Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Hatton Garden

CruseBurke provides accounting and tax support built for doctors, GPs, medical consultants and locum doctors. We help medical professionals and medical practices stay on top of NHS and private income, bookkeeping, annual accounts and Self Assessment. From sole practitioners to established practices, our Medical Accountants in Hatton Garden offer clear guidance, practical support and a calm, organised approach to your finances.

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 established medical practices. Whether your income comes from NHS work, private patients, locum shifts or consultancy, our Medical Accountants are set up to handle the mix. We also support medical businesses at different stages, from those just starting out to practices with payroll, VAT and multiple income streams to manage.

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 Tailored to 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 simple, predictable format. Many doctors and medical practices juggle several income sources at once, and keeping accurate records alongside busy clinical schedules can be a real challenge.

  • Combining NHS income, private fees and locum or consultancy earnings within one set of records
  • Keeping bookkeeping up to date when clinical commitments leave little time for admin
  • Understanding which professional expenses may be allowable, as treatment depends on individual circumstances
  • Recording medical indemnity and professional body costs accurately and consistently
  • Managing Self Assessment deadlines, payments on account and any payroll obligations for practice staff
  • Deciding on the most suitable business structure and whether VAT registration or reporting applies

Why Medical Professionals Choose Our Accountants

Working with a firm that understands medical income structures means fewer explanations and more relevant advice. Our Medical Accountants in Hatton Garden provide clear communication, practical accounting support and tax guidance shaped around the way doctors, consultants and medical practices actually earn. We keep the process straightforward, explain what is required in plain language, and offer ongoing support as your circumstances change.

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

Start by getting in touch and telling us about your role, your income sources and anything that is currently causing you difficulty. We will then discuss your accounting and tax requirements in detail, covering records, deadlines and reporting obligations, so nothing is left unclear. From there, we put appropriate ongoing support in place, whether that means accounts, Self Assessment, bookkeeping or wider tax planning.

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 Accountants Built for Medical Professionals

Accounting support is tailored to the realities of medical work, whether you are a locum doctor, a partner in a practice or a consultant with private income. Our Medical Accountants help organise different income sources, professional expenses and bookkeeping, and assist with tax administration, business accounting and accounts preparation. The focus stays on accurate records, sensible structure and clear communication, adapted to how you and your medical practice operate.

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, tax and reporting side of working in medicine, including annual accounts, Self Assessment, bookkeeping, payroll and tax planning. For medical practices, this can also extend to medical practice accounting, VAT support and Corporation Tax where a limited company structure is used. The exact scope depends on your income sources, business structure and individual circumstances.

We support doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, as well as partnerships and limited companies operating within the medical sector. Whether you are newly qualified, newly self-employed or running an established practice with staff, the support is shaped around your position. If your income is entirely from employment, we would still discuss whether any additional reporting obligations apply to you.

Mixed income streams need careful record keeping so that each source is captured correctly and reported in the right place. We help separate NHS earnings, private fees, locum income and consultancy work within your accounts and tax returns, and we explain how each element is treated. Because treatment can vary depending on your structure and circumstances, we review your position before advising.

Many doctors, locum doctors and consultants do need to file a Self Assessment tax return, particularly where income is received outside of PAYE or where additional income sources exist. Practice partners and those with rental or investment income may also fall within Self Assessment. We can confirm whether a return is required based on your individual circumstances and manage the submission deadlines on your behalf.

Common items include professional body subscriptions, medical indemnity cover, certain training costs, specialist equipment, professional journals and a proportion of running costs where you work from a dedicated space. Whether an expense is allowable depends on the specific item and your individual circumstances, so we review claims carefully rather than assuming. Our aim is to make sure legitimate costs are captured without overstating anything.

Yes, we can manage bookkeeping, payroll and related reporting for medical practices, whether you employ reception staff, nurses, locum cover or other team members. Keeping records current throughout the year makes accounts preparation and any year-end reporting far more straightforward. We can also support VAT reporting where your practice is registered, subject to the relevant thresholds and rules.

There is no single answer, because the right structure depends on your income level, how you work, your plans for the future and your attitude to administration. Options such as sole trader status, partnership or a limited company each carry different tax and reporting implications. We talk through the practical points so you can make an informed decision rather than a rushed one.

Getting started is straightforward: contact us, tell us about your role and income sources, and we will explain what information we need and how the transition works. If you already have an accountant, we can liaise with them and handle the handover of records, with the timing typically aligned to your year end. Nothing needs to be complicated, and we will guide you through each step.

Speak to an Expert

Specialist Accounting for Medical Professionals — Support You Can Rely On

Juggling NHS income, private fees and locum work can make tax and record keeping feel overwhelming. CruseBurke provides Self Assessment and bookkeeping support shaped around medical professionals and medical practices, keeping everything clear and organised. Speak with our Medical Accountants in Hatton Garden about the right support for you.