Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Llandudno

CruseBurke provides practical accounting and tax support to medical professionals and medical businesses in Llandudno. We help doctors, GPs, medical consultants, locum doctors and practice owners with bookkeeping, annual accounts, tax planning and Self Assessment, whether their income comes from NHS work, private practice or a mix of both. Our aim is to keep your financial records accurate, your tax position clear and your reporting deadlines manageable. From sole practitioners to established medical practices, we tailor our approach to how you actually work, with plain-English guidance at every stage.

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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Supporting Medical Professionals Across Llandudno

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners throughout Llandudno. Whether you operate as a sole trader, a partner in a practice or a director of a limited company, we shape our accounting support around your working arrangements and income sources. This includes professionals balancing NHS income with private work or consultancy fees.

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.

Sorting The Numbers Behind Medical Practice

Medical professionals often deal with income and expenses that do not fit neatly into a single category. The way these are treated can depend on your individual circumstances, so it is worth getting the detail right.

  • Combining NHS income with private fees, consultancy or locum payments in one set of records
  • Keeping track of multiple income sources and the different tax treatment each may attract
  • Recording professional expenses such as medical indemnity, subscriptions and equipment correctly
  • Maintaining accurate bookkeeping when time for admin is limited
  • Preparing Self Assessment returns and meeting filing and payment deadlines
  • Choosing a business structure and understanding when VAT registration or advice may be relevant

Practical Accountants Who Understand Medical Work

Working with an accountant who understands medical income structures makes a real difference to how smoothly your finances run. We explain things clearly, keep the jargon out of it and give you straightforward answers on tax, accounts and bookkeeping. You get ongoing support through the year, so questions are dealt with as they arise rather than piling up at the deadline.

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 Way To Get Started

We keep things simple from the outset. First, get in touch and tell us about your work and what you need from an accountant. We then review your accounting and tax requirements together, agree a clear scope of support and stay with you through the year as your circumstances change.

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 support is designed around the way medical professionals and medical practices actually operate, from mixed NHS and private income to consultancy and locum work. We can help with bookkeeping, annual accounts, tax administration and wider business accounting, tailored to your structure. Professional expenses and other items are reviewed in light of your own circumstances, so the treatment applied suits your position.

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

The scope depends on what you need, but typically covers annual accounts, bookkeeping, Self Assessment, payroll, Corporation Tax and tax planning for medical professionals. For medical practices we can also assist with business accounting and VAT where it applies to your turnover. We agree the services in advance so you know exactly what is included.

We support doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, whether they trade as sole traders, partners or limited companies. If you have a mix of NHS and private income, or consultancy and locum fees, the records simply need to reflect each stream properly. We adapt our approach to your structure rather than applying one fixed template.

We keep each income stream clearly recorded so your accounts and tax returns tell the full story. Some payments may be taxed at source while others are not, and the correct treatment depends on your individual circumstances. We review this with you and make sure the position reported is accurate and supported.

Many medical professionals do, particularly if you have self-employed income, private practice fees, locum work, consultancy income or untaxed savings and investments. Whether a return is required depends on your total income and its sources. We can confirm your position and prepare the return if one is needed.

Yes, we review the expenses you incur in the course of your work, which may include medical indemnity cover, professional subscriptions, registration fees and training relevant to your role. Whether a particular cost qualifies for relief depends on the facts of your case and current rules. We look at each item and explain the position clearly.

We can manage your bookkeeping, keep your financial records organised and help you move towards a system that suits your working pattern. Good records make your accounts and tax returns more straightforward and reduce last-minute pressure. If you already use software, we can work alongside it.

VAT is complex in this sector because certain medical services may be exempt while others, such as some cosmetic or non-medical work, may not be. Registration thresholds and treatment depend on your individual circumstances and the services you provide. We can review your position and advise on the practical implications.

Yes, switching is usually straightforward. We ask for your authorisation to contact your existing accountant, obtain the relevant records and pick things up from there. Once we have what we need, we confirm the handover with you and set out how we will support you going forward.

Speak to an Expert

Need Accounting Support In Llandudno? Speak To Specialists Who Understand Medical Income

CruseBurke helps medical professionals and practices in Llandudno who are tired of juggling NHS income, private fees and looming tax deadlines. Our accounts, Self Assessment and tax planning support keeps your records in order and your position clear. Get in touch and let us take the pressure off.