Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Gravesend

CruseBurke provides specialist accounting and tax support for medical professionals and medical businesses in Gravesend. Whether you are a doctor, GP, consultant, locum doctor or medical practice owner, we help you manage NHS and private income, bookkeeping, annual accounts, Self Assessment and tax planning. Our aim is straightforward, practical support that keeps your financial affairs in order so you can focus on your patients.

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 Gravesend

We work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, along with the medical practices they run. Each of these arrangements brings its own mix of income streams, expenses and reporting requirements, so support is shaped around how you actually work. Whether you are employed, self-employed or operating through a practice, we help keep your accounting and tax position clear.

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 deal with a mixture of income sources and reporting obligations that can be difficult to track. The points below are common areas where clear accounting support tends to make a real difference.

  • Keeping NHS and private income separate and correctly recorded
  • Managing multiple income sources, including locum or consultancy work
  • Claiming professional expenses such as medical indemnity, where the treatment depends on individual circumstances
  • Staying on top of Self Assessment deadlines and payments on account
  • Running payroll and practice bookkeeping accurately throughout the year
  • Choosing a suitable business structure and understanding VAT considerations

Accounting Support That Understands Medical Work

Working with an accountant who understands the accounting requirements of medical professionals means less time explaining how your income and expenses work. We focus on clear communication, practical support with different income structures, and straightforward guidance on tax matters as they apply to you. You also get ongoing support through the year, so questions are answered when they come up rather than left until a deadline.

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 Path to Clearer Accounts

Getting started is straightforward. You get in touch and tell us about your work and your accounting needs, we then talk through your income, expenses and tax requirements in plain terms, and from there you receive ongoing support suited to your circumstances. The aim is to keep the process clear and manageable from the first conversation onwards.

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.

Accounting Tailored to Medical Professionals and Practices

Our support is shaped around medical professionals and medical practices rather than a one-size-fits-all approach. We help with different income sources, professional expenses, bookkeeping, tax administration and wider business accounting, so your records and returns reflect how you actually work. Where tax treatment depends on your individual circumstances, we explain the options clearly before you decide.

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

It usually covers Self Assessment, annual accounts, bookkeeping, payroll and tax planning, with VAT and Corporation Tax support where they apply to your circumstances. Because medical professionals work in different ways, the exact mix of services depends on whether you are employed, self-employed, a locum or running a medical practice.

They suit doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, along with the practices themselves. If your income comes from NHS work, private work or a combination of both, the accounting approach is built around that structure. We focus specifically on medical professionals and medical businesses.

We help keep each income stream recorded separately and accurately so your records and returns are consistent. This makes it easier to see where your income comes from and to plan for tax payments. How that income is taxed depends on your individual circumstances, which we review with you.

Many medical professionals do, particularly where there is self-employed locum or private work alongside employment. Whether a return is required depends on your total income and its sources. We can review your position and handle the return and any payments on account on your behalf.

Yes, we can help you record and review professional expenses including medical indemnity, professional subscriptions and other costs connected with your work. Whether a particular expense can be claimed depends on your individual circumstances and the rules that apply. We explain the position clearly rather than assuming an automatic answer.

We do, and practices often need both running alongside each other. Accurate bookkeeping keeps day-to-day records in order, while payroll support helps ensure staff are paid correctly and reporting obligations are met. Both can be handled as part of an ongoing arrangement.

VAT registration requirements and the most suitable business structure depend on your turnover, how you work and your plans for the future. We can talk through the options and the practical implications of each. Because these areas depend on individual circumstances, we review them with you rather than applying a blanket answer.

Getting started is simple: contact us and tell us about your work and current arrangements. If you are moving from another accountant, we can discuss what information is needed to take things over smoothly. After that initial conversation, we agree the level of ongoing support that suits you.

Speak to an Expert

Need specialist accounting support for your medical income? CruseBurke is here to help.

Juggling NHS and private income can make Self Assessment and record keeping feel overwhelming. CruseBurke provides clear bookkeeping, tax planning and accounts support for medical professionals in Gravesend. Let us simplify the numbers so you can focus on your patients.