Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Harpenden

Medical Accountants in Harpenden providing clear accounting and tax support to doctors, GPs, consultants and medical businesses. From Self Assessment and annual accounts to bookkeeping, payroll and tax planning, we help you keep NHS and private income properly recorded. Whether you are a locum doctor, a private practitioner or a medical practice owner, the guidance is tailored to the way you work.

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, medical consultants, locum doctors and private practitioners, as well as medical practice owners and medical practices of different sizes. Many clients have a mix of NHS and private income, partnership drawings or consultancy fees, and need accounting support that reflects that reality. Whatever your setup, the focus stays on accurate records and clear tax guidance.

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 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 professionals often juggle several income streams, demanding clinical schedules and administrative deadlines that leave little room for record keeping. These are the areas where a specialist approach tends to make the biggest practical difference.

  • Managing NHS and private income streams within one clear set of records
  • Keeping accurate records of locum, consultancy and sessional income
  • Understanding which professional expenses may be allowable, and when
  • Meeting Self Assessment deadlines alongside clinical commitments
  • Choosing a business structure suited to your practice and future plans
  • Handling payroll and VAT obligations where they apply to you

Why Medical Professionals Choose Our Accounting Support

We understand how medical income is structured, from NHS work and private fees to locum shifts and practice profits, and what that means for your accounts and tax. You get clear communication, practical help with bookkeeping and compliance, and ongoing support as your circumstances change. The aim is straightforward: fewer surprises and a clearer view of your finances.

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 Simple

It starts with a conversation about how you work, what income you receive and what you need from an accountant. From there we set out the accounting and tax requirements that apply to you and agree how the work will be handled. You then receive ongoing support, with records kept in order and deadlines managed throughout the year.

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 Built Around Medical Professionals and Practices

Accounting support can be tailored to medical professionals and medical practices, with records organised around different income sources and the professional expenses you incur. We can assist with bookkeeping, tax administration and business accounting, adjusting the approach as your role or practice changes. Everything is handled with confidentiality and clear explanations at each stage.

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 in Harpenden support doctors, GPs, consultants and medical practice owners with annual accounts, Self Assessment, bookkeeping, payroll and tax planning. The aim is to keep your financial records accurate and your tax position clear, whether you work in the NHS, in private practice or across both.

These services suit doctors, GPs, consultants, locum doctors, private practitioners and the owners of medical practices, along with other medical businesses. Because income structures vary considerably, support is tailored to how you actually work rather than applied as a fixed package.

NHS and private income are often taxed differently and reported through separate channels, so it helps to keep them clearly recorded from the outset. We can review how both streams are documented and help you understand what needs to be declared, explaining where the treatment depends on your individual circumstances.

Locum shifts, consultancy work and sessional income all need to be captured accurately for Self Assessment. We can help you organise those records, work out what is likely to be taxable and plan ahead for payment deadlines, taking your personal circumstances into account.

Common claims include professional indemnity insurance, professional body subscriptions and costs linked to running a practice, although what is allowable depends on individual circumstances. We can review your spending and explain which items are likely to qualify before anything is submitted.

Even part-time or occasional medical work usually needs records that support what you declare, so bookkeeping is often worthwhile. Regular bookkeeping also makes Self Assessment and any VAT questions far more straightforward when they arise.

The right structure depends on your income levels, how you work and your longer-term plans, so there is no single answer that suits everyone. We can talk through sole trader, partnership and limited company options and the tax implications of each before you decide.

Switching is usually straightforward: we contact your existing accountant, request the relevant records and make sure nothing is missed during the handover, so you do not need to manage that correspondence yourself. We then agree the scope of work and the timescales that suit your commitments.

Speak to an Expert

Need Specialist Medical Accountants in Harpenden? We Make It Simple.

Juggling NHS and private income can make tax feel overwhelming. CruseBurke provides Medical Accountants in Harpenden who handle Self Assessment, bookkeeping and tax planning with clarity. You focus on patients; we look after the figures.