Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Merstham

CruseBurke provides specialist accounting and tax support for medical professionals and medical businesses in Merstham. We help doctors, GPs, consultants, locum doctors and private practitioners with Self Assessment, annual accounts, bookkeeping and tax planning. Whether you earn NHS income, private fees or a mix of both, we keep your records accurate and your tax position clear. Medical practice owners also receive practical support with payroll, VAT and business accounting.

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 and Practices We Support

We work with doctors, GPs, hospital consultants, locum doctors, private practitioners and medical practice owners across a range of specialties. Some clients operate as sole traders, others through partnerships or limited companies, and many receive income from both NHS and private sources. Our approach as Medical Accountants in Merstham is tailored to how you actually earn, so your accounts reflect your working arrangements accurately.

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.

Medical Accounting Services Tailored to Your Needs

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 income streams and expense rules that are more complex than most. Because tax and expense treatment can depend on your individual circumstances, it helps to have records that are accurate, complete and clearly organised from the outset.

  • Bringing together NHS income, private fees and locum or consultancy payments into one clear picture
  • Keeping track of professional expenses such as medical indemnity and registration costs, subject to the rules that apply to you
  • Managing Self Assessment deadlines when income sources change during the tax year
  • Running payroll and pension arrangements for a medical practice with several staff members
  • Choosing the right business structure as a sole trader, partner or limited company director
  • Handling VAT considerations where private work or practice turnover brings registration into scope

Accountants Who Understand Medical Professionals and Practices

Working with an accountant who understands medical income structures makes a practical difference, particularly when NHS and private earnings sit side by side. We explain things in plain language, keep communication clear and give you straightforward guidance on tax and accounting matters as they arise. You also get ongoing support, so questions about bookkeeping, expenses or tax administration do not have to wait until year end.

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 Built Around You

Getting started is straightforward. You contact us and tell us about your work, we then discuss your accounting and tax requirements in detail, and from there you receive the ongoing support that suits your circumstances. The aim is to keep the process clear and unhurried, so you always know what is happening and why.

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 Shaped for Medical Professionals and Practices

Our support is shaped around how medical professionals and medical practices actually operate, from single-handed private practitioners to larger practices with employed staff. We can help with different income sources, professional expenses, bookkeeping, tax administration and wider business accounting, adapting the approach to your structure and working arrangements. Throughout, we aim to keep your records accurate and your obligations clear.

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

We handle the accounting and tax work that medical professionals and medical businesses need, including annual accounts, Self Assessment, bookkeeping, payroll and tax planning. The exact scope depends on how you work, whether that is as a locum doctor, a GP partner, a consultant with private fees or a practice owner. We agree the level of support with you before any work begins.

It suits doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, whether they work alone or as part of a larger practice. We also assist medical businesses that employ staff and need payroll or VAT support alongside their accounts. If your circumstances are unusual, it is worth a conversation to confirm what applies to you.

A Self Assessment may be required for a number of reasons, including self-employment, untaxed income or certain types of private and locum work, and the position depends on your individual circumstances. Even a short period of self-employment can create a filing obligation. We can review your situation and confirm what needs to be reported and by when.

Yes. We help you record NHS income, private fees and any locum or consultancy payments in a way that keeps the sources clear and your records properly organised. This makes the accounts and tax return easier to prepare and reduces the risk of something being missed or double-counted. Where income falls under different rules, we explain how that has been treated.

Commonly considered expenses include medical indemnity cover, professional registration and subscription costs, and certain costs associated with running your practice. Whether a particular expense qualifies depends on the rules and on your individual circumstances, so it is worth checking before assuming anything. We can review your expenditure and identify what is likely to be allowable.

VAT registration depends on your turnover and on the nature of the services you provide, and not all medical work is treated in the same way. Some private work may be exempt while other activities are standard-rated, so the answer often depends on the specifics. We can review your position and advise whether registration is needed or advisable.

Each structure has different implications for tax, National Insurance, administration and how you take money out of the business. The right choice depends on your income levels, your plans and how you prefer to work, and it can change over time as your circumstances develop. We can talk through the practical differences so you can make an informed decision.

The process is usually simple. You let us know who your current accountant is, we handle the professional handover of information and records on your behalf, and we confirm what is needed to get your files up to date. Most medical professionals find the transition runs smoothly, and we keep you informed at each stage.

Speak to an Expert

Need specialist accounting support in Merstham? Let us simplify your medical finances.

Balancing NHS and private income, locum work or practice accounts can quickly become complicated. CruseBurke provides Medical Accountants in Merstham who handle Self Assessment, bookkeeping and tax planning with clarity. You get practical support and straightforward answers.