Accounting Services for Healthcare in Fishguard
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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 finance rarely fits a single tidy template. Income arrives from several directions, expenses are mixed, and the rules around tax and VAT do not always treat clinical work in the way people expect.
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 covers both personal and business compliance. On the personal side, that usually means preparing and filing Self Assessment returns covering NHS income, private fees, locum work and any other sources. On the business side, it can include annual accounts, Corporation Tax computations, bookkeeping, payroll for practice staff, pension auto-enrolment, VAT returns where relevant, management accounts and financial reporting. Beyond compliance, it involves advising on business structure, allowable expenses and how to organise records so that deadlines are met without a rush.
Yes. A single-handed practitioner with a mix of NHS sessions and private work has a different set of concerns from a multi-clinician practice with employees and premises, but the underlying compliance requirements are similar. We scale our support to the size and complexity of what you do, so a sole trader is not paying for layers of reporting they do not need, and a growing practice is not left with systems that cannot cope with staff, VAT or partner arrangements.
Often, yes. If you have income that is not taxed at source — private fees, locum payments, self-employed consultancy, partnership profit share or rental income from practice premises — a return is normally required. Some clinicians also need to file because of higher income, dividend income or Capital Gains Tax liabilities. If you are unsure whether your particular combination of NHS employment and private work requires a return, we can review your position and confirm what applies to you.
NHS income can arrive as employment through payroll, as self-employment, or through a contract held by a practice or company, and each is treated differently for tax. We look at how each element is received and by whom, then report it correctly and in the right place. Where practice income is shared between clinicians, we also make sure the allocation between partners or directors is reflected properly, which matters both for income tax and for National Insurance.
Yes. Payroll for healthcare settings often involves variable hours, overtime, shift enhancements, holiday pay calculations and, in some cases, locum payments processed alongside employed staff. We can run payroll on an agreed schedule, produce payslips, handle starter and leaver information, and manage pension auto-enrolment duties including contributions and re-enrolment where required. Accurate payroll also feeds directly into your accounts, which reduces the year-end questions you have to answer.
Common claims include professional registration and regulatory fees, professional indemnity insurance, specialist equipment and its maintenance, clinical clothing such as scrubs, professional subscriptions, relevant training and CPD, and a proportionate share of home costs where administrative work is genuinely carried out at home. Travel between sites can also qualify, though ordinary commuting generally does not. The key is being able to evidence the expense and show that it relates to your work, so we help you record costs in a way that supports the claim.
It depends on the nature of the services and the level of taxable turnover. Many clinical services fall within the healthcare exemptions, but others — including some cosmetic treatments, certain advisory services and retail sales from a pharmacy — are standard-rated or reduced-rated. Where a business provides a mixture, it may still need to register. We can review your supplies, identify which fall within the exemptions, assess whether registration is required and, if it is, help you complete returns with the correct treatment.
Yes. Much of the accounting process runs perfectly well remotely. Documents, bank information and practice reports can be shared securely, questions can be dealt with by phone or email, and meetings can be arranged by video call where that suits you better than travelling. What matters most is that information reaches us in good time and that you have a clear point of contact when something needs explaining.
