Accountants for Healthcare in Croydon

The work covers both compliance and advice. On the compliance side that means preparing Self Assessment tax returns for self-employed clinicians and partners, annual accounts for practices and limited companies, Corporation Tax returns, VAT returns where registered, payroll for staff and clinicians, and bookkeeping to keep records accurate. On the advisory side it includes allowable expense reviews, tax planning, business structure advice, management accounts and help with the specific issues that arise from combining NHS income, private fees and locum work. The balance between the two depends on how your practice or clinical work is set up.

They suit any healthcare professional or healthcare business with UK tax obligations. That includes GPs, hospital consultants, dentists, pharmacists, nurses, carers, physiotherapists and other allied health professionals, whether self-employed, in partnership or operating through a limited company. Clinics, medical practices, dental practices, care providers and multi-disciplinary healthcare businesses are equally well served, particularly where they employ staff, are VAT registered or have several income streams to reconcile.

Each income source is reported appropriately, and where you are self-employed or in partnership your Self Assessment tax return needs to capture everything accurately. Practical issues usually involve matching figures to the right period, correctly treating NHS pensionable pay alongside private fees, and understanding how payments on account interact with uneven income. Where private work is carried out through a limited company, that income is dealt with through the company's accounts and Corporation Tax return instead. Getting the treatment right from the outset avoids corrections later.

Most medical and dental care is exempt from VAT, so many healthcare clients are not registered. However, registration can become relevant where you supply standard-rated services, such as certain cosmetic or aesthetic treatments, non-medical products, some wellbeing services or commercial room hire. Once registered, you have to separate exempt and standard-rated supplies correctly and understand your partial exemption position. It is worth reviewing your service mix before assuming VAT does or does not apply.

Typically claimable costs include professional body subscriptions, indemnity and professional insurance, registration fees, continuing professional development that is relevant to your existing work, clinical equipment, uniforms and laundering, specialist software, and a proportionate share of home costs where a room is genuinely used for business. Apportionment matters for items used personally as well as professionally. We review expenses against HMRC guidance rather than applying a generic list, because the correct answer depends on your specific circumstances.

Pension contributions and the annual allowance are a common concern for higher-earning clinicians, especially where NHS pension growth combines with private income or additional contributions. We look at your overall position, including any carry-forward available, and factor the tax consequences into your return and your planning. Where the position is complex, identifying it early in the year gives you far more options than dealing with it at filing time.

No. Most of the information we need, such as bank statements, invoices, payroll data and pension figures, can be shared securely online, and meetings can be held remotely at times that fit around clinics and theatre lists. Many healthcare clients prefer this because their working hours make daytime appointments difficult. What matters is that records are complete and queries are answered promptly, not where the conversation happens.

Begin with an initial conversation about how you work and what you need. We will ask about your structure, income sources, staffing, VAT position and any outstanding filings, then review your current accounting arrangements to see what needs attention. From there we confirm the scope of support and take over the relevant tasks, including registering as your agent with HMRC where required. If you are switching accountants, we can manage the handover with your existing adviser.