Accounting Services for Healthcare in Great Milton
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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 work brings a particular set of financial pressures. Income rarely comes from a single, predictable source, and the rules around tax and VAT do not always map neatly onto how clinical services are delivered.
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 is broadly similar to general accounting, but shaped around how healthcare income and costs behave. In practice, that usually means preparing Self Assessment tax returns that combine NHS, private and locum income; completing annual accounts and Corporation Tax returns for limited company practices and clinics; running payroll for mixed clinical and admin teams; handling VAT registration and returns where services are taxable; and providing tax planning and management accounts. The value is in the detail — knowing which professional fees, equipment costs and training expenses are claimable, and how different income streams should be treated.
It helps considerably. Locum and associate arrangements often involve several payers, some of whom deduct tax while others do not, plus expenses that move around with you — travel between sites, indemnity cover, registration fees, equipment and specialist clothing. A healthcare-focused accountant can help you work out whether you are employed or self-employed for each engagement, how to record multiple income sources correctly, and what you can legitimately claim, which usually matters more than most people expect.
Yes. Mixed income is common and needs careful handling. NHS earnings, private fees, insurance work and non-clinical income may need to be reported and treated in different ways, and where private and exempt healthcare services sit alongside taxable activities, the VAT position can become more involved. We look at the whole picture, keep the reporting consistent year to year, and flag where a partial exemption calculation may be needed.
Broadly, costs incurred wholly and exclusively for your work. For healthcare clients, that often includes professional body and registration fees, professional indemnity insurance, specialist equipment and instruments, continuing professional development, medical journals and reference materials, clinical clothing such as scrubs, and travel between separate work locations. Everyday commuting, ordinary clothing and personal costs are not allowable. The exact position depends on your circumstances, so it is worth reviewing your spending with us rather than assuming.
Not automatically — many medical and healthcare services are exempt from VAT, which means they do not count towards the registration threshold and no VAT is charged. However, some activities are taxable or zero-rated, including certain cosmetic procedures, dispensing and retail sales, room hire and some non-clinical services. If your turnover from taxable supplies crosses the threshold, registration is required. Because exempt and taxable income can sit side by side, it is worth checking your position rather than relying on a general rule.
Yes, this is more common than you might think, particularly in busy practices. We start by reviewing what exists, identifying any gaps and getting the books back into a workable state. From there we can set up cloud accounting so transactions, receipts and bank feeds are captured as you go, which makes each year easier than the last. If there are overdue filings, we deal with them in a structured way and agree a plan to bring everything up to date.
Both work. Many healthcare clients prefer to handle everything remotely because their working hours make daytime meetings difficult. Documents can be shared securely, calls can be arranged around clinic times, and cloud accounting means we can see the same figures you can. Others prefer a mix of remote contact and occasional in-person conversations. We simply work in whichever way suits you best.
It begins with a conversation. Tell us about your role, your structure and what is currently on your mind — whether that is an upcoming Self Assessment deadline, payroll for a growing team, a VAT question or simply uncertainty about whether you are claiming everything you should. We then review your position and set out what support would look like, so you can decide with a clear picture of the scope and the next steps.
