Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Hitchin

Medical Accountants in Hitchin providing accounting and tax support to doctors, GPs, consultants, locum doctors and medical practice owners. From NHS and private income to bookkeeping, Self Assessment, payroll and annual accounts, CruseBurke helps medical professionals keep accurate records and well-ordered tax affairs.

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 in Hitchin

We work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners in Hitchin, along with the medical practices and clinics they run. Whether your income comes from NHS work, private fees or a mix of both, our support is shaped around the way medical professionals actually 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.

Accounting Challenges Facing Medical Professionals

Medical professionals often juggle several income sources at once, and each one can bring its own record-keeping and tax considerations. Common challenges we help with include:

  • Managing NHS income alongside private practice fees, with clear records for each source
  • Keeping on top of locum, consultancy or session-based income that varies from month to month
  • Recording professional expenses such as medical indemnity cover, registration fees and equipment, where treatment depends on individual circumstances
  • Meeting Self Assessment deadlines when there are multiple sources of income to report
  • Choosing and maintaining the right business structure as your role or practice changes
  • Understanding when VAT registration may apply to private or mixed income

Why Medical Professionals Choose Our Hitchin Accountants

Working with an accountant who understands medical income makes everyday finances far easier to manage. We keep communication clear and jargon-free, explain what is needed and when, and provide ongoing support as your role or practice develops — from bookkeeping and payroll through to tax guidance and year-end accounts.

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.

Our Simple Three-Step Process for Medical Clients

Getting started is straightforward. First, get in touch and tell us about your work and income; then we discuss your accounting and tax requirements and agree the right level of support for you. From there, we provide ongoing help with your bookkeeping, accounts and tax affairs, keeping you informed along the way.

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

Our accounting support is tailored to medical professionals and medical practices, whether you work as a locum, run a private practice or employ staff. We can help with the practical side of things — bookkeeping, tax administration and business accounting — alongside guidance on professional expenses and different income sources. Because arrangements vary, we always consider your own circumstances before recommending an approach.

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 Hitchin look after the day-to-day accounting and tax affairs of doctors, GPs, consultants, locum doctors and medical practice owners. That typically includes bookkeeping, annual accounts, Self Assessment, payroll and tax planning, with the exact mix depending on how you work and what income you receive.

Our medical accounting support suits individual practitioners and medical businesses alike, including GPs, hospital consultants, locum doctors, private practitioners and partners or owners of medical practices. If you have NHS income, private income, or a combination of both, we can help you organise it and meet your filing obligations.

Yes. Self Assessment is a common part of what we do, and many medical professionals have several income streams to report, such as NHS pay, private fees and locum earnings. We help you gather the right figures, understand what must be declared and submit your return by the deadline, though the exact treatment depends on your individual circumstances.

Typical expenses may include medical indemnity cover, professional registration and subscription fees, and equipment or clothing used for work. The rules can be detailed and treatment depends on your individual circumstances, so we review your outgoings and explain what is likely to be allowable before anything is claimed.

Not everyone who works as a locum needs full bookkeeping, but keeping accurate records of income and expenses makes Self Assessment far easier and reduces the risk of missing deductions. We can set up a simple record-keeping routine, or manage the bookkeeping for you, depending on how much support you would like.

VAT considerations can arise when you provide private services, run a practice or supply additional services that sit outside NHS work. We can review your turnover and activities, explain whether registration may be required and help with VAT returns if it applies — the position always depends on your own circumstances.

There is no single answer, because the right structure depends on your income, how you work and your longer-term plans. We look at your situation, explain the practical differences in terms of tax, administration and record-keeping, and help you choose a structure that suits you as things change.

Yes, switching accountants is usually a straightforward process, and we can handle the handover with your previous adviser on your behalf. Simply get in touch with some basic details about your work and current arrangements, and we will explain what information we need to get started.

Speak to an Expert

Looking for Medical Accountants in Hitchin? Practical Support, Clear Guidance.

Juggling NHS pay, private fees and multiple income sources can make tax feel overwhelming. CruseBurke provides Medical Accountants in Hitchin who handle bookkeeping, Self Assessment and tax planning, so nothing slips through the net, with clear guidance throughout the year.