Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Horsham

Medical Accountants in Horsham provide accounting and tax support built around the working lives of doctors, GPs, medical consultants and locum doctors. Whether your income comes from NHS work, private practice or a mix of both, the focus stays on accurate records, clear reporting and sensible tax planning. Support can cover Self Assessment, annual accounts, bookkeeping, payroll and VAT where it applies, along with practical guidance on business structures for medical practices. The aim is straightforward: dependable accounting that fits the way medical professionals actually work.

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 Across Horsham

We work with doctors, GPs, consultants, locum doctors and private practitioners who need their accounting handled accurately around a demanding clinical schedule. Medical practice owners and partners also rely on us for bookkeeping, payroll, annual accounts and tax guidance across NHS and private income streams. Whatever your structure, the support is shaped around the way you earn and the records you are required to keep.

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.

The Accounting Pressures Medical Professionals Often Face

Medical work rarely produces a single, simple income stream, and that is where the accounting complications usually begin. Records, deadlines and reporting requirements can quickly become difficult to manage alongside clinical commitments.

  • Keeping NHS income, private fees and locum or consultancy earnings clearly separated and correctly recorded
  • Understanding which professional expenses, such as medical indemnity cover and professional subscriptions, may be allowable — treatment depends on individual circumstances
  • Meeting Self Assessment and filing deadlines when working long or unpredictable hours
  • Managing payroll and records for a medical practice with employees and multiple income sources
  • Choosing and reviewing a business structure, whether sole trader, partnership or limited company
  • Handling VAT considerations where turnover or the nature of the services provided brings them into scope

Accounting Support That Understands Medical Careers

Working with an accountant who understands the accounting requirements of medical professionals and medical businesses makes a real practical difference, particularly when your income arrives from several directions. We keep communication clear and jargon-free, explain the reasoning behind the guidance, and adapt the support to your working arrangements and preferred business structure. Whether you need help with a single Self Assessment or ongoing bookkeeping, payroll and tax administration, the aim is steady, reliable support you can plan around.

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 Straightforward Three-Step Start in Horsham

It begins with getting in touch and telling us about your work, your income sources and what you need help with. From there we discuss your accounting and tax requirements in detail, covering areas such as Self Assessment, accounts, bookkeeping, payroll and any VAT or structure questions that apply. You then receive ongoing support suited to your circumstances, with clear points of contact for questions as they arise through 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.

Accounting Support Built for Medical Professionals and Practices

Accounting support for Medical Accountants in Horsham is tailored to the realities of medical work, from salaried NHS roles and locum assignments through to private practice and partnership income. We can help keep multiple income sources properly recorded, review professional expenses, maintain bookkeeping and payroll records, and manage tax administration and annual accounts as they fall due. Because arrangements differ from one practitioner to the next, the approach is shaped around your own circumstances rather than a fixed 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 Horsham handle the accounting and tax affairs of doctors, GPs, consultants, locum doctors and medical practice owners, covering areas such as Self Assessment, annual accounts, bookkeeping, payroll and tax planning. The exact support depends on whether you work in the NHS, in private practice, or a combination of both, so the service is tailored to your circumstances.

The services suit a broad range of medical professionals and medical businesses, including salaried doctors, locum doctors, GP partners, consultants, private practitioners and medical practice owners. Sole traders, partnerships and limited companies all have different reporting requirements, and the accounting approach is adapted to whichever structure applies to you.

Where you receive income from NHS work, private patients or both, we help keep those streams clearly recorded and reported correctly across your accounts and tax returns. Each source can be treated differently, and the position often depends on your individual circumstances, so the figures are reviewed carefully before anything is finalised or submitted.

Yes. Self Assessment is a common requirement for locum doctors, consultants and anyone with income that has not been taxed at source, and we can prepare and submit the return on your behalf. We also review allowable professional expenses, such as medical indemnity cover, so that the return reflects your position as accurately as possible.

Typical costs include professional subscriptions, medical indemnity insurance, some travel between sites, and certain training or equipment costs, although what is allowable depends on your individual circumstances and how you work. We review your expenditure and explain which items are likely to qualify, so you avoid claiming for something that would not stand up to scrutiny.

Yes, bookkeeping and payroll form part of the support available, which is particularly useful for medical practices employing staff and for practitioners with several income streams. Keeping records in good order throughout the year makes annual accounts and any VAT or tax reporting considerably more straightforward when deadlines come around.

Not necessarily. Sole trader, partnership and limited company structures all appear in medical work, and the most suitable choice depends on your income, how you work and your future plans. We can talk through the practical differences, including tax and administrative considerations, before you decide whether a change is worth making.

Yes, switching accountants is usually a straightforward process that involves us contacting your existing accountant and obtaining the records needed to continue without disruption. There is generally no need for a gap in your accounting, and once you get in touch we can confirm exactly what information is required from you.

Speak to an Expert

Need Specialist Medical Accountants in Horsham? Let CruseBurke help.

Juggling NHS payslips, private fees and locum income can make tax deadlines feel unmanageable. CruseBurke provides Self Assessment, bookkeeping and payroll support for medical professionals and practices, keeping your records clear and your filings on time. Speak with our team for calm, practical accounting guidance.