Chartered Medical Accountants for the Whole Healthcare Sector

Trusted Medical Accountants in Orrell

CruseBurke works as Medical Accountants in Orrell, providing clear accounting and tax support for doctors, GPs, consultants, locum doctors and medical practice owners. Whether your income comes from NHS work, private practice or a mix of both, we can help with bookkeeping, annual accounts, Self Assessment and tax planning. Our role is to keep your financial records accurate and your tax position straightforward, 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 Every Stage of Medical Practice

We support doctors, GPs, medical consultants, locum doctors and private practitioners, along with medical practice owners running clinics, surgeries and specialist medical businesses. Whether you work solely within the NHS, run a fully private practice or combine both, your accounting needs are treated as individual rather than off-the-shelf. That means the support reflects how your income actually arrives and how your practice is structured.

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 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.

Where Medical Accounting Often Gets Complicated

Medical income rarely arrives from a single, tidy source, and that is where record keeping and tax reporting can become difficult to manage. A few of the common pressure points we help with include:

  • Untangling NHS income, private fees and locum or consultancy earnings within one set of records
  • Keeping professional expenses, medical indemnity and subscription costs properly documented and reviewed
  • Staying on top of Self Assessment deadlines when income varies from month to month
  • Choosing a business structure that suits your work and reviewing it as circumstances change
  • Understanding VAT considerations, which depend on the nature and level of your income and activities
  • Maintaining accurate bookkeeping and payroll records for medical practices and their teams

Accountants Who Understand Medical Professionals Properly

Working with an accountant who understands medical income structures means fewer explanations and more useful answers. We keep communication clear and jargon-free, explain what is required and when, and provide ongoing support as your role, income or practice changes. The aim is practical guidance on tax and accounts that fits around clinical work rather than adding to it.

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 Way to Get Started

The process begins with getting in touch and telling us about your work, whether that is NHS employment, private practice, locum work or running a medical practice. We then discuss your accounting and tax requirements openly, including deadlines, records and any areas you are unsure about. From there, you receive ongoing support that is appropriate to your circumstances and reviewed as things 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.

Accounting Built Around Medical Professionals and Practices

Accounting support can be tailored to medical professionals and medical practices, reflecting how income from NHS work, private fees, locum shifts and consultancy is recorded and reported. We can assist with professional expenses, bookkeeping, tax administration and business accounting across your income streams and any practice you run. That means records are kept in order and reporting obligations are handled 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

We provide accounting and tax support tailored to medical professionals, which can include annual accounts, Self Assessment, bookkeeping, payroll, Corporation Tax, business accounting and tax planning. For medical practice owners, we can also assist with practice accounting, expense records and VAT matters where relevant. The exact mix depends on your income sources and how your work is structured.

Our services are suitable for doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, as well as the practices and clinics they run. Whether you work within the NHS, privately or a combination of both, your accounting needs are treated individually. If you are unsure whether our support fits your situation, it is worth a conversation first.

We can keep NHS income, private fees, locum earnings and consultancy payments recorded clearly so that each stream is accounted for properly. Because tax treatment depends on your individual circumstances, including your employment status and total income, we review your position before advising. This helps ensure your Self Assessment and any business accounts reflect the full picture accurately.

Yes, we support medical professionals with Self Assessment, including the preparation and filing of returns and the record keeping that sits behind them. We can also help you plan ahead for payment deadlines so that unexpected bills are less likely. How much tax is due will always depend on your own income, expenses and personal circumstances.

Typical areas we look at include medical indemnity insurance, professional subscriptions and costs tied directly to your work, but what is allowable depends on your individual circumstances and how the expense relates to your income. We review your records and explain what can reasonably be included. Keeping receipts and documentation in good order makes this process far easier.

We can look after bookkeeping for medical practices, including the day-to-day recording of income, expenses and payroll where required, keeping your records accurate and up to date. VAT treatment depends on the nature and level of your activities, so whether registration and VAT returns are needed will vary from practice to practice. We assess your position and advise accordingly.

The right business structure depends on your income levels, how you work and your longer-term plans, so there is no single answer that suits every medical professional. We can talk through the practical and tax implications of each option, including how NHS and private income are treated. As your circumstances change, the structure can be reviewed again.

Switching accountants is usually a straightforward process, and we can liaise with your existing adviser to obtain the records and information needed for a smooth handover. Once everything is in place, we confirm the deadlines and reporting requirements that apply to you. From there, your ongoing support continues without unnecessary disruption.

Speak to an Expert

Medical Accountants in Orrell — Clear, Confident Support

Juggling NHS and private income, locum work and practice expenses can quickly become complicated. CruseBurke, as Medical Accountants in Orrell, helps with Self Assessment, bookkeeping and tax planning so nothing slips through the net. Clear, dependable support you can rely on.