Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Holmes Chapel

CruseBurke provides specialist accounting and tax support for medical professionals and medical businesses in Holmes Chapel. From doctors, GPs and consultants to locum doctors and private practitioners, we help make sense of NHS and private income, bookkeeping, annual accounts and Self Assessment. Our Medical Accountants work with individuals and medical practices alike, keeping financial records accurate and tax affairs properly managed throughout the year.

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 Medical Professionals Throughout Holmes Chapel

We work with doctors, GPs, hospital consultants, locum doctors and private practitioners, along with medical practice owners and partners running medical practices. Whether your income comes from NHS work, private fees, or a mix of both, our Medical Accountants help you keep clear records and meet your filing obligations. We also support medical businesses that need day-to-day bookkeeping, payroll and accounts prepared accurately and on time.

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 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 professionals often deal with income and expenses that are more varied than those in many other professions, which can make record-keeping and tax reporting harder to manage. Our Medical Accountants help you stay organised and understand what is required.

  • Separating and reporting NHS income and private income accurately
  • Keeping track of multiple income sources, including locum and consultancy work
  • Recording professional expenses correctly, as treatment can depend on individual circumstances
  • Meeting Self Assessment registration and filing deadlines without last-minute pressure
  • Maintaining reliable bookkeeping and payroll records for medical practices
  • Understanding VAT and business structure considerations, which vary by individual circumstances

Why Medical Professionals Choose Our Accountants

Working with an accountant who understands the accounting requirements of medical professionals and medical businesses saves time and reduces guesswork. Our Medical Accountants explain things clearly, keep communication straightforward and offer practical support with different income structures, tax guidance and record-keeping. We provide ongoing help as your circumstances change, whether you are newly qualified, working as a locum or running a medical practice.

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

Getting started is straightforward: simply get in touch and tell us about your work, your income sources and what you need help with. We will then discuss your accounting and tax requirements, including bookkeeping, Self Assessment, payroll or practice accounts, so the right support is put in place. From there, our Medical Accountants provide ongoing help and keep you informed about what is due and when.

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 can be tailored to the way medical professionals and medical practices actually work. That means handling different income sources, professional expenses, bookkeeping, tax administration and business accounting in a joined-up way, rather than applying a one-size-fits-all approach. Where tax treatment depends on individual circumstances, we explain the options clearly so you can make informed decisions.

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 affairs of medical professionals and medical businesses, including Self Assessment, annual accounts, bookkeeping, payroll and tax planning. They also help with the practical side of reporting NHS income, private income and professional expenses correctly, and can support medical practices with their day-to-day accounting and VAT matters where relevant.

Our services suit doctors, GPs, hospital consultants, locum doctors, private practitioners and medical practice owners, as well as medical practices that need accounts, bookkeeping or payroll prepared. Whether you work solely in the NHS, purely privately, or combine both, the aim is to keep your records and tax reporting accurate and up to date. If you are unsure whether your circumstances fit, a short conversation will clarify it.

Many doctors, locum doctors and consultants do need to file a Self Assessment tax return, particularly where they have income that is not taxed at source, have multiple income sources, or work through their own company. The exact requirement depends on your individual circumstances, so it is worth reviewing your position rather than assuming either way. Our Medical Accountants can confirm what applies to you and handle the filing.

Yes, we can help you record and report professional expenses, including items such as medical indemnity cover, professional subscriptions and other costs connected with your work. Whether an expense can be claimed, and how it is treated, depends on your individual circumstances and the nature of the cost. We will explain what is likely to be allowable in your case so you can keep the right records.

We support medical practices with bookkeeping, payroll and the preparation of annual accounts, helping to keep financial records organised and reporting deadlines met. This can range from regular bookkeeping support to payroll runs for practice staff, depending on what the practice needs. The level of involvement is agreed in advance so you know what is being handled.

VAT treatment is not the same for every medical professional or medical business, and some services may be exempt while others are not. Whether you need to register, how transactions should be recorded and what can be reclaimed all depend on your individual circumstances. Our Medical Accountants can review your position and explain the practical implications before you take any action.

The right business structure depends on your income sources, how you work and your longer-term plans, so there is no single answer that suits everyone. Sole trader, partnership and limited company arrangements each carry different tax and administrative obligations, and the position can change over time. We can talk through the options with you and explain how each might affect your accounting and tax affairs.

Yes, it is usually possible to change accountants partway through the year, and the process is generally straightforward. We can liaise with your existing accountant where needed to obtain the relevant records and information, so the transition does not disrupt your filing deadlines. Once everything is in place, we will confirm what has been transferred and what happens next.

Speak to an Expert

Need Accounting Support Built for Medical Professionals? Let's Talk

Juggling NHS and private income, expenses and Self Assessment deadlines can leave little time for anything else. CruseBurke offers Medical Accountants who understand these pressures, helping with bookkeeping, tax planning and year-end accounts so your finances stay in order.