Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Henley On Thames

CruseBurke provides specialist accounting and tax support for medical professionals and medical businesses in Henley On Thames. Whether you are a doctor, GP, medical consultant, locum doctor or private practitioner, we can help you manage NHS and private income, bookkeeping, Self Assessment and annual accounts. Our role is to keep your financial records accurate, your tax position clear and your practice finances under control, so you can focus on patient care. We work with sole practitioners, partnerships and limited companies across the medical sector, tailoring our support to the way you actually earn.

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

Posted on Google Google
Jamie Fletcher profile picture
Jamie Fletcher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Mansur Liman profile picture
Mansur Liman
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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
Posted on Google Google
Muna Mohamoud profile picture
Muna Mohamoud
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Sergey M profile picture
Sergey M
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Ebba Qureshi profile picture
Ebba Qureshi
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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 .
Posted on Google Google
Mael Leboucher profile picture
Mael Leboucher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
3rd Hub profile picture
3rd Hub
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
Posted on Google Google
Martin Tyrrell profile picture
Martin Tyrrell
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Matthew Lyon profile picture
Matthew Lyon
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Supporting Medical Professionals Across Henley On Thames

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, as well as the medical practices and clinics they run. Whether you receive NHS income, private fee income, locum payments or a combination of all three, we understand how those income streams interact. Our focus is purely on medical accounting, so the advice you receive is relevant to your working arrangements.

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.

Practical Accounting 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 Facing Medical Professionals

Medical professionals often deal with several income streams and a set of expenses that are specific to the sector. Keeping everything accurate and compliant can quickly become complicated, particularly when tax treatment depends on your individual circumstances.

  • Reporting NHS income alongside private fees, locum payments or consultancy income in the correct way
  • Keeping track of multiple income sources and correctly recording payments received in different tax years
  • Understanding which professional expenses may be allowable, including medical indemnity cover and professional subscriptions
  • Maintaining accurate bookkeeping when clinical commitments leave little time for administration
  • Meeting Self Assessment and payroll deadlines, including pension and superannuation deductions
  • Choosing and reviewing the right business structure, and considering VAT where turnover or services require it

An Accountant Who Understands Medical Income

Working with an accountant who understands the medical sector means fewer explanations and more relevant advice. We take the time to learn how your income is structured, whether that involves NHS work, private practice, locum shifts or a limited company, and we explain the tax position in plain language. You receive practical support with bookkeeping, accounts and tax administration, along with clear communication and ongoing help as your circumstances change.

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 Start With Clear Steps

Getting started is simple: you contact us and tell us about your work, your income and what you need help with. We then discuss your accounting and tax requirements, review your current records and agree the support that suits you. From there, you receive ongoing accounting, bookkeeping and tax guidance so your affairs stay in order throughout the year.

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 Around Medical Professionals And Medical Practices

Our approach is tailored to medical professionals and medical practices, recognising that income may come from NHS work, private fees, locum sessions or consultancy arrangements. We can support you with bookkeeping, accounts preparation, tax administration and business accounting, making sure your records reflect how you actually earn. Where professional expenses such as medical indemnity or professional body subscriptions arise, we consider how these may be treated based on your individual circumstances.

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 support typically covers Self Assessment tax returns, annual accounts, bookkeeping, payroll, Corporation Tax and tax planning, along with VAT assistance where it applies to your work. Medical practice accounting and advice on business structures can also form part of the service. Because every medical professional is different, we confirm exactly which services you need after reviewing your income and working arrangements.

Our work suits doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, along with the practices and clinics they operate. This includes sole traders, partnerships and limited companies receiving NHS income, private fees or a mix of both. If your work involves medical income in any form, the advice we provide is designed to fit those arrangements.

Yes. Many medical professionals receive a combination of NHS income, private fees and locum payments, and these need to be recorded and reported correctly. We help you keep clear records of each income source so your tax return and accounts reflect what you have actually earned. How each element is treated depends on your individual circumstances and working structure.

If you are self-employed, a partner in a practice, a company director, or you receive untaxed income such as private fees or locum payments, a Self Assessment tax return is usually required. We can prepare and submit your return, calculate your liability and explain any payments on account due. Whether you need to file depends on your specific situation, so we will confirm this with you.

Expenses that are wholly and exclusively for your work may be allowable, and items such as medical indemnity insurance and professional body subscriptions are often relevant. What can be claimed depends on your individual circumstances, your employment or self-employment status and the nature of each cost. We review your outgoings and advise on the treatment that best applies to you.

Many medical services are exempt from VAT, but the position varies depending on the type of service, who provides it and how your business is structured. Other activities you carry out may be taxable, which can affect whether registration is needed. We can review your circumstances and explain how VAT is likely to apply to you.

The right structure depends on your income level, how many income streams you have and your longer-term plans. A limited company can suit some medical professionals, while others are better served by self-employment or a partnership arrangement. We can talk through the practical and tax implications so you can make an informed decision.

You simply get in touch and tell us a little about your current arrangements and what you would like to change. We will discuss your accounting and tax requirements, agree the support you need, and then handle the handover from your existing accountant on your behalf. From there, you receive ongoing support with your accounts, bookkeeping and tax obligations.

Speak to an Expert

Need Medical Accountants In Henley On Thames? Clear, Confident Support For Your Practice Finances

Keeping on top of NHS income, private fees and Self Assessment can be a strain on top of clinical work. CruseBurke provides medical accounting, bookkeeping and tax planning shaped around your income streams and practice structure. With clear advice and steady support, your finances stay in order all year.