Accounting Services for Healthcare in Epsom
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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 and healthcare businesses often face accounting and tax pressures that differ from those in many other sectors. The mix of clinical work, private work, practice overheads and regulatory responsibilities can make financial administration more complex than it first appears.
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.
Healthcare accounting covers the day-to-day bookkeeping, tax reporting and financial compliance that sits behind clinical work. For a practitioner in Epsom, it may include Self Assessment, allowable expenses, NHS and private income, pension contributions and tax planning. For a clinic or medical practice, it can also include annual accounts, Corporation Tax, payroll, VAT and management accounts. The right approach depends on whether you work as a sole trader, partner, limited company director or employee with additional income.
Yes. Locum doctors, consultants, physiotherapists, nurses and other self-employed healthcare professionals often have irregular income, multiple engagers and expenses that need careful tracking. We can help with Self Assessment, record keeping, expense claims, payment on account and tax planning so you have a clearer view of what is owed and when. If you also have employed income or a limited company, we can review how the different income streams fit together.
NHS and private income need to be recorded accurately and supported by the right documentation. We can help separate income sources, reconcile payments, identify relevant expenses and reflect everything correctly in your accounts or tax return. Where income is received through a practice, partnership or limited company, we review how it is structured and reported. The aim is to keep your records clear and your tax position accurate, whether you work solely in the NHS, privately or in a combination of both.
Commonly claimed expenses may include professional registration fees, indemnity insurance, specialist equipment, uniforms, professional subscriptions, relevant training and travel between work sites. Some costs are not allowable, and personal or private expenses should be kept separate. We can review your expenditure and help you understand what can be claimed based on your role and business structure. Good record keeping throughout the year makes this much easier than trying to reconstruct everything later.
VAT registration depends on your taxable turnover and the nature of the services you provide. Some healthcare services may be exempt, while other activities, products or business income may be taxable. If you are approaching the VAT threshold, or you are unsure how your services should be treated, it is worth reviewing your position before making a decision. We can help you understand your VAT obligations and, where registration is required, support you with returns and record keeping.
Yes. Payroll support can cover clinicians, administrative staff, receptionists, nurses, locums and directors, including calculating pay, tax, National Insurance and pension contributions where applicable. We can also help with payslips, submissions to HMRC and year-end reporting. This is particularly useful for practices and clinics in Epsom that need reliable payroll without adding more administration to an already busy working week.
If you work across multiple roles, such as NHS shifts, private practice, locum work and perhaps a limited company, good bookkeeping is essential to keep income and expenses separate. We can help set up a practical recording system, whether you use software or prefer a more hands-on approach, and review your records regularly. This reduces the risk of missing income, misplacing receipts or struggling to complete tax returns on time.
The first step is to contact CruseBurke and explain your situation. We will ask about your role, business structure, income sources, current accounting arrangements and what you need help with. From there, we can review your position, discuss the support that fits and set out how we would work together. Whether you are looking for a full accounting service or help with a specific issue such as Self Assessment, payroll or VAT, the process starts with a straightforward conversation.
