Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Holywood

Medical Accountants in Holywood provide accounting and tax support built around the way medical professionals actually work, from doctors, GPs and consultants to locum doctors and practice owners. We help you keep NHS and private income properly recorded, with support covering bookkeeping, annual accounts, Self Assessment, payroll and tax planning. Whether you work alone or run a medical practice, the aim is accurate records, sensible tax guidance and filing deadlines that never slip past you.

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 We Support in Holywood

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, along with the owners and managers of medical practices. Whether your work sits wholly within the NHS, in private practice, or in a mix of both, the focus stays firmly on accounting and tax support shaped around medical income. Medical practices with employees, premises and multiple income streams are equally well catered for.

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 Work

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, tidy stream, and that complexity is where most accounting difficulties begin. Records can fall behind during busy clinical periods, and the tax treatment of certain income or expenses often depends on individual circumstances. Common challenges we help medical professionals and medical practices work through include:

  • Keeping NHS income and private income separate and correctly recorded
  • Managing multiple income sources such as locum sessions, consultancy work and salaried roles
  • Tracking professional expenses, including medical indemnity, subscriptions and equipment, where these are allowable
  • Meeting Self Assessment deadlines alongside a demanding clinical schedule
  • Choosing and reviewing a business structure that suits your practice and how you draw income
  • Understanding VAT treatment where it applies to your medical services and practice activities

Why Medical Professionals Choose Our Support

Working with an accountant who understands medical income makes everyday financial admin considerably easier. We keep our communication clear and practical, whether you are a locum doctor with several income streams or a practice owner with staff and premises to account for. Alongside guidance on tax matters, we provide ongoing support that adapts as your role, income or practice structure changes.

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 talk through your accounting and tax requirements in detail, so nothing is assumed and everything is clear. From there, you receive appropriate ongoing support that fits around your clinical commitments.

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 the way medical professionals and medical practices actually operate, from multiple income streams and professional expenses through to bookkeeping, tax administration and business accounting. We take time to understand how your income arises and how your practice is set up, so the records, returns and reporting prepared for you reflect your real circumstances rather than a generic template.

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 Holywood look after the accounting and tax affairs of doctors, GPs, consultants, locum doctors and medical practice owners. This commonly includes bookkeeping, annual accounts, Self Assessment, payroll, tax planning and VAT support where it applies. The exact scope is agreed with you, because a salaried consultant and a practice owner with employees rarely need identical services.

It suits anyone earning income from medical work, whether that is NHS employment, private practice, locum sessions, consultancy or a combination of these. Sole traders, partnerships, limited companies and medical practices with staff can all be supported. If you are unsure how your current arrangements fit, we can review them and explain the options available to you.

Where you receive both NHS and private income, it is important that each source is recorded separately and correctly, particularly where one is taxed through PAYE and the other is reported through Self Assessment. We help you keep that income clearly tracked, alongside related costs, so your returns and accounts are accurate. How each element is ultimately taxed depends on your individual circumstances.

Many medical professionals do need to file a Self Assessment tax return, especially where you have income that is not taxed through PAYE, such as locum work, private practice fees or consultancy income. Others may need to file because of additional income sources or higher earnings. We can review your position and confirm what applies to you.

Expenses that are wholly and exclusively incurred for your medical work may be allowable, which can include items such as professional subscriptions, medical indemnity cover and certain equipment costs. The rules are detailed and the treatment depends on your individual circumstances and how the expense relates to your work. We review your outgoings and flag what is likely to be claimable.

Yes, bookkeeping and VAT support can be provided where they are relevant to your work or practice. Good bookkeeping keeps your income and costs organised throughout the year, which makes accounts and returns far quicker to prepare. If VAT registration or reporting applies to your activities, we can help you understand the requirements and keep on top of them.

We can talk through how sole trader, partnership and limited company structures tend to work for medical professionals and medical practices. The right choice depends on your income level, how you work, your plans for the future and how you wish to draw money from the business. We explain the practical implications so you can make an informed decision.

Switching is usually straightforward, and we can liaise with your existing accountant to obtain the records and information needed for a smooth handover. Once everything is in place, we review your position, confirm what support you need and agree the next steps with you. To begin, simply get in touch and outline your current arrangements.

Speak to an Expert

Need Medical Accountants in Holywood? Let's Handle the Numbers

Juggling NHS and private income can make tax and bookkeeping feel overwhelming. CruseBurke provides practical support with Self Assessment, annual accounts and bookkeeping, so your records stay accurate and your deadlines stay comfortably under control.