Accounting Services for Healthcare in Tewkesbury

Accountants for Healthcare in Tewkesbury

Healthcare work is demanding enough without wrestling with tax returns, payroll deadlines and ever-changing compliance rules. CruseBurke provides Accountants for Healthcare in Tewkesbury who understand how medical and clinical income actually works — from NHS contracts and private fee income to locum work, practice profits and VAT on mixed supplies. We handle the numbers, keep your records in order and explain what you need to know in plain English, so you can make confident decisions about your practice, your tax position and your future plans without losing time you would rather spend on patients.

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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Healthcare Professionals and Businesses We Support in Tewkesbury

Our healthcare accounting work covers a broad range of practitioners and providers. We support GPs and salaried doctors, hospital consultants with private practice income, dentists and dental associates, pharmacists and pharmacy owners, nurses and advanced nurse practitioners, physiotherapists, chiropractors, osteopaths, podiatrists, optometrists, psychologists, therapists and allied health professionals. We also work with carers, care home operators, domiciliary care providers, private clinics, medical practices and healthcare partnerships. The accounting needs vary widely across that group. A locum GP may need help pulling together Self Assessment income from several trusts, agencies and out-of-hours sessions. A dental associate needs clarity on associate pay structures, lab fees and CEREC or equipment costs that can be claimed. A clinic owner wrestles with payroll for clinical and administrative staff, VAT on mixed taxable and exempt supplies, and how to structure the business so profits are not taxed unnecessarily. Whatever your setup, we aim to make your accounting arrangements suit the way you actually work.

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 Tewkesbury

Our services are built around the practical realities of healthcare income and expenditure. Self Assessment is central for most practitioners — we prepare and file returns that correctly combine NHS pensionable pay, private fees, locum income, teaching, royalties and any other streams, while making sure allowable expenses such as GMC or NMC fees, indemnity insurance, professional subscriptions, study costs and mileage are properly captured. For incorporated practices, clinics and care businesses we prepare annual accounts and Corporation Tax computations, and advise on whether a limited company, partnership or sole trader structure genuinely suits your circumstances. Bookkeeping and record keeping sit underneath all of that: we can work with digital accounting software, review your bookkeeping, or take it over entirely, so your figures are accurate and available when you need them. Payroll support helps practice managers and owners run clinical, nursing and admin payroll with pension auto-enrolment handled correctly, while VAT advice covers registration decisions, partial exemption and the treatment of mixed medical supplies. Management accounts give practice owners visibility over fee income, staff costs and cash flow during the year rather than only at the year end.

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 and Tax Challenges for Healthcare Professionals in Tewkesbury

Healthcare professionals rarely have a single, tidy income stream, and that is where most tax and accounting difficulties begin. These are the challenges we see most often.

  • Multiple income sources that are taxed together. NHS salary, private fees, locum sessions, out-of-hours work, teaching and medicolegal reports all need to be reported correctly on one Self Assessment return, with the right figures attributed to the right tax year.
  • Distinguishing allowable expenses from personal spending. Indemnity cover, professional body fees, specialist equipment, uniforms, home office use and travel between sites may all be allowable, but the rules are specific and evidence matters if HMRC asks questions.
  • VAT on mixed medical supplies. Many healthcare businesses make a combination of exempt and standard-rated supplies, which can affect registration, partial exemption calculations and how services are priced and invoiced.
  • Payroll complexity in clinical settings. Practices and care providers often run several pay rates, locum or bank staff payments, pension contributions and auto-enrolment duties, all with real-time reporting deadlines.
  • Choosing and reviewing a business structure. Whether you operate as a sole trader, partner or limited company affects tax, National Insurance, liability and how profits can be extracted — and the right answer changes as your income grows.
  • Cash flow and record keeping under pressure. Income can arrive irregularly from trusts, insurers and private patients, while expenses and tax bills fall due on fixed dates, making accurate records and forward planning essential.

Why Choose Us as Your Accountants

Healthcare accounting rewards specialists. Generalist accountants can prepare a return, but they may not spot that your NHS pension figures need reconciling against your annual benefit statement, that your indemnity cover is deductible, or that your clinic’s mixed supplies affect VAT. We take time to understand your role, your contracts and your income mix before recommending anything. You get clear explanations rather than jargon, deadlines managed proactively so nothing is left to the last minute, and a single point of contact who knows your file. Where you need bookkeeping or payroll taken off your hands, we can run those processes for you, and where you want to understand your practice’s numbers better, we can produce management accounts that make the position obvious. Compliance is handled properly, but the real value is having someone to ask before you sign a contract, take on a partner or change how you work.

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 your accounting onto a sound footing does not need to be complicated. First, we have an initial conversation to understand your role, how your income arrives, what structure you operate under and what is currently causing you difficulty — whether that is a backlog of records, an unfamiliar tax position or simply uncertainty about your obligations. Second, we review your accounting and tax position in detail: past returns, bookkeeping records, PAYE and VAT arrangements, business structure and upcoming deadlines. That review highlights gaps, risks and opportunities, and we explain what we find in straightforward terms. Third, we agree the support that fits — which services you need, how frequently we will be in touch, and how records will be shared and stored — then put it in place and take responsibility for the ongoing deadlines, giving you a clear plan and a reliable schedule rather than an annual 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 with accounting, tax and compliance work shaped around clinical working lives. That means Self Assessment returns that account properly for NHS and private income, annual accounts and Corporation Tax for incorporated practices and clinics, bookkeeping that keeps your records usable throughout the year, payroll for clinical and administrative teams, and VAT guidance where mixed supplies or registration thresholds come into play. We also help with the decisions that sit behind the numbers: whether to incorporate, how to bring in a new partner, how to plan for a tax bill you can see coming, and how to keep practice finances visible enough to make good choices. Our approach is to handle the technical work thoroughly and communicate it plainly, so you always know where you stand, what is due and what to do next.

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 Tewkesbury

It covers the same core disciplines as any accountancy service — Self Assessment, annual accounts, Corporation Tax, bookkeeping, payroll and VAT — but applied with an understanding of how healthcare income behaves. That means correctly reporting NHS salary and pensionable pay alongside private fees and locum income, identifying healthcare-specific allowable expenses such as indemnity cover and professional registration fees, and handling VAT correctly where a practice makes a mix of exempt and standard-rated supplies.

You may not need extensive support, but even a modest private income stream can complicate a tax return. Private fees, medicolegal work, teaching or occasional locum sessions all need to be declared, and expenses connected to that work may be claimable. An accountant can check that the figures are reported correctly, that your NHS pension figures are consistent with your records, and that you are not overpaying because something has been missed.

Both are taxable and generally both appear on your Self Assessment return, but they are reported differently. NHS employment income usually arrives through PAYE with tax already deducted, while private fees, locum work and self-employed clinical income are reported as trading or professional income with expenses deducted. Getting the split right matters, particularly where expenses relate to one income stream and not the other, and where pension contributions interact with your total earnings.

Yes. We advise sole traders, partnerships and limited companies on how structure affects tax, National Insurance, liability and the way profits are taken out. For associates working under an associate agreement, for pharmacy owners running a retail and dispensing operation, and for clinic owners employing clinical and admin staff, the right structure depends on income levels, risk and future plans, so we review your position before making a recommendation.

Common claims include professional registration and body fees, indemnity or professional insurance, specialist equipment and its maintenance, uniforms and laundry where relevant, professional development and mandatory training, and business mileage for travel between sites. Home office costs can sometimes be claimed where administrative work is genuinely carried out at home. Each claim depends on your circumstances and you need records to support it, which is where ongoing bookkeeping helps.

Many medical services are exempt from VAT, but not everything a healthcare business does is exempt — cosmetic treatments, dispensing retail sales, non-medical products and some ancillary services may be standard-rated. If you make both exempt and taxable supplies, registration thresholds, partial exemption rules and how you invoice all need careful handling. We can review your position and advise on registration and treatment.

We can run payroll for clinical, nursing, bank and administrative staff, including varied pay rates, overtime, statutory payments, pension contributions and auto-enrolment duties, with real-time reporting submitted on schedule. If you already have payroll software, we can work with it; if the process is currently manual, we can bring it onto a system that keeps records accurate and audit-ready.

Yes — accounting work is well suited to remote arrangements. Records and documents can be shared securely, meetings held by video or telephone, and deadlines managed without you needing to travel. To begin, we have an initial conversation about your role, income and current arrangements, then review your position and set out the support that fits before anything is put in place.

Speak to an Expert

Speak to Accountants for Healthcare in Tewkesbury

If your tax return has become harder to piece together than it should be, or your practice’s payroll, VAT and bookkeeping are taking up time you do not have, that is usually a sign the arrangements need a rethink. CruseBurke works with healthcare professionals and healthcare businesses on Self Assessment, annual accounts, payroll and VAT, alongside the business structure and tax planning questions that sit behind them. Get in touch to talk through your situation and find out what straightforward, well-organised healthcare accounting support would look like for you.