Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Grays

Medical Accountants in Grays support doctors, GPs, consultants and locum doctors with the accounting and tax demands that come with NHS and private income. From bookkeeping and annual accounts to Self Assessment and tax planning, the focus stays on accurate records and informed decisions. Medical practices and private practitioners can also access payroll, VAT support and ongoing guidance shaped around their circumstances.

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 Grays

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, along with medical practice owners, partnerships and limited companies operating in medicine. Whether income comes solely from the NHS, entirely from private work or from a mix of both, the accounting approach is shaped around how the medical professional or practice is structured.

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 Shaped Around Medical Work

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 often manage several income streams alongside a demanding clinical schedule, which can leave little time for record keeping and deadlines. The points below reflect common pressure areas where specialist medical accounting support tends to make the biggest difference.

  • Keeping NHS, private and locum income clearly separated and accurately recorded
  • Understanding which professional expenses, including medical indemnity, may be allowable, as this depends on individual circumstances
  • Meeting Self Assessment registration and payment deadlines around unpredictable working hours
  • Choosing a suitable business structure for private practice, consultancy or locum work
  • Managing payroll and VAT obligations as a medical practice grows
  • Maintaining reliable bookkeeping throughout the year rather than at the deadline

An Accounting Team That Understands Medical Work

Working with Medical Accountants in Grays means dealing with people who are familiar with the mix of NHS, private and locum income that medical professionals often have. Communication is kept clear and plain, so it is easy to see where things stand and what needs attention next. Support continues throughout the year, covering bookkeeping, tax guidance and the practical questions that arise between deadlines.

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.

Getting Started Is Straightforward in Three Steps

Begin by getting in touch and telling us briefly about your medical role and how your income is arranged. We then discuss your accounting and tax requirements, including any bookkeeping, payroll or VAT matters, before agreeing how the ongoing support will work. From there, help continues so that records stay in order and deadlines are met.

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 Support Built for Medical Professionals

Accounting support can be tailored to how each medical professional or medical practice operates, whether that means a single income source or a mix of NHS, private and locum work. Professional expenses, bookkeeping, tax administration and business accounting are handled with a clear view of the structure already in place. As circumstances change, the approach can be reviewed so that it continues to fit.

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 behind clinical practice, including bookkeeping, annual accounts, Self Assessment, Corporation Tax and payroll where these apply. Tax planning, VAT support and practical guidance on business structure are also part of the service, depending on how your income and practice are arranged.

They suit doctors, GPs, medical consultants, locum doctors, private practitioners, medical practice owners, partnerships and limited companies operating in medicine. If your income comes from the NHS, from private work or from a combination of the two, the support is shaped around that arrangement.

Yes. Many medical professionals receive NHS salary alongside private fees, locum payments or consultancy income, and each source needs to be recorded correctly. How that income is taxed depends on your individual circumstances, so the position is reviewed before any advice is given.

Not always, but a return is often required where you also receive private, locum or consultancy income, or where you have untaxed earnings or higher income. Whether a return is needed depends on your own circumstances, and this can be reviewed as part of the initial discussion.

Commonly considered items include medical indemnity cover, professional body subscriptions and registration fees, but allowances depend on individual circumstances and on whether the cost is incurred wholly and exclusively for the purpose of the work. Records should be kept throughout the year to support any claim.

Yes. Bookkeeping, payroll and VAT registration or returns can be handled for medical practices where these obligations apply, alongside management information that helps practice owners see how the business is performing. The exact scope depends on how the practice is set up and its turnover.

Sole trader, partnership and limited company arrangements are all used by medical professionals, and the most suitable option depends on your income levels, plans and how you work. This can be discussed and revisited as your private practice or locum work develops.

Get in touch with a short outline of your current accounting arrangements, and the process is explained from there. A handover with your existing accountant can be arranged, and the necessary records and deadlines are reviewed so that nothing is missed during the transition.

Speak to an Expert

Looking for Accountants Who Understand Medical Income? We Are Here to Help.

Juggling NHS payslips, private invoices and locum work can make tax deadlines feel impossible. CruseBurke provides Medical Accountants in Grays who handle bookkeeping, Self Assessment and tax planning with clarity. You will always know where your figures stand.