Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in Middleton

Medical Accountants in Middleton supporting doctors, GPs, consultants and locum doctors with practical accounting and tax guidance. Whether you earn through NHS work, private practice or a mix of both, we help with bookkeeping, annual accounts, Self Assessment and tax planning. Medical practice owners can also rely on us for payroll, VAT support and day-to-day business accounting, so your records stay accurate and your obligations stay on track.

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 in Middleton

We work with doctors, GPs, consultants and locum doctors, along with private practitioners and medical practice owners. Our Medical Accountants in Middleton also support medical practices with bookkeeping, payroll and annual accounts, keeping financial records accurate throughout the year. Whether your income comes from NHS work, private fees or a combination of both, we tailor our support to how you actually work.

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 Tailored to 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 Medical Professionals Often Face

Medical professionals often deal with income streams that are more complex than a single salary, and keeping everything accurate and up to date can be demanding. Our Medical Accountants in Middleton help you make sense of it all.

  • Managing NHS income alongside private fees, which may be reported through different systems and on different timescales.
  • Keeping accurate records across several roles, including locum sessions, consultancy work and part-time practice commitments.
  • Understanding which professional expenses may be allowable, such as medical indemnity cover, subscriptions and training — treatment depends on your individual circumstances.
  • Completing Self Assessment accurately and on time when income arrives from more than one source.
  • Choosing the most suitable business structure, whether that means sole trader, partnership or a limited company.
  • Staying on top of VAT considerations and payroll where a medical practice employs staff or reaches registration thresholds.

Why Medical Professionals Choose Our Support

We understand that medical professionals rarely have a straightforward financial picture, with NHS income, private fees and locum work often sitting side by side. Our Medical Accountants in Middleton explain things in plain English, keep communication clear throughout the year and help you plan ahead rather than simply react when deadlines arrive. You receive practical accounting support that reflects how you work, with guidance on tax and record-keeping tailored to your circumstances.

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 for Medical Professionals

Getting started is straightforward: simply get in touch and tell us about your role, your income sources and what you need help with. We will then discuss your accounting and tax requirements, covering areas such as bookkeeping, Self Assessment or practice accounting, and agree a clear way forward. From there, you receive ongoing support with your records and deadlines managed so nothing slips.

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

Accounting support can be tailored to the way medical professionals actually earn, whether that is NHS income, private fees, locum sessions or a combination of all three. Our Medical Accountants in Middleton help with bookkeeping, professional expenses, tax administration and business accounting, and we adapt our approach for medical practices with payroll and practice-level reporting needs. The aim is straightforward record-keeping, clear deadlines and tax guidance that reflects 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

Medical Accountants in Middleton handle the accounting and tax work that medical professionals need, including bookkeeping, annual accounts, Self Assessment, payroll and tax planning. They also support medical practices with business accounting, VAT where it applies and practice-level reporting. The focus is on keeping your records accurate and your filing deadlines met throughout the year.

Our services suit doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, along with the practices themselves. Whether you work within the NHS, in private practice or across both, the support is shaped around your income structure and commitments. If you are unsure whether your situation fits, it is worth having a conversation before you commit to anything.

Many medical professionals need to complete a Self Assessment tax return, particularly where income comes from more than one source, such as NHS work alongside private fees or locum sessions. Whether you are required to file depends on your individual circumstances, including your total income and how it is paid. We can review your position and confirm what applies to you.

Yes — we can maintain day-to-day bookkeeping for medical practices, keeping income and expenditure records organised and up to date. That includes reconciling payments, tracking practice costs and preparing the information needed for annual accounts. Accurate bookkeeping throughout the year also makes tax reporting far less stressful when deadlines arrive.

Commonly considered expenses include professional subscriptions, medical indemnity cover, training directly related to your work and certain travel costs. However, whether an expense is allowable depends on your individual circumstances and how it relates to your work, so nothing should be assumed. We can review your spending and explain what may be claimable in your case.

VAT registration depends on your turnover and the nature of the services you provide, and some medical services are treated differently from others. There is no single answer that applies to everyone, so the position needs to be reviewed against your own circumstances. Where VAT does apply, we can help with registration, record-keeping and returns.

Yes — switching accountants is usually simpler than people expect, and we can manage the handover with your existing adviser on your behalf. We will review your records, confirm what information is needed and make sure deadlines are not missed during the transition. Your filing responsibilities continue as normal, so there is no gap in your accounting.

Simply get in touch and tell us about your role, your income sources and what you need help with. We will discuss your accounting and tax requirements and explain how we can support you, whether that involves bookkeeping, Self Assessment or practice accounting. There is no obligation to proceed until you are comfortable with the approach.

Speak to an Expert

Need Medical Accountants in Middleton? Let's Simplify Your Tax

Juggling NHS and private income can make Self Assessment and bookkeeping feel overwhelming. CruseBurke provides Medical Accountants in Middleton who keep your records organised and your tax position clear, so you can focus on patients with confidence.