Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Hawarden

CruseBurke provides Medical Accountants in Hawarden for doctors, GPs, consultants, locum doctors and medical practice owners. We help with Self Assessment, annual accounts, bookkeeping, payroll and tax planning, whether your income comes from NHS work, private practice or a mix of both. Clear, practical accounting support for medical professionals and medical businesses.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

Posted on Google Google
Jamie Fletcher profile picture
Jamie Fletcher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Mansur Liman profile picture
Mansur Liman
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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
Posted on Google Google
Muna Mohamoud profile picture
Muna Mohamoud
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Sergey M profile picture
Sergey M
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Ebba Qureshi profile picture
Ebba Qureshi
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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 .
Posted on Google Google
Mael Leboucher profile picture
Mael Leboucher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
3rd Hub profile picture
3rd Hub
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
Posted on Google Google
Martin Tyrrell profile picture
Martin Tyrrell
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Matthew Lyon profile picture
Matthew Lyon
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Medical Professionals We Support Across Hawarden

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, along with the medical practices and clinics they run. Whether you are employed, self-employed or operating through a limited company, the focus stays on accounting that fits the way medical income actually works.

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 income rarely arrives in a single, straightforward stream, which is why records and tax filings can quickly become difficult to manage.

  • Managing NHS income alongside private fees, each with different records and payment dates
  • Keeping track of locum, consultancy and other self-employed income across the tax year
  • Recording professional expenses such as medical indemnity and subscriptions, where treatment depends on individual circumstances
  • Meeting Self Assessment deadlines when income comes from several sources
  • Running payroll and pension arrangements for a medical practice with employed staff
  • Choosing and maintaining a business structure, and understanding when VAT registration may be relevant

Why Medical Professionals Choose Our Hawarden Team

Working with an accountant who understands medical income structures means less time spent explaining how your working life fits together. We keep communication clear, explain tax and accounting points in plain language, and provide ongoing support as your role or practice changes. The aim is straightforward, practical accounting that keeps you informed and on top of your obligations.

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 Start With Us

Get in touch and tell us how you work, whether that is NHS, private, locum or practice-based income. We then discuss your accounting and tax requirements and agree the support that fits, covering areas such as Self Assessment, payroll or practice accounts. From there you receive ongoing support and clear communication 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.

Built for Medical Professionals and Medical Practices

Accounting support can be tailored to how you work, whether you are a salaried doctor, a locum, a consultant with private income or a medical practice owner. We look at your income sources, professional expenses, bookkeeping and tax administration together, so your accounts and business accounting reflect your actual position. As your circumstances change, the support can be adjusted to match.

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 look after the accounting and tax side of your working life, including annual accounts, Self Assessment, bookkeeping, payroll and tax planning. Because medical income often arrives from several sources, the work usually involves bringing NHS, private and locum income together into accurate records. The exact scope depends on how you work and whether you operate as a sole trader, in a partnership or through a limited company.

We support doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, along with the medical practices and clinics they run. Some clients need help with a single Self Assessment return, while others need ongoing bookkeeping, payroll and business accounting for a practice. Either way, the support is shaped around the way medical work actually generates income.

Yes. Many medical professionals receive NHS income, private fees or a combination of both, often alongside locum or consultancy work. We help keep those income streams recorded clearly and separately so that your accounts and tax filings reflect the full picture. Where tax treatment depends on individual circumstances, we explain the position and the options open to you.

If you have self-employed income, untaxed income or income from several sources, a Self Assessment tax return is often required. Salaried doctors with additional private or locum earnings may also need to file. Whether a return is required in your case depends on your individual circumstances, so it is worth confirming the position well before the deadline approaches.

Common examples include medical indemnity insurance, professional body subscriptions, training related to your current role and certain equipment or travel costs. However, whether an expense is allowable depends on the specific rules and on your individual circumstances, and not every cost qualifies. We review your outgoings so any claims are properly supported and accurately recorded.

Yes, we can manage day-to-day bookkeeping and run payroll for medical practices, including the pension and reporting requirements that come with employing staff. We also prepare year-end accounts and practice accounts, which keeps your records current and makes tax filings far less stressful. The level of support can be scaled to the size of your practice and the way it operates.

Choosing between sole trader, partnership and limited company can affect how you pay tax, what you file and how profit is withdrawn from the business. VAT is a separate consideration, and because some medical services are exempt while others are not, registration depends on the nature and value of the work you provide. We can review your circumstances and explain the likely treatment, as the right answer varies from one medical professional to the next.

Switching is usually simpler than people expect: you get in touch, we talk through your current arrangements, and with your authorisation we contact your existing accountant for the relevant records. From there we agree the support you need and take over the filing and record-keeping work. We keep you informed at every stage so the transition stays straightforward.

Speak to an Expert

Need Accounting Support Built for Medical Professionals? Speak to Our Hawarden Team

Juggling NHS and private income can make tax and record-keeping feel overwhelming. CruseBurke provides Medical Accountants in Hawarden who can handle Self Assessment, bookkeeping and payroll so nothing is overlooked. Clear guidance, dependable support, and a team that understands medical work.