Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Letchworth

CruseBurke provides Medical Accountants in Letchworth who support doctors, GPs, medical consultants and locum doctors with clear, practical accounting and tax guidance. Whether your income comes from NHS work, private fees or a medical practice, we help with bookkeeping, annual accounts and Self Assessment. Our approach is shaped around the way medical income actually works, so your records stay accurate and your tax position stays clear.

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 Work With in Letchworth

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, as well as medical practice owners and partners running established medical practices. Each of these professionals can face a different mix of NHS income, private fees, locum sessions and practice profits, so the accounting support is shaped around your own circumstances. Whether you work independently or as part of a practice, we aim to keep your accounts, tax and records in good order.

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.

Our Medical Accounting Services in Letchworth

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 professionals often deal with more complex finances than a single salary, and that complexity brings a set of practical accounting challenges.

  • Managing a mix of NHS income and private fees, each with different reporting and record-keeping requirements.
  • Keeping accurate records when income arrives from multiple sources, including locum sessions, consultancy work or private practice fees.
  • Tracking professional expenses such as medical indemnity, registration fees and equipment, where the tax treatment depends on individual circumstances.
  • Meeting Self Assessment deadlines and calculating tax correctly when income varies from one year to the next.
  • Handling payroll and pension arrangements for a medical practice, along with the obligations that come with employing staff.
  • Choosing and maintaining an appropriate business structure, and understanding whether VAT registration or a particular VAT treatment applies.

Why Choose Our Medical Accountants in Letchworth

Working with an accountant who understands medical income makes everyday finances easier to manage and decisions easier to explain. We focus on clear communication, practical accounting support and tax guidance that reflects your own mix of income, expenses and business structure. You also get ongoing support as your circumstances change, rather than a one-off set of figures.

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: get in touch and tell us about your work, your income sources and any concerns you have. We then discuss your accounting and tax requirements and agree the right level of support for your situation. From there, you receive ongoing help with accounts, tax returns, bookkeeping and any questions that come up along the way.

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.

Specialist Accounting Support for Medical Professionals and Practices

Accounting support for medical professionals is tailored to how you actually earn, whether that is NHS work, private fees, locum sessions or practice profits. We can help with professional expenses, bookkeeping, tax administration, annual accounts and wider business accounting for medical practices. The aim is straightforward, well-organised records and tax filings handled without unnecessary stress.

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

Our support suits both individuals and businesses across the medical sector, including private practitioners, locum doctors, consultants, GP partners and medical practice owners. It can also work well for those combining NHS work with private fees or consultancy income. If your circumstances are unusual, we can talk through what is relevant to you.

Yes, this is a common situation and one we are used to working with. We can help you keep records of each income stream, understand which expenses may be allowable and prepare your Self Assessment accurately. Because tax treatment depends on your individual circumstances, we will review your position before advising.

Many medical professionals do, particularly if you receive income that is not taxed at source, such as private fees, locum income or partnership profits. Whether you need to file, and how, depends on your individual circumstances. We can confirm your position and prepare and submit the return on your behalf.

Common examples include medical indemnity cover, professional registration and subscription fees, and certain equipment or training costs. Whether an expense is allowable depends on its nature and on your individual circumstances, so it is worth checking before you claim. We can review your outgoings and identify what may be legitimately claimed.

Yes, we can keep your day-to-day records in order, from recording income and expenses to reconciling bank transactions and preparing figures for your accounts. For practices, this may also include payroll, pension administration and wider practice accounting. We can also assist with VAT support where it is relevant to your practice.

The right structure depends on your income level, how many people are involved in the practice and your longer-term plans. Sole trader and partnership arrangements are common among medical professionals, while a limited company may suit some private practices. We can explain the tax and administrative implications so you can decide.

Simply get in touch and tell us about your work, your income sources and the support you are looking for. We can handle the handover from your existing accountant, including requesting the records and information needed to continue your accounts and tax filings. From there, we agree how often you would like to hear from us and provide ongoing support.

Speak to an Expert

Need Medical Accountants Who Understand Your Income? Let's Talk.

Mixing NHS work with private fees can make tax and record-keeping unnecessarily complicated. CruseBurke provides practical accounts, bookkeeping and Self Assessment support shaped around your income. With clear guidance and a steady hand, your finances stay organised and easier to manage.