Chartered Medical Accountants for the Whole Healthcare Sector
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We help online coaches and advisors with accurate cloud-based accounting support.
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.
Medical professionals often juggle several income streams and reporting deadlines at once, which can make it difficult to keep a clear picture of your finances. A little structure usually makes a significant difference.
We act for medical clients across London and understand London weighting and high-cost area supplements.
Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.
Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.
Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.
Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
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.
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.
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.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your practice, your income mix and your pension position.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
We handle the accounting and tax work that sits around your medical career or practice, covering areas such as Self Assessment, annual accounts, bookkeeping, payroll and tax planning. The exact mix depends on how you work, whether that is as a locum, a doctor with private income, or a practice owner with staff and premises. Where tax or VAT treatment depends on your individual circumstances, we explain the position clearly before anything is filed.
We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, along with partnerships and limited companies operating in the medical sector. If your income comes from NHS work, private fees or a combination of both, we can help you keep your records and reporting in order. Sole practitioners and established practices are both welcome, whatever stage you are at.
Yes. Self Assessment is one of the most common areas we support, particularly where someone has NHS income, private fees, locum payments or consultancy work to report together. We help you gather the right figures, understand which expenses may be allowable and file on time, and we will flag anything that depends on your individual circumstances rather than treating it as a given.
Common areas include professional registration fees, medical indemnity or insurance cover, and costs directly connected to your work, although what is allowable depends on your individual circumstances and the nature of the expense. We review your outgoings with you and explain which items can reasonably be included. Keeping clear evidence throughout the year makes this far easier at filing time.
Yes. We can look after day-to-day bookkeeping, payroll for practice staff and the reporting that goes with employing people, which helps keep your records accurate and your deadlines met. For practice owners, this often sits alongside annual accounts, Corporation Tax or VAT work, depending on how the practice is structured. Support is shaped around the size and setup of your practice rather than a fixed template.
The right structure depends on your income levels, how you work and your longer-term plans, so there is no single answer that suits everyone. We talk through the practical differences, including how tax, National Insurance and administrative responsibilities can vary, and help you review the decision as your circumstances change. Any change in structure should be planned carefully, as the tax consequences depend on individual circumstances.
Yes, switching is usually more straightforward than people expect. We handle the handover with your previous accountant, obtain the information we need and check that your records and filings are up to date before we take things forward. You keep working as normal while we deal with the administrative side of the move.
Simply get in touch with CruseBurke and tell us a little about your work, your income sources and what you need help with. We will then arrange a conversation about your accounting and tax requirements and explain the support that fits your situation. From there, you can decide how you would like to proceed.
