Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Guildford

CruseBurke provides accounting and tax support for medical professionals and medical businesses across Guildford. Whether you are a GP, hospital doctor, consultant, locum doctor or practice owner, we can help with annual accounts, bookkeeping, Self Assessment, payroll and tax planning. Our aim is to make your NHS and private income easier to manage, so you can focus on patients rather than paperwork.

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 and Practices We Support

We work with doctors, GPs, consultants, locum doctors and private practitioners, along with medical practice owners and partners running medical practices. Our focus is on the accounting, tax and bookkeeping requirements that come with medical work, including combined NHS and private income. If you are unsure whether your circumstances fit, a short conversation is usually enough to clarify things.

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 work often brings more than one income stream, several sets of records and a tax position that changes from year to year. Keeping on top of that alongside clinical commitments is where mistakes and missed deadlines tend to creep in.

  • Reporting NHS and private income accurately on one return
  • Managing several income sources, including locum or consultancy work
  • Recording professional expenses, subscriptions and medical indemnity cover
  • Keeping bookkeeping and records up to date throughout the year
  • Meeting Self Assessment and payroll deadlines without last-minute pressure
  • Choosing the right business structure and understanding VAT where it applies

Accountants Who Understand Medical Income

Working with an accountant who understands medical income means fewer explanations and more useful conversations. We focus on clear communication, practical accounting support and guidance on tax matters that affect medical professionals, whether you are employed, self-employed or running a practice. You get ongoing support through the year, not just a set of accounts at the end of it.

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, Clear Process From First Contact

It starts with getting in touch and telling us how you work, what income you receive and what you need help with. We then discuss your accounting and tax requirements and agree a sensible way forward, including which services are relevant to you. From there, you receive ongoing support with your records, filings and deadlines as your circumstances change.

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 Support Tailored to Medical Professionals

Our support is tailored to medical professionals and medical practices, reflecting the way income, expenses and records actually work in this sector. That can cover different income sources, professional expenses, bookkeeping, tax administration and wider business accounting for a practice or partnership. The result is accounting support that fits your circumstances rather than a rigid, one-size-fits-all approach.

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

Most engagements include preparing and filing your annual accounts and tax return, keeping your bookkeeping in order and advising on tax matters as they come up. Payroll, VAT and practice-level accounting can also be included where they apply to you. The exact scope is agreed in advance so you know what is covered.

They suit doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners or partners. We also work with medical businesses that need ongoing accounting, payroll or VAT support. If your circumstances are unusual, it is worth a conversation to confirm the best way forward.

We look at each income source separately and then bring them together so the tax position is reported correctly. Records such as payslips, locum timesheets and private fee statements all feed into the same picture. How income is taxed depends on your individual circumstances, so we review yours before advising.

Many medical professionals do, particularly where there is self-employed income, locum work, private practice income or additional income from property or investments. Whether a return is required depends on your own situation and income levels. We can confirm this and handle the preparation and filing if a return is needed.

Commonly considered items include professional body subscriptions, medical indemnity cover, relevant training and some travel or equipment costs connected with your work. Whether a specific cost is allowable depends on individual circumstances and how it relates to your work. We review your records and flag anything that needs attention.

Yes. We can keep your bookkeeping up to date, reconcile bank transactions and prepare VAT returns where your practice or business is registered. VAT treatment varies depending on the services you provide and your turnover, so the position is reviewed individually. This helps avoid surprises when returns are due.

Sole trader, partnership, limited company and limited liability partnership arrangements all bring different tax and administrative consequences. There is no single answer that suits everyone, and the right choice depends on your income, plans and appetite for administration. We talk through the practical trade-offs before you decide.

Getting started is usually straightforward: we have an initial conversation about your circumstances, then handle the handover from your existing accountant where that applies. You do not need to prepare anything complicated in advance. Once we understand your position, we confirm the services that fit and how the ongoing support will work.

Speak to an Expert

Specialist Medical Accountants in Guildford — support you can rely on

Balancing NHS and private income can make tax and bookkeeping feel complicated. CruseBurke provides practical tax planning and Self Assessment support for medical professionals, keeping your affairs clear and compliant. Get straightforward guidance from a team that understands medical accounting.