Chartered Medical Accountants for the Whole Healthcare Sector

Medical Accountants in North Maidenhead

CruseBurke provides Medical Accountants in North Maidenhead supporting doctors, GPs, consultants and locum doctors with clear, practical accounting and tax guidance. Whether you earn NHS or private income, or run your own medical practice, we help with bookkeeping, annual accounts, Self Assessment and tax planning. Our focus is on keeping your financial records accurate and your tax position properly understood, so you can concentrate on patient care.

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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Accounting Support for Medical Professionals in North Maidenhead

We work with doctors, GPs, medical consultants, locum doctors and private practitioners, as well as medical practice owners and the practices themselves. Whether you are employed, self-employed or operating through a limited company, we tailor our accounting and tax support to the way you actually work. The aim is straightforward: accurate records, sensible tax planning and clear answers when you need them.

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 Medical Accounting Services Built Around Your Workload

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.

Common Accounting Challenges Medical Professionals Face

Medical professionals often deal with several income streams, irregular working patterns and detailed expense records, all alongside a demanding clinical role. Understanding how these pieces fit together for accounts and tax purposes is where specialist accounting support makes a practical difference.

  • Recording NHS and private income separately so each source is reported correctly and consistently.
  • Keeping track of locum, consultancy or additional session income across the tax year.
  • Deciding which professional expenses and medical indemnity costs may be allowable, where treatment depends on individual circumstances.
  • Maintaining organised bookkeeping, invoices and receipts alongside a busy clinical schedule.
  • Filing Self Assessment accurately and on time, including managing payments on account.
  • Choosing and maintaining the right business structure, and understanding VAT considerations where turnover or activities require it.

Why Medical Professionals Choose Our Accounting Support

Working with an accountant who understands the accounting requirements of medical professionals and medical businesses makes a practical difference, from how NHS and private income are recorded to how expenses and payroll are handled. We keep communication clear, explain the reasoning behind our advice and provide ongoing support as your role, income or practice changes. Because tax rules can be detailed and depend on individual circumstances, we take time to understand your position before recommending a way forward.

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.

Getting Started Is Simple in Three Steps

Getting started is straightforward. First, get in touch and tell us about your role and current arrangements; then we review your accounting and tax requirements and talk through the available options; finally, you receive ongoing support that fits the way you work. There is no need to have everything perfectly organised before you speak to us.

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 Their Practices

Our approach is tailored to medical professionals and medical practices in North Maidenhead, whether you are employed, self-employed or working through a limited company. We help bring together your different income sources, professional expenses, bookkeeping and tax administration, so your records and business accounting stay clear and up to date. Support is shaped around how you actually work, with advice explained in plain English rather than jargon.

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 accounts and tax affairs of doctors, consultants, locum doctors and medical practices, including annual accounts, bookkeeping, Self Assessment and tax planning. They also assist with payroll, Corporation Tax for incorporated practices and ongoing advice on how income and expenses should be treated. The exact services you need will depend on how you work and the structure you operate through.

Locum doctors often have several income sources, agency arrangements and expenses to track, which can make Self Assessment less straightforward than a single employment. An accountant who works regularly with medical professionals can help keep records organised and confirm what needs to be reported. Whether a specialist service is essential depends on your circumstances, but it can save time and reduce uncertainty.

Yes. We help medical professionals report NHS and private income correctly within Self Assessment, including income from private practice, additional sessions or consultancy work. We also review payments on account so you are not caught out by unexpected tax bills during the year. How each income stream is treated always depends on your individual circumstances.

Commonly reviewed costs include professional subscriptions, medical indemnity insurance, mileage between sites and some training or equipment costs, although the rules on allowable expenses are specific and depend on individual circumstances. We look at your actual spending and explain what is likely to qualify before anything is claimed. Accurate records make this process far easier at year end.

If you invoice for private work, receive consultancy income or run a practice, keeping regular bookkeeping records makes tax reporting more accurate and far less stressful. We can support with bookkeeping, income and expense tracking and periodic reviews, so nothing is left until the filing deadline. Some medical professionals manage this themselves, while others prefer it handled for them.

The right structure depends on your income level, how many people are involved and your plans for the future, and there is no single answer that suits every medical professional. We compare the practical and tax implications of each option, including Corporation Tax and payroll responsibilities where a limited company is considered. You can then make an informed decision rather than a guess.

VAT treatment can differ between NHS work, private patient fees and other services, and some medical services may be exempt while others are not. We review your activities and turnover to establish whether registration is required and how it should be managed. Because VAT rules are detailed, the correct position always depends on your individual circumstances.

Switching is usually simpler than people expect. Once you get in touch, we discuss your current arrangements, contact your existing accountant where needed and arrange the handover of records and filings. You keep working as normal while we take care of the transition and confirm what information is required from you.

Speak to an Expert

Expert Medical Accountants in North Maidenhead — Here to Help

Juggling NHS and private income can make tax and record-keeping feel overwhelming. CruseBurke provides Medical Accountants in North Maidenhead who handle Self Assessment, bookkeeping and tax planning with clarity. You stay focused on patients; we keep your finances in order.