Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Macclesfield

CruseBurke provides Medical Accountants in Macclesfield, supporting doctors, GPs, consultants and locum doctors with their accounting and tax affairs. We help with Self Assessment, annual accounts, bookkeeping, payroll and tax planning, whether your income comes from NHS work, private practice or a combination of both. If you run a medical practice, we can also assist with practice accounting, VAT where relevant and the record-keeping that keeps everything in order.

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 Macclesfield

We work with doctors, GPs, consultants, locum doctors and private practitioners, along with medical practice owners and partners running clinics or surgeries. Whether you are employed, self-employed or operating through a limited company, your income and expense profile is unlikely to look like a typical business, and our Medical Accountants in Macclesfield are set up to reflect that.

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.

Tackling the Accounting Challenges Facing Medical Professionals

Medical professionals often deal with financial arrangements that are more layered than they first appear. From multiple income streams to strict deadlines, keeping records accurate and up to date matters — and the right treatment of income and expenses depends on your individual circumstances.

  • Managing income received from both NHS work and private practice in one clear set of records
  • Keeping on top of Self Assessment deadlines when you hold more than one role or income source
  • Tracking locum, consultancy or session-based income that varies from month to month
  • Recording professional expenses such as medical indemnity and subscriptions correctly
  • Choosing and maintaining a business structure that suits how you work
  • Handling bookkeeping, payroll and VAT considerations for a medical practice

Why Medical Professionals Choose Our Macclesfield Team

We understand that medical professionals need an accountant who can work around clinical schedules and explain things in plain English. Our Medical Accountants in Macclesfield take the time to understand how your income is structured, then provide practical support with bookkeeping, tax guidance and ongoing advice as your circumstances change. Clear communication and dependable support are at the centre of how we work.

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. Simply get in touch and tell us about your role, your income sources and what you need help with, and we will talk through your accounting and tax requirements. From there, you receive appropriate ongoing support, whether that is annual accounts, Self Assessment, bookkeeping or advice on a specific decision.

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.

Accounting Support Built for Medical Professionals

Accounting support for medical professionals needs to reflect the reality of how you earn, which often means several income sources and a mix of employed and self-employed work. Our Medical Accountants in Macclesfield can tailor bookkeeping, tax administration and business accounting to suit your circumstances, including the treatment of professional expenses where relevant. This gives you a clearer view of your finances and helps you keep your records in good order.

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 and medical businesses, which often involve several income sources and less common expense types. Typical work includes annual accounts, Self Assessment, bookkeeping, payroll, tax planning and VAT support where it applies. The exact mix depends on how you work and what your practice or role requires.

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners or partners. It does not matter whether you are employed by the NHS, working privately, self-employed or operating through a limited company. If your income or business sits within the medical sector, the accounting approach can be tailored to suit it.

Yes. Many medical professionals receive income from more than one source, and each element needs to be recorded and reported correctly. We can help you keep those income streams separate in your records, understand how they are taxed together and stay on top of the deadlines that apply. How each source is treated depends on your individual circumstances.

It depends on your situation. If you receive self-employed income, locum fees, private practice earnings, untaxed income or certain other amounts, a Self Assessment tax return is usually required. If all of your income is taxed through PAYE and nothing else applies, you may not need one. We can review your position and confirm what applies to you.

Medical professionals commonly ask about medical indemnity, professional subscriptions, registration fees and costs tied directly to their work. Whether an expense is allowable depends on the specific rules and your individual circumstances, so it is worth checking before you claim. We can review your outgoings and help you record legitimate expenses properly.

Yes. We can handle day-to-day bookkeeping so your records stay accurate and up to date, and manage payroll for practice staff where needed. This is particularly useful for practice owners juggling clinical commitments with administrative work. We can also prepare figures in a format that supports your annual accounts and any VAT obligations that apply.

VAT registration depends on your turnover and the nature of the services you provide, and different activities can be treated differently. Some medical services are exempt while others are not, so the position is not always straightforward. We can look at your circumstances and advise on whether registration is required and how to manage it if it is.

Switching is generally simpler than people expect. Once you decide to move, we can liaise with your existing accountant, request the relevant records and take over the necessary filings. To get started, simply contact our Medical Accountants in Macclesfield, tell us about your role and income sources, and we will explain the next steps.

Speak to an Expert

Need Medical Accountants in Macclesfield? Clear, practical support awaits.

CruseBurke understands the pressure of balancing clinical work with financial admin. If Self Assessment deadlines, mixed NHS and private income or practice bookkeeping are piling up, our Medical Accountants in Macclesfield can help you stay organised and informed. Support you can rely on.