Chartered Medical Accountants for the Whole Healthcare Sector

Trusted Medical Accountants in Nottingham

CruseBurke provides practical accounting and tax support for medical professionals and medical businesses across Nottingham. From doctors, GPs and medical consultants to locum doctors and private practitioners, we help with bookkeeping, annual accounts, Self Assessment and tax planning. Whether your income comes from the NHS, private practice, or a mix of both, our Medical Accountants keep your finances clear, organised and compliant.

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 Doctors, GPs, Consultants and Medical Practices

We work with a broad range of medical professionals, including doctors, GPs, medical consultants, locum doctors and private practitioners. We also support medical practice owners, partnerships and clinics with their day-to-day bookkeeping, annual accounts and tax obligations. Our focus stays firmly on the accounting needs that medical income and medical businesses bring.

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.

Common Accounting Challenges Facing Medical Professionals

Medical income rarely arrives in one simple stream, which creates accounting and tax questions that general accountants may not encounter often. These are the areas we help medical professionals and medical practices work through.

  • Managing NHS income alongside private fees, with different records and reporting requirements for each.
  • Keeping track of multiple income sources, including locum sessions, consultancy work and private practice earnings.
  • Recording professional expenses correctly, such as medical indemnity insurance, professional subscriptions and membership fees, where the treatment depends on individual circumstances.
  • Maintaining accurate bookkeeping throughout the year rather than catching up shortly before the Self Assessment deadline.
  • Reviewing the right business structure, whether sole trader, partnership or limited company, as your working arrangements change.
  • Understanding VAT considerations for private practice work, which depend on the services you provide and your turnover.

Medical Accountants Who Understand Medical Income

Working with a team that understands medical income structures means fewer explanations and more useful, practical advice. Our Medical Accountants in Nottingham communicate clearly, keep your records organised and help you plan for tax ahead of deadlines rather than reacting to them. From sole trader locums to established medical practices, we provide ongoing support that fits the way you actually work.

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.

Three Simple Steps to Get Started

Begin by getting in touch and telling us about your work, whether you are a locum doctor, a consultant or a medical practice owner. We then discuss your accounting and tax requirements, including your income sources, expenses and current records. From there, you receive ongoing support suited to your circumstances, with clear communication throughout the year.

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 Built Around Medical Professionals and Practices

Our approach as Medical Accountants is shaped by the everyday realities of medical careers and medical practices. We tailor bookkeeping, tax administration and business accounting to the income sources and professional expenses you genuinely have, whether that is NHS work, private fees or a combination of the two. The result is records that reflect your working life and accounts prepared with your circumstances in mind.

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 accounting and tax affairs of doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners. That can include Self Assessment, annual accounts, bookkeeping, payroll, tax planning and business accounting, depending on how you earn your income and how any practice is structured.

We work with medical professionals at many different stages, from locum doctors and consultants building a private practice through to established medical practices and partnerships. Whether you receive NHS income, private income or a mixture of both, the support is shaped around your circumstances rather than a fixed template.

Many doctors and locum doctors need to file a Self Assessment tax return, particularly where they have untaxed income, several sources of income, or self-employed locum earnings. Whether a return is required depends on your individual circumstances, so it is worth reviewing your position well before the filing deadline.

Yes, we can help you record and claim professional expenses where they are allowable, which may include medical indemnity cover, professional subscriptions and certain training costs. Expense treatment depends on individual circumstances, so each item is reviewed rather than assumed to follow a blanket rule.

Bookkeeping for a medical practice involves keeping income and expenditure records organised throughout the year, separating different income streams where needed and preparing reliable figures for accounts and tax returns. Accurate records reduce last-minute pressure and make it easier to see how the practice is performing.

VAT registration depends on your turnover and the services you provide, and some medical services are treated differently from others. We can review your position and explain whether registration is likely to apply, along with how VAT would affect your private practice income.

Switching accountants is usually a straightforward process, and we can handle the practical side, including contacting your existing accountant and gathering the information needed to take over smoothly. We then review your position and set out a clear plan for accounts, tax returns and ongoing support.

The right structure depends on your income, how you work and your longer-term plans, so there is no single answer that fits everyone. We can explain how sole trader, partnership and limited company structures may affect your tax position and administration, and review the structure as your circumstances change.

Speak to an Expert

Need Medical Accountants in Nottingham? Speak to CruseBurke for clear, practical support.

Juggling NHS income, private fees and Self Assessment deadlines can quickly become overwhelming. CruseBurke provides Medical Accountants in Nottingham who keep your bookkeeping accurate and your tax planning on track. Let us take the pressure off your finances.