Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Middleton Manchester

Medical Accountants in Middleton Manchester support doctors, GPs, medical consultants, locum doctors and medical practice owners with the accounting and tax requirements that come with NHS and private income. Depending on how you work, support can cover bookkeeping, annual accounts, Self Assessment, payroll, VAT and tax planning. Whether you are a locum, a private practitioner or running a medical practice, accurate records and timely filing are far easier with the right accounting support in place.

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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 Middleton Manchester

We work with doctors, GPs, consultants, locum doctors and private practitioners, along with medical practice owners and partners running clinics and practices in and around Middleton Manchester. Each structure brings different accounting and tax requirements, from mixed NHS and private income to payroll for practice staff. Support is shaped around how you actually earn and how your medical business operates.

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 income from several places at once, alongside busy clinical schedules and limited time for paperwork. That combination creates predictable accounting and tax pressure points, and understanding where they arise makes them far easier to manage.

  • Separating NHS, private and locum income so each source is recorded correctly and nothing is missed at year end
  • Keeping on top of Self Assessment and filing deadlines when payments arrive from different sources at different times
  • Understanding which professional expenses, such as medical indemnity and professional subscriptions, may be allowable, as treatment depends on individual circumstances
  • Maintaining accurate bookkeeping for a medical practice alongside day-to-day clinical commitments
  • Choosing the right business structure as a sole trader, partnership or limited company, and reviewing it as your working arrangements change
  • Managing VAT considerations where registration thresholds or rules apply, which depends on your individual circumstances

Why Medical Professionals Choose Our Accountants

Working with an accountant who understands medical income structures means fewer explanations and more practical answers, whether you are a locum, a consultant or a practice owner. We focus on clear communication, straightforward accounting support and tax guidance that reflects the way your income actually arrives. You also get ongoing support, so questions can be dealt with as they arise rather than saved up until the 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.

Our Simple Three-Step Process

It starts with getting in touch, so we can understand your role, your income sources and any existing accounting arrangements. From there we discuss your accounting and tax requirements, including bookkeeping, Self Assessment, payroll or practice accounts, and agree what support is needed. After that you receive ongoing help with records, deadlines and tax matters, reviewed 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.

Chartered Support Built Around Medical Professionals

Accounting support for medical professionals is tailored to how you earn, covering NHS and private income, locum or consultancy fees and practice profits in one consistent approach. Professional expenses, bookkeeping, tax administration and business accounting can all be organised so records stay accurate and deadlines are met. The aim is straightforward, well-structured accounting that fits around clinical work rather than adding to it.

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 in Middleton Manchester look after the accounting and tax requirements that come with working in medicine, which often means several income sources rather than one salary. That can include bookkeeping, annual accounts, Self Assessment, payroll, VAT support and tax planning, tailored to whether you are employed, self-employed or running a practice. The exact mix depends on your circumstances, so the scope is agreed with you first.

Our services suit doctors, GPs, medical consultants, locum doctors, private practitioners, medical practice owners and partners. Some clients need help with a single Self Assessment return, while others need payroll, practice accounting and ongoing bookkeeping for a team. Because the requirements differ, support is shaped around your role and how your medical business is structured.

NHS income, private fees and locum earnings are recorded separately so each stream is clear when accounts and tax returns are prepared. This makes it easier to see where income has come from and to keep supporting records in order for the year end. How each source is treated for tax purposes depends on your individual circumstances, and we can explain what applies to you.

Many medical professionals do need to file a Self Assessment return, particularly where there is self-employed income, locum work, private practice earnings, partnership profit or additional untaxed income. Whether a return is required depends on your own situation, including your employment status and total income. We can confirm your position and prepare the return where it is needed.

Potentially allowable expenses may include items such as medical indemnity cover, professional subscriptions, registration fees and costs directly connected with your work, although the treatment of any specific expense depends on individual circumstances. Good record keeping matters here, because claims need to be supported by evidence. We can review your outgoings and explain what is likely to be claimable.

Yes, bookkeeping support can cover a single practitioner or a larger medical practice with employed staff and multiple income streams. Keeping records up to date through the year reduces the pressure at accounts and tax return time and makes figures more reliable for planning. We can work with your existing systems or help you set up something more organised.

VAT registration depends on your turnover, the nature of the services provided and the applicable rules, so there is no single answer that applies to every medical practice or practitioner. Some services are treated differently from others, and the position can change as your income grows. We can review your circumstances and explain whether registration is likely to be required.

The right structure depends on how you work, your level of profit, whether you have partners and what you want from the business longer term. Sole trader, partnership and limited company arrangements each carry different tax and administrative obligations. We can talk through the practical differences and help you decide what suits your situation.

Getting started usually begins with a conversation about your role, income sources and current accounting arrangements, so we can see what support you need. If you decide to switch, we can handle the handover with your existing accountant and request the relevant records on your behalf. From there, ongoing bookkeeping, Self Assessment and accounts work can be put in place around your deadlines.

Speak to an Expert

Need Medical Accountants in Middleton Manchester? Practical Support You Can Rely On.

CruseBurke helps medical professionals in Middleton Manchester manage mixed NHS and private income, locum earnings and practice records. From bookkeeping and Self Assessment to payroll and tax planning, we keep your finances in order. Speak with our team about the right support.