Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Fleetwood for Medical Professionals

CruseBurke provides Medical Accountants in Fleetwood supporting doctors, GPs, consultants and locum doctors with clear, practical accounting and tax guidance. Whether your income comes from NHS work, private fees or a medical practice, we can help with bookkeeping, annual accounts, Self Assessment and tax planning. The aim is simple: accurate financial records and a tax position you genuinely understand.

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 Every Day

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, as well as medical practice owners and partners running medical practices. Each has a different mix of income, from NHS work to private fees, so the accounting support is shaped around how you actually earn. The focus stays entirely on medical professionals and medical businesses.

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.

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.

Accounting Challenges Facing Medical Professionals

Medical professionals often deal with several income streams and very specific expense rules, which can make record keeping and tax reporting more involved than expected. The points below cover the areas we see raised most often.

  • Keeping NHS and private income separate and accurately recorded
  • Managing multiple income sources, including locum, consultancy and practice profits
  • Understanding which professional expenses may be allowable, as treatment depends on individual circumstances
  • Handling medical indemnity cover and other professional costs correctly
  • Staying on top of bookkeeping, Self Assessment deadlines and payroll obligations
  • Choosing an appropriate business structure and considering VAT where turnover requires it

Why Medical Professionals Choose Our Accounting Support

Working with an accountant who understands medical income structures makes a practical difference to how smoothly your accounts and tax affairs run. We explain things in plain language, keep in touch through the year and help with bookkeeping, tax guidance and ongoing support as your circumstances change. You get someone who understands how NHS work, private fees and practice income sit together.

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 to Get Started

Getting started is straightforward: get in touch, tell us about your income and accounting requirements, and we will explain what is involved. From there we agree the right level of support and handle the accounts, tax and bookkeeping work around your schedule. You then receive ongoing support as your circumstances change.

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.

Chartered Accountants for Medical Professionals and Practices

Our Medical Accountants in Fleetwood tailor their support to medical professionals and medical practices, whether income comes from NHS work, private fees, locum shifts or consultancy. We help with professional expenses, bookkeeping, tax administration and business accounting so records stay in order and obligations are met. The approach is built around how medical professionals actually work.

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

Medical Accountants in Fleetwood handle the accounting and tax administration that sits behind your clinical work, including bookkeeping, annual accounts, Self Assessment and payroll. They also help with tax planning, medical practice accounting and VAT matters where these apply, so you are not left managing deadlines and records alone. The exact scope depends on how your income is structured.

They suit doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners or partners. Salaried clinicians with private income, locums with several engagements and practice principals all tend to have different accounting needs. Support is shaped around your own circumstances rather than a fixed template.

Yes. Self Assessment becomes more involved when you receive NHS income and private fees, because both need to be reported accurately and supported by reliable records. We can help you pull that information together, prepare the return and explain what you are declaring. Tax treatment always depends on your individual circumstances.

Commonly considered costs include professional subscriptions, medical indemnity cover, necessary equipment, training and certain travel, but whether a particular expense is allowable depends on your circumstances and how it relates to your work. We review your outgoings and identify what may be claimed, keeping appropriate records to support the position. Nothing is treated as allowable without checking it properly first.

It depends on how the practice is structured and what its turnover looks like. Many practices benefit from regular bookkeeping so accounts and payroll stay accurate, and VAT registration only applies once turnover reaches the relevant threshold or in specific situations. We will review your position and explain whether VAT is likely to be relevant.

There is no single answer, as the right structure depends on your income level, how you work and your longer-term plans. Sole trader, partnership and limited company arrangements each carry different tax and administrative implications. We can talk through the options and the practical consequences of each before you decide.

Yes, switching is usually a smooth process and we can liaise with your existing accountant to obtain the information needed. Once records and authorisations are in place, we take over the ongoing accounting, bookkeeping and tax work. You will be told what is happening at each stage so nothing is left uncertain.

Simply get in touch and tell us about your income, your business structure and the accounting or tax support you are looking for. We will explain what is involved, agree the level of help that suits you and set out the next steps. From there, ongoing support continues as your circumstances develop.

Speak to an Expert

Need Medical Accountants in Fleetwood? Clear, Practical Support With Straightforward Guidance

Juggling NHS income, private fees and practice paperwork can leave little time for tax deadlines. CruseBurke’s Medical Accountants in Fleetwood help with Self Assessment, bookkeeping and tax planning, keeping your records accurate and your position clear. Practical support around your working life.