Accounting Services for Healthcare in Manchester
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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 in Manchester often face a distinctive set of accounting pressures. The technical issues below come up regularly, and getting them wrong can be costly in both tax and time.
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 the usual accounting and tax obligations, but with attention to the details that affect healthcare clients specifically. That typically includes preparing Self Assessment returns where you have self-employed, locum or private income, producing annual accounts and Corporation Tax computations for incorporated practices, running payroll for clinical and administrative staff, advising on VAT treatment of mixed exempt and standard-rated supplies, maintaining bookkeeping and digital records, and providing management information you can use to plan. It also includes looking ahead at structure, remuneration and profit extraction so decisions are not made in isolation from their tax consequences.
If you have income that is not taxed through PAYE, such as locum fees paid gross or private practice income, you will usually need to report it through Self Assessment, even where you also hold an employed role. The employed income still needs to be included, and the interaction between the two can affect how much tax and National Insurance is due. It is also worth checking whether expenses connected with the locum work, such as indemnity cover, registration fees and travel between sites, are being claimed correctly.
Yes. NHS income, private patient fees, insurer payments, medico-legal work, teaching and pharmacy or retail sales can all be recorded within the same accounting system, provided each stream is identified accurately and supported by the right documentation. Keeping the streams distinguishable matters for tax reporting and for VAT, particularly where a business has a mix of exempt and standard-rated supplies. We can help set up the bookkeeping structure so this information is captured from the outset rather than reconstructed at year end.
In general, medical services provided by appropriately registered healthcare professionals are exempt from VAT, and this applies to private as well as NHS work. However, VAT in healthcare is not uniform. Retail sales, certain cosmetic and non-medical treatments, goods sold to patients and some ancillary services may be standard-rated, and where a business makes both exempt and taxable supplies it may need to account for VAT under partial exemption rules. Because the treatment depends on the exact nature of the supply, it is worth reviewing your specific activities rather than relying on a general rule of thumb.
There is no single answer that suits every healthcare professional. Sole trader status is straightforward and works well for many self-employed clinicians and therapists, particularly in the early stages. Partnerships are common where clinicians share premises or a patient list, and require clear profit-sharing arrangements. A limited company can offer different tax and National Insurance outcomes for higher profits, along with limited liability, but brings additional filing, payroll and reporting obligations. The right choice depends on your income level, how many people are involved, your plans for growth and how you want to take money out of the business, so it is worth modelling the options before deciding.
Claims must relate to your work and be incurred wholly and exclusively for the purposes of that work. Common examples include professional registration and regulatory fees, professional indemnity insurance, medical equipment and instruments, clinical uniforms, continuing professional development, specialist publications, and travel between business locations. Where you work from home, a proportion of household costs may be claimable on a reasonable basis. Some areas need care, such as mixed personal and professional use, clothing that doubles as everyday wear, and travel between home and a permanent workplace. We can review your outgoings and identify what is properly claimable.
Making Tax Digital means VAT-registered businesses need to keep digital records and file returns using compatible software, and similar digital record keeping principles increasingly shape how HMRC expects information to be maintained. For healthcare clients this generally means keeping income and expense records in accounting software rather than on spreadsheets and paper alone, with clear links to supporting documents. Good digital records make year-end work faster, reduce the chance of errors and give you a live picture of how the practice is performing rather than a backward-looking one.
Yes. Much of the information we need can be shared securely online, so working together does not depend on regular in-person meetings. Many healthcare clients prefer it that way because of clinical commitments. Getting started normally begins with a conversation about how you work, what your income sources are, whether you employ anyone and whether you are up to date with filings. From there we review your position, agree what support is needed and set out a clear schedule of responsibilities and deadlines so the transition is orderly and nothing is missed.
