Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Hanham Bristol

CruseBurke provides dedicated accounting and tax support for medical professionals and medical businesses in Hanham Bristol. Whether you are a doctor, GP, medical consultant, locum doctor or medical practice owner, we help you make sense of NHS and private income, bookkeeping, annual accounts and Self Assessment. Our aim is straightforward: clear numbers, sensible tax planning and practical guidance, so you can concentrate 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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Supporting Doctors, GPs, Consultants and Medical Practices

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners across Hanham Bristol. Some clients are employed within the NHS and earn additional private income, while others run limited companies, partnerships or established medical practices. Whatever your structure, our Medical Accountants focus on the accounting and tax needs that come with working in medicine.

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 Built 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.

Accounting Challenges Facing Medical Professionals Today

Medical professionals often deal with more complex finances than a single salary, and that complexity can build up quietly over a tax year. Common pressure points include the following, though how each one applies depends on your individual circumstances.

  • Keeping NHS and private income clearly separated and correctly recorded
  • Reporting income from locum sessions, consultancy work or multiple employers
  • Identifying allowable professional expenses, including medical indemnity insurance, subscriptions and training
  • Staying on top of bookkeeping when clinic days leave little time for admin
  • Getting Self Assessment returns filed accurately and on time
  • Deciding on the right business structure and understanding VAT considerations where relevant

Medical Accountants Who Understand Your Working Life

Working with an accountant who understands the accounting requirements of medical professionals and medical practices saves time and avoids avoidable errors. CruseBurke offers clear communication, practical accounting support and guidance on tax matters, with advice shaped around the mix of NHS, private, locum or practice income you actually receive. We keep you informed throughout the year, so deadlines and obligations never arrive as a surprise.

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 With Us Is Simple

The process begins with a conversation: get in touch and tell us about your role, your income sources and any existing accounting arrangements. We then discuss your accounting and tax requirements in detail, covering bookkeeping, accounts, Self Assessment or payroll as relevant to you. From there, you receive appropriate ongoing support, with a clear point of contact for questions 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.

Built Specifically for Medical Professionals and Medical Practices

Accounting support for medical professionals works best when it reflects the realities of medical income, whether that is NHS pay, private fees, locum sessions or practice profits. Our Medical Accountants in Hanham Bristol tailor their approach to your income sources, professional expenses, bookkeeping requirements and annual accounts, and to the tax administration that sits alongside them. For medical practices and private practitioners, we can also assist with business accounting and VAT matters where these are relevant to your circumstances.

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 sits behind a medical career or medical business, including bookkeeping, annual accounts, Self Assessment tax returns, payroll and tax planning. They also help you understand how different income sources should be recorded and which expenses may be allowable. The exact mix of services depends on whether you are employed, self-employed, running a practice or working through a limited company.

Our Medical Accountants support doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, as well as medical businesses such as practices and clinics. If you earn a mix of NHS and private income, or work across several engagements, the accounting picture can be more involved than a single salary. We adapt our support to your structure rather than applying a one-size-fits-all approach.

Yes, this is a common situation for medical professionals, and it usually means more than one source of income to record and report. We can help you keep NHS and private earnings clearly separated, maintain accurate records and understand how your tax position may be affected. Because treatment depends on your individual circumstances, we review your position before advising on the best way forward.

Many locum doctors and medical professionals with untaxed income, self-employment or additional private earnings do need to file a Self Assessment tax return, but whether you personally need to file depends on your circumstances. We can review your income sources and confirm your position, then prepare and submit the return on your behalf. Filing accurately and on time helps you avoid unnecessary penalties and interest.

Medical indemnity insurance, professional body subscriptions and certain training or equipment costs are often treated as allowable expenses, but the rules are specific and the outcome depends on your individual circumstances and how the expense relates to your work. We review your expenses and explain what can realistically be claimed. Keeping clear records throughout the year makes this far easier at filing time.

We can maintain your bookkeeping so that income and expenses are recorded accurately and consistently, which supports both your annual accounts and any tax returns you need to file. Where VAT applies to your practice or medical business, we can assist with registration decisions, returns and record keeping. VAT treatment varies between situations, so we look at your particular activities before recommending an approach.

The right structure depends on factors such as your income level, how you work, your plans for the future and how you would like to be paid. Sole trader status is straightforward for some medical professionals, while a limited company can suit others for a range of reasons. We talk through the practical and tax implications of each option so you can make an informed decision.

Switching is usually more straightforward than people expect, and you do not need to manage the handover on your own. Once you get in touch, we can discuss your current arrangements, agree a suitable start date and liaise with your existing accountant to obtain the records we need. From there, we confirm what support you require and set out how we will work together going forward.

Speak to an Expert

Need Accounting Support That Fits Medical Life? CruseBurke Makes It Straightforward

Juggling NHS and private income, locum work or practice accounts can quickly become overwhelming, and mistakes are easy to make when time is short. CruseBurke provides practical bookkeeping, tax planning and Self Assessment support shaped around medical professionals and medical practices. Speak with our Medical Accountants in Hanham Bristol and let us take the pressure off.