Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Exeter

CruseBurke provides specialist accounting and tax support for medical professionals and medical businesses in Exeter. We work with doctors, GPs, medical consultants, locum doctors and practice owners, helping to keep NHS and private income, bookkeeping and annual accounts in order. From Self Assessment and tax planning to payroll, VAT and medical practice accounting, our team offers clear guidance shaped around the way you work.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

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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Medical Professionals We Work With Across Exeter

We support doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners throughout Exeter. Whether you work solely within the NHS, run a private clinic or combine several income streams, our accounting support is built around the realities of medical work. Medical practices and partnerships also rely on us for bookkeeping, payroll and year-end accounts.

Supporting independent practitioners with tax planning and NHS pension advice.

Offering tailored financial solutions for dental practices and their specific needs.

We help online coaches and advisors with accurate cloud-based accounting support.

Specialised accounting for pharmacies and locums.

Our Medical Accounting Services in Exeter

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.

Accounting Challenges Medical Professionals Commonly Face

Medical professionals in Exeter often deal with a mix of income sources and rules that are not always straightforward. Keeping records accurate and understanding what can be claimed usually takes more attention than a standard employment situation.

  • Keeping NHS income, private fees and locum or consultancy earnings clearly separated and properly recorded
  • Deciding which professional expenses may be allowable, including medical indemnity cover, where treatment depends on individual circumstances
  • Completing Self Assessment accurately when income arrives from several sources or through a partnership
  • Choosing a business structure, whether sole trader, partnership or limited company, and understanding the tax implications of each
  • Managing VAT considerations where private work or practice turnover brings registration into scope
  • Maintaining reliable bookkeeping and payroll records that stand up to scrutiny and make year-end accounts simpler

Why Medical Professionals Choose Our Exeter Team

Working with an accountant who understands medical income structures means fewer surprises and clearer answers when questions arise. We explain things in plain English, keep communication straightforward and provide practical support with bookkeeping, tax and accounts throughout the year. Our role is to help you stay organised, meet your filing obligations and make informed decisions about your finances.

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.

Our Simple Three-Step Process

Getting started is straightforward. You contact us and tell us about your work, your income sources and what you need help with, then we discuss your accounting and tax requirements in detail. From there, we set out the support that fits and stay with you as your circumstances change, whether you are newly qualifying or expanding a practice.

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 Around Medical Professionals and Medical Practices

Our accounting support is shaped for medical professionals and medical practices rather than adapted from a generic template. We look at your mix of NHS and private income, professional expenses, bookkeeping records and tax administration, then structure reporting and advice around that. Business accounting, payroll and year-end work are handled with the medical sector’s typical patterns in mind, so nothing is overlooked.

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 service in Exeter typically covers Self Assessment, annual accounts, bookkeeping, payroll and tax planning, along with VAT support and medical practice accounting where it applies. The exact combination depends on your circumstances, so we agree the scope with you before any work begins. Not every medical professional needs every service.

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners across Exeter. Some clients receive NHS income only, while others combine NHS work with private fees or consultancy. We also support practices, partnerships and limited companies operating in the medical sector.

We help you keep NHS income, private fees and any locum or consultancy earnings clearly recorded and separated, so each source is reported correctly. Payroll, pensions and practice drawings can be coordinated alongside this. The correct treatment depends on your individual circumstances, and we will explain how it applies to you.

Many medical professionals do need to file a Self Assessment return, particularly where income arrives from self-employment, locum work, private practice, partnerships or untaxed sources. Whether a return is required depends on your personal situation and total income. We can confirm your position and prepare and submit the return on your behalf.

Yes, we can review the expenses you incur, including medical indemnity cover, professional subscriptions, equipment and training, and advise on what may be allowable. Whether an expense can be claimed depends on individual circumstances and how it relates to your work. We keep records straightforward so the position is clear at year end.

We provide bookkeeping and VAT support for medical practices and individual practitioners where these are relevant. VAT treatment varies considerably between NHS work, private fees and other activities, so registration and reporting need careful review. We will assess your position and explain what applies to you.

Sole trader, partnership and limited company structures each carry different tax and administrative consequences, and the right choice depends on your income, plans and personal circumstances. We talk through the practical implications rather than pushing a single option. Many medical professionals review their structure periodically as their working arrangements change.

Switching is usually a simple process. We contact your existing accountant for the information we need, take over the record keeping and confirm what is outstanding, so you are not left chasing paperwork. Once we understand your income sources and requirements, we agree a clear plan for ongoing support.

Speak to an Expert

Need Specialist Medical Accounting in Exeter? Get Clear, Practical Support You Can Rely On.

CruseBurke helps medical professionals in Exeter keep on top of Self Assessment, bookkeeping and mixed NHS and private income. If your records are falling behind or your tax position feels unclear, our team can bring order and clarity to it. You get straight answers and steady support throughout the year.