Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Grampound

Medical Accountants in Grampound help doctors, GPs, consultants and locum doctors keep their accounting and tax affairs in good order alongside demanding clinical work. From NHS and private income to medical practice accounts, bookkeeping, payroll and Self Assessment, support is shaped around how you actually earn. Whether you work in a practice, as a locum or in private practice, the aim is clear records, sensible tax planning and fewer administrative headaches.

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 Grampound

We work with doctors, GPs, consultants and locum doctors, as well as private practitioners and medical practice owners running their own clinics or practices. Income structures vary widely across the medical profession, so support is tailored to whether you are employed, self-employed, working through a limited company or balancing several roles at once. Medical practices and partnerships also receive help with accounts, payroll and the day-to-day bookkeeping that keeps a practice running smoothly.

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 income and expenses that are less straightforward than a single salary. Records still need to be accurate, deadlines still apply, and the treatment of certain costs can depend on individual circumstances, which is where informed accounting support helps.

  • Managing NHS income alongside private practice, consultancy or locum earnings, each with its own records and reporting requirements.
  • Keeping accurate records when money arrives from several sources, including locum shifts, private fees and consultancy work.
  • Understanding which professional expenses may be allowable, as treatment often depends on individual circumstances.
  • Staying on top of Self Assessment deadlines and Payments on Account when earnings fluctuate through the year.
  • Choosing and maintaining a business structure that suits your work, whether sole trader, partnership or limited company.
  • Handling payroll, pension contributions and VAT considerations where they apply to your medical practice.

Accounting Support That Understands Medical Careers

Working with an accountant who understands medical income means fewer explanations and more practical guidance, from the way NHS and private earnings are recorded to how professional expenses are handled. We focus on clear communication, straightforward record keeping and tax guidance that reflects your individual circumstances rather than a one-size-fits-all approach. Whether you are a single locum doctor or a practice owner with staff, you get ongoing support that keeps pace with how your work changes.

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.

Three Simple Steps to Clearer Medical Accounting

Getting started is straightforward: simply get in touch and tell us about your work, your income sources and what you need help with. We then talk through your accounting and tax requirements, including any deadlines, records or structure questions that need attention. From there, you receive appropriate ongoing support, whether that is annual accounts, Self Assessment, bookkeeping, payroll or a combination that suits you.

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

Accounting support can be tailored to the realities of medical work, whether you are a locum doctor, a consultant with private fees or a practice owner with staff and premises. We help bring different income sources together, review professional expenses, keep bookkeeping up to date and manage tax administration and business accounting as your circumstances change. Medical practices receive the same practical approach, with accounts, payroll and reporting handled in a way that fits the way the practice operates.

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 Grampound handle the accounting and tax work that sits behind your clinical role, including annual accounts, Self Assessment, bookkeeping, payroll and tax planning. They also help medical practices and partnerships with their reporting and record keeping. The exact scope depends on how you earn and whether you work as an employee, a sole trader, a partner or through a limited company.

They suit doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, as well as partnerships and clinics with employees. If you have a mix of NHS and private income, or work across several roles, the accounting requirements tend to be more involved than a single salary. Support is arranged around your particular circumstances rather than a fixed template.

Yes, this is one of the most common situations we deal with, and it usually means keeping two sets of records that feed into one tax position. We look at how each income stream is reported, what expenses relate to which activity, and how that affects your Self Assessment. Because everyone's mix of work differs, the treatment of specific items depends on your individual circumstances.

Typical areas include professional indemnity cover, registration and subscription fees, certain training costs, and expenses connected with running a practice or private clinic. Whether a particular cost is allowable depends on the facts, including whether it is wholly and exclusively for your work. We review your spending and explain which items may be claimable and which are not, so your records stand up to scrutiny.

Yes, bookkeeping and payroll are two of the services medical practices most often need, particularly where there are reception staff, nurses or other employees on the payroll. We can keep records organised through the year, prepare payslips and handle the related reporting. This sits alongside accounts preparation, so the practice's finances stay consistent and easy to follow.

Many medical services are exempt from VAT, but the position is not the same for every activity, and income from other work can affect whether registration is required. Whether you need to register depends on your turnover, the nature of your services and your individual circumstances. We can review your position and explain what it means for your record keeping and invoicing.

Sole trader, partnership and limited company structures all have different implications for tax, administration and how profits are taken. The right choice depends on your income level, whether you work with others, and how you want to manage your affairs over time. We talk through the practical differences so you can make an informed decision rather than simply following convention.

Switching is usually a straightforward process, and we can liaise with your existing accountant to obtain the records and information needed to take over. Simply get in touch, describe your work and income sources, and we will outline the next steps. From there, you receive ongoing support arranged around your accounting and tax requirements.

Speak to an Expert

Need Accountants Who Understand Medical Income? Let's Talk.

Juggling NHS income, private fees and locum work can make tax and record keeping feel overwhelming. CruseBurke provides Medical Accountants in Grampound offering Self Assessment, bookkeeping and payroll support tailored to medical professionals and practices. Clear guidance, practical help, and records you can rely on.