Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Kells

Medical Accountants in Kells support doctors, GPs, consultants, locum doctors and medical practice owners with the accounting and tax requirements that come with NHS and private income. From bookkeeping and annual accounts to Self Assessment, payroll and tax planning, the focus stays on keeping your financial records accurate and your tax position clear. Whether you work as a sole practitioner or run a medical practice, support is shaped around how you actually earn.

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 Across Kells

We work with doctors, GPs, consultants, locum doctors and private practitioners, along with the owners and managers of medical practices. Some need help with Self Assessment and multiple income sources, while others need ongoing bookkeeping, payroll and annual accounts. Whatever your working structure, the aim is accounting support that fits the way you practise.

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 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.

Common Accounting Challenges Facing Medical Professionals

Medical work rarely fits a single, simple income pattern. NHS and private income, locum sessions and consultancy work can all sit alongside each other, which makes accurate records and clear tax planning essential.

  • Keeping NHS and private income recorded separately so that accounts and tax returns reflect what was actually earned and from where.
  • Meeting Self Assessment deadlines when income arrives from locum shifts, consultancy work, private practice and other sources.
  • Identifying which professional expenses, such as medical indemnity, professional subscriptions and equipment, may be allowable, since treatment depends on individual circumstances.
  • Choosing and maintaining a business structure that suits your working arrangements, whether that is sole trader, partnership or a limited company.
  • Keeping bookkeeping and payroll accurate and up to date when clinical commitments already leave little spare time.
  • Understanding when VAT registration may become relevant and how it applies where medical income comes from more than one source.

Why Medical Professionals in Kells Choose Us

Working with an accountant who understands medical income makes a practical difference to how smoothly your affairs run. We keep communication clear, explain the reasoning behind tax and accounting decisions, and provide ongoing support as your role or practice changes. That includes help with different income structures, professional expenses and the bookkeeping that keeps everything accurate.

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

It starts with getting in touch and telling us about your work, your income sources and the areas where you would like support. We then discuss your accounting and tax requirements and agree a clear way forward that suits your circumstances. From there, you receive ongoing support as your work and responsibilities develop.

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 is tailored to medical professionals and medical practices rather than applied in a generic way. That means looking at how different income sources, professional expenses, bookkeeping and tax administration fit together, and handling business accounting and reporting in a way that suits your working arrangements. The aim is well-organised, straightforward accounting that reflects the reality of medical work.

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 Kells handle the accounting and tax work that comes with medical income, including Self Assessment, annual accounts, bookkeeping, payroll and tax planning. They also support medical practice owners with business accounting, reporting and VAT matters where relevant. The exact scope depends on how you work and the income sources you have.

These services are designed for doctors, GPs, consultants, locum doctors and private practitioners, as well as medical practice owners and partners. Whether you work within the NHS, privately, or a mixture of both, the accounting approach is shaped around your own circumstances. Medical businesses such as practices and clinics are also supported with their day-to-day accounting requirements.

Yes. Many medical professionals earn income from more than one source, and keeping those streams clearly separated makes accounts and tax returns far easier to prepare accurately. We look at how each source is recorded, what expenses relate to it, and how that affects your overall tax position. The right treatment always depends on your individual circumstances.

In many cases, locum and consultancy income needs to be reported through Self Assessment, but whether you need to file depends on your total income, your employment arrangements and other factors. We can review your position and explain your obligations clearly. If a return is required, we prepare and submit it and help you plan for the tax due.

Expenses such as medical indemnity cover, professional subscriptions, relevant training and certain equipment are commonly reviewed, but whether a cost is allowable depends on individual circumstances and how it relates to your work. We go through your outgoings and identify what may reasonably be claimed. Accurate records make this process much more straightforward.

Even part-time medical work can involve multiple income streams and expenses, so organised bookkeeping usually saves time and reduces the risk of errors later. Keeping records up to date also makes Self Assessment and any VAT considerations far easier to handle. How detailed that bookkeeping needs to be depends on the volume and complexity of your income.

VAT registration depends on your turnover, the nature of the services you provide and whether they are exempt or standard rated. Some medical services are treated differently from others, so this is not a one-size-fits-all answer. We can review your position and explain the implications before any decision is made.

The most suitable structure depends on your income levels, how many sources you have, whether you work with others and your longer-term plans. Sole trader, partnership and limited company arrangements each carry different tax and reporting responsibilities. We discuss the options with you and explain the practical differences before you commit.

Simply get in touch and tell us about your work, your income sources and what you would like help with. We then discuss your accounting and tax requirements and agree how to move forward, including support with switching from an existing accountant if needed. From there, you receive ongoing support suited to your circumstances.

Speak to an Expert

Need Accounting Support That Understands Medical Income? CruseBurke Is Here to Help

Juggling NHS and private income can make tax and bookkeeping feel like a second job. CruseBurke provides Medical Accountants in Kells to handle Self Assessment, bookkeeping and tax planning, so your records stay accurate and your position stays clear.