Accounting Services for Healthcare in Exeter
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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 professionals tend to face a particular set of financial pressures that generic accounting advice does not always address. These are the issues that come up 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.
The technical work — accounts, returns, payroll, VAT — is the same discipline, but the context is different. Healthcare clients typically juggle several income sources at once, such as NHS salary, private fees, locum work and partnership profits, and each needs to be captured correctly on a tax return. They also deal with costs that general accountants may not recognise as claimable, including indemnity cover, professional registration fees, CPD and clinical equipment. VAT is another area where sector knowledge matters, because most clinical services are exempt while cosmetic treatments, retail sales and dispensing goods may be taxable. Working with an accountant who understands these distinctions reduces the risk of overpaying tax or triggering avoidable HMRC queries.
As a salaried doctor, your tax position is largely PAYE, with a Self Assessment return mainly to confirm payments and any additional income. As a partner, you are taxed on your share of the practice's profits rather than a salary, you pay tax and National Insurance through Self Assessment, and you may need to make payments on account during the year. Practice accounts, profit-sharing ratios, capital allowances on equipment and the treatment of practice expenses all become relevant. Partner drawings also need to be planned carefully, because tax is due on profits regardless of how much cash you have withdrawn.
Yes. Returns that combine NHS pay, private consultation or treatment fees, locum shifts, teaching or medico-legal work are common in healthcare. The important part is reconciling every source accurately — payslips, P60s, invoices and bank records — so nothing is missed or double-counted. Expenses then need to be allocated sensibly, and where private work has its own directly related costs, such as indemnity cover or a proportion of home or room use, those should be reflected properly rather than lumped together.
Commonly claimed items include professional indemnity insurance, registration and professional body subscriptions, CPD and required training, specialist equipment and its maintenance, clinical uniforms where they are not ordinary clothing, and business travel or mileage between sites. Where part of a home is used regularly and exclusively for administrative or clinical work, a proportionate share of costs may be claimable. The rules turn on whether an expense is incurred wholly and exclusively for the work, so records and a clear rationale matter. Getting this right usually reduces the tax bill legitimately; over-claiming does the opposite by attracting scrutiny.
It depends on what you supply. Most medical and clinical care is exempt from VAT, and exempt income does not count towards the VAT registration threshold. However, standard-rated supplies such as cosmetic or aesthetic treatments, retail sales of goods, dispensing income in some circumstances and certain non-clinical services do count. If a business makes both exempt and taxable supplies, partial exemption rules may apply and input VAT on shared costs often needs apportioning. This is one of the areas where healthcare businesses most commonly need tailored advice rather than a general rule of thumb.
Payroll for a practice needs to cope with a mix of contracts: salaried clinicians on substantive posts, part-time and bank staff, reception and administrative teams, and locums who may be employees or self-employed depending on the arrangement. Pension arrangements differ across roles, and the status of each worker affects PAYE and National Insurance. We set up payroll so that payslips, RTI submissions, pension contributions and year-end reporting run on a predictable cycle, which keeps the practice compliant and avoids last-minute scrambles around pay dates.
Yes. Accounting work is not dependent on face-to-face meetings, and healthcare professionals are often difficult to pin down to a fixed appointment. Documents can be shared securely, questions answered by email or call, and records kept digitally so there is no chasing of paper. That said, we are flexible about how you prefer to communicate — some clients want a scheduled review conversation, others just want to know the deadlines are handled. If you move between sites or work irregular hours, the process is built to fit around that rather than the other way round.
Switching is usually more straightforward than people expect. Once you decide to move, we can contact your existing accountant to request professional clearance and the handover of records, which typically covers your latest accounts, tax returns, VAT submissions if applicable and payroll information. You will also need to provide details of your income sources, any company or partnership information and access to your bookkeeping records. Where records are incomplete or behind, we can help bring them up to date as part of the onboarding process rather than leaving you to sort it alone.
