Chartered Medical Accountants for the Whole Healthcare Sector

Trusted Medical Accountants in Northfleet

CruseBurke provides Medical Accountants in Northfleet for doctors, GPs, consultants, locum doctors and medical practice owners. We help with bookkeeping, annual accounts, Self Assessment and tax planning, making sense of NHS and private income. Whether you work in a practice or on a locum basis, our team keeps your financial records clear and your tax affairs in order.

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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Supporting Medical Professionals Across Northfleet

We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners in Northfleet. Our Medical Accountants also support established medical practices that need help with bookkeeping, payroll, annual accounts and tax compliance. Whether your income comes from NHS work, private work or a mix of both, we tailor our support to suit 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 and Tax 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.

Common Accounting Challenges Facing Medical Professionals

Medical professionals often deal with income and expenses that are more varied than they first appear. Keeping accurate records and understanding how different income streams are treated can be difficult without support. The points below highlight some of the most common areas we help with.

  • Managing a mix of NHS and private income, where each stream may need to be recorded and reported separately.
  • Keeping track of locum, consultancy or session-based income spread across multiple sources and payers.
  • Recording professional expenses accurately, including medical indemnity, subscriptions and equipment, where the treatment depends on individual circumstances.
  • Staying on top of Self Assessment deadlines and payments on account when income varies from year to year.
  • Maintaining reliable bookkeeping and financial records throughout the year rather than reconstructing them at the last minute.
  • Reviewing your business structure and understanding when VAT registration or a particular VAT treatment may be relevant.

Why Medical Professionals Choose Our Northfleet Team

We understand that medical professionals often have income structures that do not fit a standard payroll model. Our Medical Accountants in Northfleet offer clear communication, practical accounting support and guidance on how different income sources and expenses should be handled. You get an ongoing working relationship with someone who explains things in plain English and is there when decisions need to be made.

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 Three-Step Process to Get Started

It starts with getting in touch and telling us a little about your work and your current accounting position. We then talk through your accounting and tax requirements, including how your income is structured and where support is needed. From there, you receive ongoing accounting support that is 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.

Built for Medical Professionals and Medical Practices

Our Medical Accountants in Northfleet tailor their support to how medical professionals and medical practices actually operate. That includes handling multiple income sources, professional expenses, bookkeeping, tax administration and business accounting in a way that fits your working pattern. Whether you are newly self-employed or running an established practice, the approach is built around your circumstances rather than a fixed template.

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 handle the accounting and tax affairs of doctors, GPs, consultants, locum doctors and medical practice owners. Depending on your circumstances, this can include preparing annual accounts, completing Self Assessment returns, managing bookkeeping and payroll, and providing tax planning guidance. The scope is agreed around your individual situation rather than a fixed package.

Our Medical Accountants support individuals working in medicine as well as medical practices and medical businesses in Northfleet. This includes locum doctors, private practitioners, GP partners, consultants and practice owners. If your income comes from medical work, whether through the NHS, private practice or a combination of both, we can help you organise it properly.

NHS and private income can be taxed and recorded differently, and keeping the two clearly separated makes reporting far easier at the end of the year. We help you track each income stream, keep supporting records and understand how they should be treated on your tax return. The exact treatment always depends on your individual circumstances, so we review this with you directly.

Many medical professionals do need to file a Self Assessment return, particularly where income comes from self-employment, locum work, private practice or other sources that are not taxed at source. Whether a return is required depends on your total income and how it is paid, so this should always be checked against your own circumstances. We can confirm your position and handle the return and any related deadlines on your behalf.

Commonly claimed items include medical indemnity insurance, professional body subscriptions, training related to your work and equipment used for your role. However, whether an expense is allowable depends on the specific purpose and your individual circumstances, and not every cost qualifies. We review your records with you and explain which expenses are likely to be accepted and which are not.

Yes. We can maintain your bookkeeping throughout the year, reconcile income and expenses, and prepare VAT returns where your turnover or circumstances mean VAT registration applies. Keeping records up to date as you go is far less stressful than reconstructing them at year end. VAT treatment varies from case to case, so we confirm the position for your situation before anything is submitted.

The right structure depends on factors such as your level of income, how you work, the number of people involved and your longer-term plans. Each option carries different tax and administrative responsibilities, and there is no single answer that suits everyone. We talk through the practical implications of each and help you decide what fits best.

Switching is usually straightforward. We can contact your current accountant on your behalf, request the relevant records and make sure HMRC is updated, so the changeover is handled for you. Getting started simply means getting in touch with a summary of your situation, and we will take it from there.

Speak to an Expert

Need Accounting Support That Understands Medical Income? We Can Help.

Mixing NHS and private income can make tax and bookkeeping harder than it needs to be. CruseBurke helps medical professionals in Northfleet keep accurate records and stay on top of Self Assessment and tax planning. Expert support, explained clearly.