Chartered Medical Accountants for the Whole Healthcare Sector
Trusted Medical Accountants in London
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⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
Supporting Medical Professionals Across London
We help online coaches and advisors with accurate cloud-based accounting support.
Accounting Services Built Around Medical Professionals
Medical Tax Planning
Tax planning for doctors and medical professionals with different sources of income and professional expenses.
Pension input calculations, tapered Annual Allowance checks and Scheme Pays advice, based on NHS Pension Scheme guidance.
Accurate bookkeeping for medical professionals, practices and businesses.
Payroll for clinical and admin staff, locum payments, statutory pay and pension auto-enrolment filed on time each month.
Most medical care is VAT exempt but cosmetic treatment, dispensing and product sales are not. We handle partial exemption calculations properly.
Common Accounting Challenges Facing Medical Professionals
Medical income often arrives from more than one source, and each stream can carry its own tax and reporting requirements. Keeping records tidy alongside clinical commitments is a common pressure, and it is where small oversights tend to build up over time.
- Managing a mix of NHS income, private fees, locum shifts and consultancy earnings within one set of records
- Tracking professional expenses such as medical indemnity, professional body fees, training and equipment, where the treatment of each item depends on individual circumstances
- Keeping Self Assessment accurate when income, expenses and payments on account shift from year to year
- Choosing and reviewing a business structure, whether sole trader, partnership or limited company, as your work develops
- Handling payroll, pension contributions and VAT considerations for a practice that employs staff or engages several clinicians
- Maintaining accurate, well-organised bookkeeping so accounts and tax returns are prepared without a last-minute scramble
Why Medical Professionals Choose Our Accountants
Specialist London Focus
We act for medical clients across London and understand London weighting and high-cost area supplements.
Every Allowance Claimed
Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.
NHS Pension Specialists
Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.
Deadlines Handled for You
Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.
IR35 & Locum Confidence
Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.
Fair, Fixed Fees
Clear pricing agreed up front, so you get full expert service with no hidden extras.
A Simple Three-Step Process
1. Initial Consultation (It’s Free):
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
2. Customised Plan:
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
3. Ongoing Support & Updates:
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Built for Medical Professionals and Medical Practices
Technology Driven
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
Named Medical Accountant
A dedicated accountant who knows your practice, your income mix and your pension position.
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 has over 100 years of combined accountancy experience.
Free - Email Reminders
Never Miss any deadline with our automated email reminders.
Yes, We Are Chartered!
We’re an ICAEW, ACCA & AAT accredited Firm.
How to Switch to a CruseBurke Medical Accountant
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 Medical Accountants
Our Medical Accountants in London handle the accounting and tax work that comes with medical income, including bookkeeping, annual accounts, Self Assessment, payroll, tax planning and VAT support where it applies. We can also help with practice accounting, partnership accounts and choosing a suitable business structure. The aim is to keep your records accurate and your reporting compliant while you concentrate on clinical work.
We work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, as well as the medical practices and clinics they operate. Some clients work entirely within the NHS, others earn purely from private work, and many have a combination of both. Because income structures differ so much, the support is shaped around your own circumstances rather than a fixed template.
Yes. Bringing NHS earnings, private fees, locum shifts and consultancy income together in one Self Assessment is exactly the kind of work we handle regularly. We help you record each income stream correctly, review allowable expenses and understand payments on account. How individual items are treated depends on your own circumstances, and we will talk that through with you.
We do. Our Medical Accountants in London can maintain day-to-day bookkeeping, prepare management information, run payroll for practice staff and clinicians, and help with pension contributions and related reporting. This keeps the financial records behind your practice organised and up to date. The exact scope depends on the size of the practice and the systems you already use.
Costs such as medical indemnity cover, professional body subscriptions, training and certain equipment are commonly reviewed as part of medical accounts and Self Assessment. Whether a particular expense is allowable depends on your individual circumstances, including how the cost relates to your work and how you are structured. We review your expenditure and explain what can reasonably be claimed.
VAT registration depends on your taxable turnover and the nature of the services you provide. Some medical services are exempt, while other private work may be treated differently, so the position is not the same for everyone. Our Medical Accountants in London can review your income and advise on whether registration applies to you and what it means for your fees.
There is no single answer, because the right structure depends on your income levels, how you work and your longer-term plans. Locum doctors, consultants and practice owners often have quite different considerations, including tax treatment and administrative responsibilities. We can talk through the options and help you review your structure as your work changes.
Switching is usually straightforward. We ask for some basic details about your income and current arrangements, then contact your existing accountant for the relevant records with your authorisation. From there we agree the services you need and provide ongoing support with your bookkeeping, accounts and tax affairs. You can get in touch at any point in the tax year to begin.