Accounting Services for Healthcare in Amesbury
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Supporting medical practices and private clinics with accounts, tax, bookkeeping, payroll and financial management.
Professional preparation of your annual financial statements.
Accurate and timely filing of all required tax submissions.
Accurate and up-to-date records for your practice.
Efficient payroll management for your staff.
Planning your tax position efficiently while staying compliant.
Healthcare income is rarely simple, and the tax rules that sit behind it are not always intuitive. These are the issues that most commonly cause problems for clinicians and healthcare businesses.
Specialised knowledge of NHS funding and healthcare business accounting.
Our team focuses on your financial needs and provides solutions tailored to your business.
We provide bespoke services to ensure your financial processes are accurate.
We deliver precise financial reports on time, giving you full compliance with HMRC.
Our services offer transparent, upfront pricing with no hidden costs.
We handle all your accounting and financial tasks efficiently.
We begin by getting to know your practice and your specific needs. This step ensures we have a clear picture of your challenges, goals, and the opportunities available to you.
Based on our initial discussion, we create a personalised plan designed specifically for you. Our aim is to keep your healthcare finances straightforward, with your numbers handled accurately and professionally by dedicated healthcare accountants.
From there, we take care of the ongoing work and keep you updated with clear, regular reports. We're always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
We use the latest technology to offer customised financial strategies. Thus, helping healthcare practices grow and thrive.
Our team offers dedicated accounting services tailored to your specific healthcare business. This ensures financial stability and growth for you.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
For healthcare clients, the work goes beyond filing a tax return. It typically includes preparing annual accounts, completing Self Assessment returns that combine NHS, private and locum income, handling payroll and pension auto-enrolment for practice staff, dealing with VAT registration and returns, and advising on business structure and tax planning. It also involves keeping your records in a state that makes each year easier than the last, and flagging deadlines and liabilities early enough that you can plan for them.
It can, because the two income streams are often taxed in different ways and paid on different cycles. Salaried NHS or hospital income is taxed through PAYE, while private fees, insurer work and locum sessions are usually self-employed income that must be reported through Self Assessment, with Class 4 National Insurance potentially applying. Where you have both, the interaction between PAYE already deducted and the tax due on profits needs careful calculation, and payments on account can add to the pressure. Getting the figures reconciled properly avoids both overpaying and unpleasant surprises.
Commonly claimed costs include professional registration and indemnity fees, mandatory CPD and training, specialist equipment and clinical clothing, professional subscriptions, mileage between work locations, and a reasonable proportion of home costs where you genuinely run administrative work from home. The detail matters — some costs are only partly allowable, and personal or commuting expenses generally are not. We review your spending against the rules that apply to your specific role rather than applying a blanket list.
Many clinical services are exempt from VAT, so VAT registration is not automatic and often not required. However, turnover from non-exempt activity — such as certain cosmetic or non-clinical services, product sales, dispensary items or some consultancy work — counts towards the registration threshold. If you have a mix of exempt and standard-rated supplies, you may end up dealing with partial exemption rules. We can assess your position and advise on whether registration is necessary and how to manage it.
There is no single answer, because the right structure depends on your income level, how many practitioners are involved, your attitude to risk and your longer-term plans. Sole trader status is simple but leaves you personally liable and taxed on all profits. Partnerships suit shared practices but need a clear agreement. A limited company can offer different tax treatment and limited liability, though it brings additional compliance and reporting obligations. We look at your circumstances and explain the trade-offs before you decide.
Yes. We can run payroll for practice staff, principals and administrative employees, including real time information submissions to HMRC, payslips, statutory payments and pension auto-enrolment duties. We also help with the separate question of how associate clinicians, locums and sessional staff should be engaged, since the PAYE position differs depending on whether someone is genuinely employed or self-employed.
Yes. Much of the work involved in healthcare accounting is document-based and can be handled remotely, with records shared securely and meetings held by phone or video where that suits you better. What matters is that you have a clear point of contact, an agreed way of sending information, and a schedule of deadlines and reviews. Many clients find this arrangement easier to fit around clinics, surgeries and on-call rotas.
It begins with a conversation about your circumstances. We will ask how you are engaged, how your income is paid, what records and software you currently use, and what you want from an accountant. From there we review your accounting and tax position, highlight anything that needs attention, and set out the services that fit your situation along with what we will need from you. You do not need everything perfectly organised before you make contact.
