Accounting Services for Healthcare in Lewes
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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 tends to produce financial complexity that builds quietly over time. A few of the issues we see most often include the following.
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 compliance and advice. In practice that usually means preparing and filing Self Assessment returns that correctly report NHS pay, private fees and other income, preparing annual accounts and Corporation Tax returns for incorporated practices, running bookkeeping and payroll, managing VAT where your services require registration, and answering questions as they arise. For many healthcare clients the real value is having income streams consolidated, expenses reviewed properly and deadlines tracked so nothing is overlooked.
Not always, but it helps. Locum and consultant work often means income from several practices or trusts, each operating PAYE separately, plus private fees, teaching or medico-legal work. Because each payer taxes you in isolation, your overall liability can be misjudged, leading to either a surprise bill or an overpayment. An accountant used to healthcare income can reconcile the sources, apply the right expenses and check whether payments on account are set at a sensible level.
NHS salary is normally taxed through PAYE, whereas private fee income is generally untaxed at source and must be reported through Self Assessment. Many healthcare professionals have both, which means the tax already deducted on salary does not necessarily cover the liability on private earnings. Keeping private income records separate and up to date through the year makes the return far simpler and reduces the risk of an unexpected balancing payment.
Claims must be wholly and exclusively for your work, but common examples include professional body subscriptions, medical indemnity and defence union cover, GMC or equivalent registration fees, essential equipment and uniforms, business mileage, a proportionate share of home costs where you genuinely work from home, and relevant training that maintains existing skills. The rules differ depending on whether you are employed, self-employed or operating through a company, so it is worth checking your position before assuming a cost is allowable.
It depends on what you provide. Core medical and healthcare services are generally exempt from VAT, but some services are standard-rated, including certain cosmetic or aesthetic treatments, sales of products, some non-medical consultancy and certain room or facility hire. Registration is usually driven by the value of your taxable supplies, not your exempt income. Where a practice offers a mix, it is important to identify which income counts towards the threshold and how VAT should be accounted for on each element.
Yes, this is an area where healthcare clients frequently need support. Pension growth can exceed the annual allowance, particularly for higher earners or those with long service, and a tax charge may follow. The reporting, and whether scheme pays is appropriate, needs to be handled carefully and ideally planned before the tax year closes rather than reviewed afterwards. We can work through your figures with you and consider how contributions and income interact.
Yes. Most of the information an accountant needs, such as bank statements, invoices, payroll details and expense records, can be shared securely online, and meetings can be held by phone or video. Cloud accounting software makes it straightforward to keep records current and to see your position at any point. If you prefer to meet in person at points during the year, that can be arranged around your commitments, since many of our clients work around clinic lists and patient schedules.
It starts with a conversation about how you work and what you need. We will ask about your income sources, business structure, existing records, payroll arrangements and any deadlines on the horizon. From there we will explain what support would be appropriate, what information we need from you and how the working relationship would run. If you have a backlog of bookkeeping or an outstanding filing issue, that can be tackled as part of getting things on a sound footing.
