Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Gresford Wrexham

CruseBurke provides Medical Accountants in Gresford Wrexham supporting doctors, GPs, medical consultants and locum doctors with clear, practical accounting and tax guidance. From NHS and private income to bookkeeping, annual accounts and Self Assessment, we help medical professionals and medical practices keep their finances organised and compliant. Whether you work as a sole practitioner or run a growing medical practice, our support is shaped around how you actually earn.

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 in Gresford Wrexham

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners across Gresford Wrexham and the surrounding area. Whether your income comes from NHS work, private fees or a mix of both, our Medical Accountants help you keep accurate records and understand your tax position. Medical practices also receive support with payroll, bookkeeping and annual accounts.

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 income rarely arrives in a single, tidy stream, and that creates accounting pressures that general accountants may not anticipate. Our Medical Accountants in Gresford Wrexham help you make sense of the detail and stay on top of your obligations.

  • Separating NHS income from private fees and keeping clear records for each source.
  • Managing Self Assessment when income comes from several employers, locum shifts or consultancy work.
  • Tracking professional expenses such as medical indemnity and subscriptions, where the treatment depends on individual circumstances.
  • Choosing and reviewing a business structure, whether you work as a sole trader, in partnership or through a limited company.
  • Keeping bookkeeping and payroll accurate and current across a busy medical practice.
  • Understanding VAT considerations, which may apply to some private services and not others.

Why Medical Professionals Choose Our Support

Working with an accountant who understands medical income structures means fewer explanations and more useful conversations about your tax position. We keep communication clear and practical, helping you interpret NHS payslips, private fees and practice records without jargon. You benefit from ongoing support and considered tax guidance as your medical work or practice evolves.

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: simply get in touch and tell us about your medical work or practice. We then discuss your accounting and tax requirements, including how your income is structured and what records you already hold. From there, you receive appropriate ongoing support, with clear guidance on Self Assessment, bookkeeping, accounts and tax deadlines.

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

Our Medical Accountants in Gresford Wrexham tailor their approach to the way medical professionals and medical practices actually operate. That includes handling multiple income sources, reviewing professional expenses, maintaining bookkeeping, and managing tax administration such as Self Assessment and Corporation Tax. Where a practice needs business accounting support, we structure the work around its size and activities.

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

Our Medical Accountants support medical professionals and medical practices with the accounting and tax work that fits their circumstances, which may include Self Assessment, annual accounts, bookkeeping, payroll, Corporation Tax and tax planning. Some clients need a full year-round service, while others need help with specific areas such as locum income or practice payroll. We agree the scope with you before any work begins.

They are designed for doctors, GPs, medical consultants, locum doctors, private practitioners, medical practice owners and medical practices. If your income comes from NHS work, private fees, consultancy or a combination of sources, the accounting requirements can differ from those of a typical employed person. Whether you are newly qualified or established in practice, the support can be adapted to your situation.

Yes. Many medical professionals receive NHS income alongside private fees or locum payments, and keeping those sources separate is important for accurate records and correct tax reporting. We can help you organise payslips, invoices and expense records so your Self Assessment Return reflects the full picture. How each income source is treated for tax depends on your individual circumstances.

Whether you need to file depends on your total income, how it is earned and your employment arrangements, so it is worth checking your own position. Medical professionals with locum work, private fees, consultancy income or untaxed earnings commonly need to complete a return. Our Medical Accountants in Gresford Wrexham can review your circumstances and explain what is required of you.

Expenses such as medical indemnity cover, professional subscriptions and certain equipment or travel costs are often considered, but allowable treatment depends on individual circumstances and how the expense relates to your work. Some costs are claimable in full, others may be restricted or apportioned. We can review your records and explain what is likely to be acceptable before you submit anything.

Yes, bookkeeping sits at the centre of most of what we do for medical professionals and medical practices, and VAT support is available where it applies to your activities. Not every medical professional needs to be VAT registered, since it depends on the nature and level of the services provided. Where VAT does apply, we can help with registration, record keeping and returns.

There is no single answer that suits every medical professional, because the right structure depends on your income levels, how you work and your longer-term plans. Some practitioners operate as sole traders, others in partnership, and some through a limited company alongside NHS employment. We can talk through the practical differences so you can make an informed decision.

Getting started is simple: get in touch and tell us a little about your medical work or practice. We will discuss your accounting and tax requirements, including your income sources and the records you currently keep, and then explain how we would support you. If you are moving from another accountant, we can talk you through what information is needed to transfer smoothly.

Speak to an Expert

Looking for Medical Accountants in Gresford Wrexham? Let CruseBurke Keep Your Accounts in Order.

Juggling NHS payslips, private fees and practice expenses can make tax deadlines feel overwhelming. CruseBurke’s Medical Accountants in Gresford Wrexham can help with Self Assessment, bookkeeping and tax planning so your affairs stay organised. Clear guidance and practical support you can rely on.