a sole trader, in a partnership, or running a limited company.

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.

Key Accounting Challenges for Healthcare Professionals in South West London

Healthcare work often involves complex income structures and specific tax rules that can trip up even experienced professionals. From mixed NHS and private income to pension annual allowance charges, here are some of the most common challenges we help with.

  • Multiple income sources: Many healthcare professionals receive a salary from the NHS or a trust, private practice fees, and locum income. Each source may need separate reporting, and combining them in a Self Assessment tax return can be complicated.
  • Determining allowable expenses: It can be difficult to know which costs are tax-deductible. Professional indemnity insurance, GMC or NMC registration fees, medical equipment, and mileage between sites are often allowable, but personal expenses are not.
  • NHS pension annual allowance charges: High-earning doctors and consultants may face annual allowance tax charges. Calculating the correct pension input amount and reporting it accurately on a Self Assessment return requires specialist knowledge.
  • VAT on mixed healthcare services: Some medical services are exempt from VAT, while others are standard-rated. If you provide both NHS and private services, partial exemption rules can apply, making VAT returns more complex.
  • Payroll for practice staff and associates: Running a practice or clinic means dealing with payroll for employees, locum payments, associate dentists or GPs, auto-enrolment pensions, and potentially IR35 rules for contractors.
  • Record keeping and deadlines: HMRC and Companies House deadlines are strict. Without a robust record-keeping system, it's easy to miss filing dates, incur penalties, or struggle to provide accurate information when needed.

Why Choose Us as Your Healthcare Accountants in South West London

Choosing an accountant who understands healthcare can make a real difference. We take the time to learn about your role, your income sources, and your goals. Whether you’re a consultant with a private practice, a GP partner, or a locum working through a limited company, we provide practical advice that fits your circumstances. Our approach is clear, proactive, and focused on keeping you compliant while helping you make informed financial decisions. We don’t just crunch numbers — we help you understand your tax position, plan ahead, and avoid unnecessary stress. With us, you get a responsive service and a team that speaks your language, not just accounting jargon.

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 Accounting Support

Getting the right accounting support shouldn’t be a headache. Our process is straightforward: 1. Initial conversation: We start by listening. Tell us about your work, your income streams, and any concerns you have. Whether you’re a doctor, dentist, pharmacist, or practice manager, we’ll ask the right questions to understand your situation. 2. Review of your accounting and tax needs: We look at your current records, compliance status, and financial structure. This helps us identify any gaps, deadlines, or opportunities that need attention — from Self Assessment to VAT, payroll, and pension considerations. 3. Putting support in place: Once we understand your needs, we agree a scope of work and set up the services you require. That might include bookkeeping, payroll, tax return preparation, or ongoing tax planning. We’ll also make sure you know what’s happening and when, so you’re never in the dark.

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 in South West London

CruseBurke provides accounting and tax support tailored to healthcare professionals and businesses. We understand the pressures you face — busy schedules, complex pay structures, and the need to stay compliant with HMRC. Our services cover Self Assessment, annual accounts, Corporation Tax, bookkeeping, payroll, VAT, and tax planning. We help you keep accurate records, meet deadlines, and make sense of the tax rules that affect your income. Whether you’re dealing with NHS and private income, pension annual allowance charges, or VAT on mixed services, we can help you stay organised and informed. Our aim is to take the financial admin off your plate so you can focus on your patients and your practice.

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 South West London

An accountant for healthcare in South West London specialises in the financial and tax affairs of medical professionals and healthcare businesses. That includes preparing Self Assessment tax returns for doctors, dentists, and other practitioners with mixed NHS and private income, handling payroll for practice staff, advising on VAT for private services, and helping with pension annual allowance issues. They also provide general accounting support such as bookkeeping, annual accounts, and tax planning.

Locum doctors often have multiple contracts, travel between sites, and may work through a limited company or as a sole trader. A specialist accountant can help you decide on the most appropriate structure, manage your Self Assessment or company accounts, and ensure you claim allowable expenses such as mileage, indemnity insurance, and professional fees. They can also advise on IR35 if you're contracting through a limited company.

Mixed income is common in healthcare. If you receive an NHS salary and private fees, you'll usually need to report both on a Self Assessment tax return. The private income is typically reported on a self-employment page, while NHS salary goes on the employment page. We can help you keep accurate records, calculate the correct tax, and make sure you're not paying more than you need to.

In many cases, yes. Professional subscriptions to bodies like the GMC, NMC, or BMA are generally allowable expenses if they're required for your work. Indemnity insurance is also usually deductible. However, the rules can vary depending on your employment status and whether you're self-employed. We can review your expenses and confirm what you can claim.

Yes. VAT on healthcare services can be complex because some services are exempt while others are standard-rated. If you provide a mix of NHS and private services, you may need to deal with partial exemption. We can help you determine the correct VAT treatment, complete your VAT returns, and keep accurate records to support your position.

If you're a high-earning doctor or consultant in the NHS pension scheme, you may face an annual allowance charge. This happens when your pension savings grow by more than the annual allowance in a tax year. You'll need to report this on your Self Assessment tax return and may be able to use scheme pays. We can help you calculate your pension input amount and handle the reporting.

For clinic owners, we can provide a full range of services including bookkeeping, payroll for staff, VAT returns, annual accounts, and Corporation Tax if you operate through a limited company. We can also help with management accounts to track profitability, tax planning, and advice on business structure. Our aim is to keep your finances organised so you can focus on running the clinic.

The first step is a conversation. We'll ask about your work, your income sources, and any tax or accounting concerns you have. From there, we'll review your needs and recommend the services that fit. Whether you're a sole practitioner or a larger practice, we'll explain the process clearly and agree a scope of work before anything else. You can contact us to arrange an initial discussion.

Speak to an Expert

Speak to Accountants for Healthcare in South West London

If you’re juggling NHS and private income, facing a pension annual allowance charge, or simply need help keeping your practice finances in order, we can help. CruseBurke provides specialist accounting support for healthcare professionals and businesses in South West London. From Self Assessment and payroll to VAT and tax planning, we’ll help you stay compliant and make informed decisions. Get in touch to discuss your circumstances and find out how we can support you.