Accounting Services for Healthcare in Charlbury
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See what doctors, dentists, and care providers say about working with us.
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 work brings a distinct set of financial pressures that generalist accountants may not recognise. Common themes we help clients work through include:
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.
The day-to-day work covers the same core areas as any accountancy service — bookkeeping, Self Assessment, annual accounts, Corporation Tax, VAT, payroll and tax planning — but applied to the way healthcare income and costs work. For a locum GP, that might mean piecing together income from several NHS trusts and agencies for one tax return. For a dental practice, it might mean separating exempt healthcare supplies from standard-rated items on a VAT return, and running payroll for a mixed team of associates and support staff. The aim is to keep your filings accurate and on time, and to give you advice that reflects your clinical and commercial circumstances rather than a generic template.
Not always, but it is often worthwhile even in straightforward cases. Sole traders in healthcare typically have expenses that generalists may not think to ask about — professional registration fees, indemnity insurance, specialist equipment, CPD, professional subscriptions and travel between sites are common examples. There is also the question of whether your current structure is still the right one as your income grows, and whether you should be thinking ahead to VAT registration. A specialist accountant will ask the right questions early rather than discovering missed expenses or a structure problem at the end of the year.
NHS and private income often arrive through different routes and with different documentation: payslips and pension records from one, invoices and insurer statements from another. We compile them into a single coherent tax position, checking that any tax already deducted at source is properly credited and that expenses are allocated sensibly between the two income streams. Where a practice or practitioner is VAT-registered, the distinction matters commercially as well, because the VAT treatment of NHS and private services can differ. Getting this right at the record-keeping stage saves considerable time and reduces the risk of errors on the return.
Broadly, expenses must be wholly and exclusively for the purposes of your work. In practice, that often includes professional body and registration fees, professional indemnity insurance, medical or clinical equipment and its maintenance, specialist clothing and uniforms, CPD and training that maintains existing skills, professional journals and reference materials, and travel between work locations that is not ordinary commuting. Some items, such as certain clothing or training that opens up a new career, are restricted, and home-office and vehicle claims depend on your specific circumstances. We review your spending each year and identify what is genuinely claimable, with the records to support it.
Many healthcare services are exempt from VAT, which can make the position less obvious than it seems. Registration becomes relevant once your taxable turnover from non-exempt activities crosses the registration threshold — and for practices, taxable turnover can arise from cosmetic treatments, retail sales, non-medical products or certain consultancy services. If you are registered and provide a mix of exempt and taxable services, you may need to apply partial exemption rules, which affect how much input VAT you can reclaim. VAT registration is not something to delay once the threshold is in sight, so it is worth reviewing your turnover position regularly.
Yes. Practice payroll often involves a mix of employees on PAYE, associates engaged on different terms, part-time administrative staff, and sometimes locums or subcontractors. We handle payslips, PAYE submissions, statutory payments, pension auto-enrolment duties and year-end reporting, and we can advise on the status of associates and contractors so that arrangements are set up appropriately from the outset. If you already run payroll in-house, we can take it over or review it for accuracy and compliance.
In most cases, yes. Many healthcare clients come to us after a busy period has pushed their bookkeeping and filing to one side. We start by establishing exactly where things stand — which returns are outstanding, what HMRC or Companies House has issued, and whether any penalties or interest are accruing — and then work through it systematically. Bringing records up to date first makes everything that follows much easier, and once you are current, we put a routine in place to keep it that way, with reminders ahead of deadlines rather than after them.
It begins with a conversation about your circumstances. Tell us how you are structured, where your income comes from, how you currently keep records and what is causing you the most difficulty. We then review your accounting and tax position — outstanding returns, VAT status, payroll arrangements and upcoming deadlines — and set out how we would support you, what we would handle and how information would flow between us. From there, you decide whether to proceed, with no pressure and no obligation to commit before you have a clear picture of the service.
