Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Kelsall

CruseBurke provides Medical Accountants in Kelsall for doctors, GPs, consultants, locum doctors and medical practice owners, helping them make sense of NHS and private income, bookkeeping, Self Assessment and annual accounts. Whether you work as a sole practitioner or run a medical practice, we offer practical accounting support shaped around how you actually earn. Our aim is to keep your financial records accurate and your tax position clear, so more of your time goes to patients rather than paperwork.

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 Kelsall

We work with a wide range of medical professionals, including doctors, GPs, consultants, locum doctors and private practitioners, as well as the owners of medical practices. Whether your income comes from NHS work, private fees, locum shifts or a mix of all three, we help you keep the numbers in order. Medical practices with payroll, VAT and day-to-day bookkeeping needs are equally well supported.

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 Faced by Medical Professionals

Medical professionals often deal with income and expenses that do not fit neatly into a single category, which can make record keeping and tax reporting harder than it needs to be. Common pressure points include the following.

  • Reporting NHS income alongside private fees, locum shifts and consultancy earnings in one set of records
  • Keeping track of professional expenses such as medical indemnity, subscriptions and training, where the treatment depends on your circumstances
  • Maintaining accurate bookkeeping when income arrives from several sources at different times of the year
  • Completing Self Assessment correctly and on time when earnings vary from one tax year to the next
  • Choosing and reviewing a business structure, whether sole trader, partnership or limited company, as your work changes
  • Handling payroll, VAT and practice accounting requirements where your medical practice meets the relevant thresholds

Why Medical Professionals Choose Our Kelsall Accountants

Working with an accountant who understands medical income means fewer explanations and more useful answers, whether you are dealing with NHS payslips, private fee income or locum work. We keep communication clear and jargon-free, explain the tax position in plain terms and flag deadlines before they become a problem. As your circumstances change, we provide ongoing accounting support that adjusts with them.

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 for Medical Professionals

Getting started is straightforward. First, get in touch and tell us about your work, your income sources and what you need help with. We then discuss your accounting and tax requirements in detail and agree how we will support you, before providing ongoing help with your books, accounts and returns as your circumstances evolve.

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

Our accounting support is tailored to medical professionals and medical practices rather than being a generic service applied to every client. We look at how your income is structured across NHS work, private practice, locum shifts and consultancy, and how your professional expenses, bookkeeping and tax administration should be handled. From there we help with accounts, business accounting and the day-to-day records that keep everything accurate and up to date.

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 Kelsall look after the accounting and tax affairs of doctors, GPs, consultants, locum doctors and medical practices. That typically includes bookkeeping, annual accounts, Self Assessment, Corporation Tax, payroll, tax planning and VAT support where it applies. The exact mix depends on how you work and how your income is structured.

They suit anyone earning from medical work, including salaried doctors with private income, locum doctors, consultants, private practitioners and partners or owners of a medical practice. Both individuals and incorporated practices can be supported. If your circumstances are unusual, we will discuss what is relevant to you before anything is agreed.

Yes. Many medical professionals receive NHS income alongside private fees, locum payments or consultancy earnings, and these need to be recorded and reported correctly. We help you pull the figures together so your accounts and tax returns present a complete and consistent picture. How each income stream is taxed depends on your individual circumstances.

If you have income that is not taxed in full at source, such as private fees, locum work or consultancy earnings, a Self Assessment return is often required. We can prepare and submit it on your behalf and explain the payments on account that may follow. Whether a return is needed depends on your specific income and tax position.

Expenses such as medical indemnity cover, professional body subscriptions, registration fees and relevant training are commonly considered, but the rules are specific and not every cost qualifies. You need to show that an expense is incurred wholly and exclusively for your work, and the treatment of some items depends on individual circumstances. We review your spending and advise on what can reasonably be claimed.

We can keep your bookkeeping up to date and prepare VAT returns where your medical practice is registered. Whether VAT registration is required or beneficial depends on the services you provide and your turnover, since some medical services are exempt. We will look at your situation and explain the position clearly.

There is no single answer that suits every medical professional, because the right structure depends on your earnings, your plans and how you wish to be paid. We can talk through the practical and tax implications of each option with you. As your work develops, it is worth reviewing the structure you chose.

Getting started simply means contacting us with some background on your work and the support you need. If you are moving from another accountant, we can usually handle the handover of information with them once you confirm you are happy to proceed. From there we agree the scope of work and begin supporting your accounting and tax obligations.

Speak to an Expert

Need Medical Accountants in Kelsall? We make tax clearer.

If juggling NHS income, private fees and Self Assessment deadlines feels overwhelming, CruseBurke can help. Our Medical Accountants in Kelsall handle bookkeeping, accounts and tax returns so your records stay accurate and your position stays clear.