Accounting Services for Healthcare in Harpenden
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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 often face a tax position that is more layered than a straightforward salary or a single trading business. A few recurring issues tend to create the most difficulty.
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 typically covers Self Assessment returns that combine NHS salary, private fees, locum or associate income and partnership profits, statutory accounts and Corporation Tax returns for incorporated practices, bookkeeping, payroll for practice staff and associates, VAT advice and reporting where relevant, and tax planning. It also includes the advisory side: reviewing whether your current structure still suits you, explaining what you can and cannot claim, and helping you plan for tax bills rather than reacting to them.
It does, but it is a common situation and one we handle regularly. Your NHS employment is reported as employment income through PAYE, while private fees, locum work or self-employed sessions are reported as self-employment, with their own expenses and their own National Insurance position. Both appear on the same return but on different sections, and getting the split right matters because expenses and reliefs do not apply in the same way to each.
Yes. Relevant expenses can include professional body and registration fees, medical indemnity insurance, specialist clothing and equipment, professional subscriptions, some travel between sites, and a proportionate share of home costs where you do administrative work at home. The rules are specific, and HMRC pays close attention to claims for items with a private use element, so the focus is on building a defensible claim with the records to support it.
Most medical care is exempt from VAT, which means it does not count towards the VAT registration threshold. The position changes where you provide services that fall outside that exemption, such as certain cosmetic or non-medical treatments, some pharmacy retail activity or the sale of goods. If you have a mix of exempt and standard-rated income, registration, partial exemption calculations and accurate record keeping all become relevant, and we can review your circumstances to establish where you stand.
There is no single answer, because it depends on your income level, how many people you work with, how profits are shared and what you want to do with retained earnings. A sole trader or partnership structure keeps administration simpler, while a limited company can offer different tax treatment and limited liability, particularly for larger practices. We review the numbers for your specific situation and explain the trade-offs rather than recommending a structure by default.
Practice payroll usually involves a mixed workforce: salaried reception and admin teams, nurses, practice managers, and associates or locums engaged on different terms. We run the payroll end to end, producing payslips, submitting RTI information to HMRC, handling starters, leavers and statutory payments, and dealing with pension auto-enrolment duties. We also make sure the treatment of associates and locums is consistent with their contracts and with HMRC's view of their status.
Yes. Most of the information we need can be shared securely online, and cloud accounting software allows us to see your records as they develop rather than waiting until year end. Many healthcare clients prefer this because it fits around clinics, surgery lists and on-call rotas, with meetings arranged at times that suit you. If you are based in or around Harpenden, we can also discuss how you would prefer to communicate and review things together.
The first step is a conversation about your circumstances — how you work, where your income comes from, your current structure and any deadlines or concerns you already know about. From there we review your existing records and tax position, explain what needs attention, and set out the support that would suit you along with a clear timetable. If you are switching accountants, we can manage the handover from your existing adviser, including requesting the relevant information and professional clearance.
