Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Gerrards Cross

CruseBurke provides Medical Accountants in Gerrards Cross for doctors, GPs, consultants, locum doctors and medical practice owners. Whether your income comes from NHS work, private practice or a mix of both, we support you with bookkeeping, annual accounts, Self Assessment and tax planning. The aim is clear, practical accounting that keeps your records organised and your tax position understood.

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 Support Across Gerrards Cross

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners in Gerrards Cross. Whether you work as a sole practitioner or run a larger medical practice, the focus stays on accurate records, a clear tax position and accounts prepared around how you actually work.

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.

Common Accounting Challenges Facing Medical Professionals

Medical professionals often combine several income streams, deadlines and expense types, which makes record-keeping harder than it first appears. Some of the recurring challenges we help with include:

  • Separating NHS, private and locum income so each source is recorded accurately
  • Tracking professional expenses such as medical indemnity and subscriptions, where the treatment depends on individual circumstances
  • Meeting Self Assessment deadlines when records are spread across payslips, portals and invoices
  • Deciding whether a sole trader, partnership or limited company structure suits the way you work
  • Understanding VAT considerations as private income grows or practice turnover changes
  • Maintaining bookkeeping that stands up to scrutiny across multiple income streams

Why Medical Professionals Choose Our Accountants

Working with an accountant who understands medical income means fewer explanations and more useful advice. We keep communication clear, explain the reasoning behind recommendations, and help you plan for tax across NHS, private and locum work. You receive ongoing support rather than a single annual conversation, so nothing important is left until the last minute.

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

Begin by getting in touch and telling us about your work and how your income is structured. We then talk through your accounting and tax requirements, including deadlines, records and any immediate concerns you want addressed. From there you receive ongoing support suited to your circumstances, with clear points of contact throughout the year.

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

Accounting support can be tailored to medical professionals and medical practices, whether income comes from NHS work, private practice or a combination of the two. That may include bookkeeping, tax administration, annual accounts and wider business accounting, shaped around your professional expenses and how your practice is set up.

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

They handle the accounting and tax work that sits around your clinical career, including annual accounts, Self Assessment, bookkeeping and tax planning. The exact scope depends on how you work, so a locum doctor with several contracts will need something different from a medical practice owner with employees and premises.

We support doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners. If you are newly qualified, branching into private work, or running an established medical practice, the accounting support can be built around your circumstances. Income structure, not job title, usually determines what is needed.

Yes. Many medical professionals earn from more than one source, and keeping those streams separate is essential for accurate records and a straightforward tax return. We help you organise NHS, private and locum income, then report it correctly through Self Assessment or company accounts as appropriate.

Professional expenses like medical indemnity, registration fees, subscriptions and some equipment costs may be allowable, but the treatment depends on individual circumstances and how the expense relates to your work. We review what you have paid and apply the rules carefully, so nothing is claimed that should not be.

Bookkeeping is still valuable because agency payments, timesheets and expenses need to reconcile before your tax return is prepared. Consistent records also make it easier to spot missed income and to demonstrate your figures if HMRC asks questions. For many locums, a simple monthly routine is enough.

We can talk through how each structure affects tax, National Insurance and administration, taking your income level and plans into account. The right answer varies: some medical professionals are better as a sole trader, while others find a limited company suits private or consultancy work. Any decision should reflect your own circumstances.

VAT registration depends on your turnover and the nature of your services, and some medical services are exempt while others are not. We help you monitor turnover and understand whether registration applies to you. Because VAT rules interact with your income mix, this is worth reviewing as your private work grows.

Get in touch and we will talk through your current position, existing records and upcoming deadlines. If you decide to move across, we can liaise with your previous accountant and handle the handover. The process is designed to be straightforward, with no disruption to your filings.

Speak to an Expert

Need Accounting Support Built for Medical Professionals? CruseBurke Makes It Clear

Mixing NHS and private income can make tax and record-keeping harder than it needs to be. CruseBurke provides Medical Accountants in Gerrards Cross who handle Self Assessment, bookkeeping and tax planning with clarity. You get straightforward guidance you can rely on.