Accounting Services for Healthcare in Chippenham
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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, and the tax rules do not always line up neatly with the way clinical work is paid. A few challenges come up repeatedly.
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 work usually covers Self Assessment where you have clinical income, annual accounts and Corporation Tax for incorporated practices, bookkeeping, payroll for practice staff and locum arrangements, VAT advice on mixed NHS and private income, and tax planning around structure and drawings. For clinicians, the practical difference is that the accountant already understands how NHS payments, private fees, indemnity costs and registration fees interact, rather than needing those explained from scratch each year.
Locum work creates a specific set of issues: income from multiple practices and agencies, travel between sites, professional indemnity and registration costs, and in some cases the off-payroll working rules where an agency or practice engages you. These are areas where the tax treatment is not always obvious, and getting them wrong can lead to queries later. Specialist support helps ensure your records, expenses and returns all reflect the way you genuinely work.
Both sources of income normally need to be reported, but they usually arrive with different paperwork and different timing. NHS pay is generally taxed through PAYE, while private fees and locum income are often untaxed until your return is filed. That means the tax bill can be larger than expected if no provision has been made. The work involves reconciling the figures, claiming the expenses you are entitled to, and making sure any payments on account are set at a sensible level.
Yes, this is one of the more technical areas in healthcare accounting. Some healthcare services are exempt, NHS income is often outside the scope of VAT, and private work may be treated differently depending on the service. Once a practice has a mix, partial exemption rules can affect how much input VAT can be reclaimed. Getting this right usually means reviewing the income streams carefully and keeping the calculation consistent year to year.
There is no single answer that suits every healthcare professional. Sole trader status is often simpler, partnerships suit practices where several clinicians share ownership, and a limited company can be beneficial in certain circumstances, particularly where profits are retained, where risk exposure matters, or where private income is significant. The decision is best made by comparing the numbers for your own situation rather than applying a general rule.
Common examples include professional registration and licence fees, indemnity or medical defence insurance, CPD and training that maintains your existing skills, specialist equipment and clinical clothing, and travel between sites where it is genuinely business or practice related. The key test is that the cost is incurred wholly and exclusively for your work and is properly documented. Ordinary commuting and general living costs do not qualify.
Payroll support covers payslips, PAYE calculations, real time submissions and the year-end reporting that follows, along with pension auto-enrolment duties for eligible staff. Where a practice also engages locums or regular sessional clinicians, it helps to look at how those arrangements are structured, because the payroll and tax treatment differs between employees, workers and self-employed contractors.
Yes. Records, documents and questions can all be handled using secure digital tools, which suits clinicians who cannot easily step away from a clinic or surgery during working hours. Getting started usually begins with a conversation about your role, how you are paid and what you currently have in place, followed by a review of your accounting and tax position. From there, you will know exactly what support is being provided and when each deadline falls.
