Accounting Services for Healthcare in Caversham
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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 finances tend to be more layered than most. Income and costs come from several directions, and the tax rules that apply are not always obvious. These are the issues we see most often.
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.
It generally covers far more than a year-end tax return. For most healthcare clients it includes bookkeeping, Self Assessment or company accounts, payroll, VAT where relevant, pension contribution tracking and tax planning. Because healthcare income often comes from a mixture of NHS work, private fees, insurer payments and locum shifts, the reporting needs to bring those sources together accurately while keeping PAYE already deducted properly accounted for. Planning points, such as business structure and the timing of income or pension contributions, are usually reviewed alongside compliance work.
Yes. Sole traders and single practitioners typically need Self Assessment, allowable expense guidance and clear records for their private or locum work. Partners and GP practices need partnership accounts, profit-sharing returns and help with the pension implications of partnership profits. Limited companies and clinics need annual accounts, Corporation Tax computations and, where they employ people, payroll support. The underlying work overlaps, but the reporting and tax rules differ, so advice is tailored to your structure.
We start by gathering each income source separately, including payslips or P60s for employed and pensionable income, and fee records or invoices for private and locum work. Expenses are then reviewed against what HMRC accepts as wholly and exclusively for the work, such as indemnity insurance, professional registration, mileage between sites and equipment. We also consider whether pension contributions or annual allowance positions affect the return, so the final figures reflect your full circumstances rather than one income stream in isolation.
A significant part of healthcare is exempt from VAT, but not everything is. Cosmetic treatments, some non-medical reports, retail sales and certain advisory services may be standard-rated. If you make both exempt and taxable supplies, you may be partially exempt, which affects how much input VAT you can reclaim. We help identify which of your services fall into each category, review your registration position and put a sensible method in place for calculating reclaims, so returns are consistent and defensible.
Not necessarily. Sole trader status is straightforward and works well for many practitioners, while a limited company can suit those with higher profits, several income streams or plans to build a practice with employed staff or multiple shareholders. The right answer depends on your profit levels, how you are engaged, pension considerations and how you want to take money out of the business. We compare the realistic options and explain the practical differences, including additional administrative obligations, before you decide.
Keep records of all income, whether from NHS work, private fees, insurers or locum shifts, along with receipts and invoices for business costs. Bank and card statements help evidence transactions, and mileage logs support vehicle claims. For Self Assessment, records generally need to be kept for at least five years after the 31 January filing deadline for the relevant tax year. For a limited company, records are typically kept for six years from the end of the accounting period. Digital bookkeeping makes this far easier to maintain.
Yes. Payroll support can cover salaried clinicians, associates, locum cover, nurses, reception and administrative staff, including payslips, real time reporting to HMRC, starter and leaver processing and pension auto-enrolment duties. Associates and locum arrangements need particular care, because the tax treatment depends on whether the individual is genuinely employed or self-employed, and the terms of the engagement matter. We review those arrangements and keep payroll records aligned with the wider accounts.
Much of the work can be handled remotely, with documents shared securely and meetings held by video or telephone where that suits you better. The first step is a short conversation about how you work, what income you have and what is currently causing you problems. From there we review your records, deadlines and tax position, then set out a clear plan covering what we will handle and what you need to provide. If you would prefer to meet in person, that can be arranged as part of the same process.
