Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Hackney

CruseBurke provides Medical Accountants in Hackney who support doctors, GPs, consultants and locum doctors with clear, practical accounting and tax guidance. Whether you earn through NHS work, private practice or a mix of both, we help with bookkeeping, annual accounts, Self Assessment and tax planning. Medical practices and clinics can rely on us for payroll, VAT and day-to-day business accounting, so your finances stay accurate and well organised.

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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Supporting Doctors, GPs, Consultants and Medical Practices in Hackney

Our Medical Accountants in Hackney work with doctors, GPs, hospital consultants and locum doctors, along with private practitioners and medical practice owners. We also support partnerships and limited companies running medical practices, helping them keep accurate records, meet reporting deadlines and understand their tax position. Whatever your specialism or business structure, the focus stays on accounting support built around the realities of medical work.

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 and Tax Services for 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.

Making Sense of Complex Medical Income

Medical professionals often juggle several income streams, each with its own reporting and record-keeping demands. Common challenges we help with include:

  • Managing NHS and private income side by side, with different payment and record-keeping requirements.
  • Keeping track of multiple income sources, including locum sessions, consultancy work and private fees.
  • Recording professional expenses accurately, as allowable treatment often depends on individual circumstances.
  • Accounting for medical indemnity and professional body costs within the correct tax year.
  • Staying on top of Self Assessment deadlines when income and expenses change during the year.
  • Choosing and maintaining a suitable business structure, with VAT considerations reviewed as turnover changes.

Accounting Support That Understands Medical Professionals

Working with Medical Accountants in Hackney who understand medical income structures means fewer surprises and clearer decisions. We explain things in plain English, keep communication straightforward, and provide ongoing support rather than a once-a-year exchange of figures. From bookkeeping to tax guidance, the aim is practical help that fits around your clinical commitments.

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 Three-Step Process

Getting started is straightforward. We begin with a conversation about your work, your income sources and what you need from an accountant, then set out the accounting, bookkeeping and tax support that fits your circumstances. From there, you receive ongoing help with deadlines, records and queries as they arise, so nothing is left until the last minute.

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 Practices in Hackney

Our accounting support is tailored to medical professionals and medical practices, whether you work as a locum, run a private clinic or manage a practice with employed staff. We help with bookkeeping, tax administration and business accounting, and we take the time to understand how different income sources and professional expenses affect your position. The result is support that reflects the way medical work actually pays.

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 handle the accounting and tax work that comes with clinical careers and medical businesses. This can include bookkeeping, annual accounts, Self Assessment, payroll, VAT and tax planning, depending on how you work and what you earn. Support is tailored, so you are not paying for services you do not need.

We work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, as well as partnerships and limited companies operating in the medical sector. Some clients are sole traders with a single income stream, while others combine NHS work with private fees or run a practice with employees. The common thread is a need for accounting support that understands medical income.

NHS and private income are often recorded and reported in different ways, so we start by mapping out where each payment comes from and how it is treated. We then set up bookkeeping that keeps the two clear, which makes Self Assessment and any VAT position easier to manage. How each element is treated depends on your individual circumstances.

Many medical professionals do need to file a Self Assessment tax return, particularly if you have income that is not taxed at source, such as locum work or private fees. Whether a return is required depends on your total income and its sources, so it is worth checking your position. We can review your circumstances and handle the filing if a return is needed.

Yes, we can help you record professional expenses properly, including medical indemnity, professional body subscriptions and costs associated with your work. Whether a particular expense is allowable depends on the rules and your individual circumstances, so we review each item rather than assuming. Good record-keeping throughout the year makes this much simpler at filing time.

We provide bookkeeping for medical professionals and medical practices, which can range from regular transaction recording to a fuller review of your records. Where VAT applies, we can help with registration questions, returns and record-keeping requirements, though VAT treatment always depends on your specific activities and turnover. This keeps your records accurate and your filings on time.

The right structure depends on your income, how you work and your longer-term plans, so there is no single answer that suits everyone. We can talk through the practical and tax implications of each option, including how it affects accounts, payroll and take-home pay. Many medical professionals review their structure as their circumstances change.

Switching is usually straightforward: we ask for your details, contact your current accountant for the information we need, and take over the ongoing work. You do not need to wait for a particular date to make the change. Getting started simply begins with a conversation about your work and what you need help with.

Speak to an Expert

Need Specialist Accounting Support in Hackney? CruseBurke Makes It Simple

Juggling NHS income, private fees and filing deadlines can feel relentless. CruseBurke’s Medical Accountants in Hackney provide clear bookkeeping, Self Assessment and tax planning support, so your records stay in order. Practical help, explained properly.