Accounting Services for Healthcare in North London
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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 generate financial complexity that a generalist accountant may not immediately recognise. These are some of the issues we see most often.
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.
It covers the same core areas as any accountancy service — Self Assessment, annual accounts, bookkeeping, payroll, VAT and tax planning — but applied to the way healthcare income actually arrives. For a clinician, that might mean reporting NHS income, private fees, insurer payments and locum earnings in one return while claiming the right professional expenses. For a practice, it may mean company accounts, staff payroll, pension duties and VAT treatment of exempt and non-exempt services.
Yes. We work with individuals at the start of their self-employed journey as well as established practices with employed staff and multiple clinicians. A newly self-employed physiotherapist may only need help with registration, record keeping and a first tax return. A practice with several associates, reception staff and dispensary sales will need accounts, payroll, VAT analysis and management information. The scope is agreed around your circumstances rather than a fixed package.
If you are self-employed, a partner in a practice or a company director, you will usually need to file a Self Assessment return. You may also need one if you have untaxed income from private work, rental income, or significant savings and dividend income alongside employment. If your only income is taxed through PAYE and nothing else applies, a return may not be required — but it is worth checking, particularly where you also work privately.
Both are generally taxable, but they arrive in different ways and need to be recorded accurately. NHS income may come through a contract, a practice share arrangement or a direct payment, while private income may be received from patients, insurers or intermediaries. The distinction matters for how income is recognised, how VAT exemption applies and how expenses are allocated. Good bookkeeping from the outset makes this far simpler at year end.
Yes. We help identify costs that are genuinely allowable, such as professional registration and indemnity insurance, CPD and clinical training, specialist equipment, clinical clothing, professional subscriptions, practice-related travel and a reasonable proportion of home-running costs where a workspace is used for administration. We will also flag items that are commonly claimed but not allowable, so you are not left with an adjustment or enquiry later.
Practices employing receptionists, nurses, salaried clinicians or administrative staff need payroll that meets real-time reporting requirements, handles tax codes, statutory payments, National Minimum Wage rules and pension auto-enrolment duties. We can run payroll on your behalf, provide payslips, handle the underlying filings and help you understand the cost of taking on additional team members before you commit.
Not always. Many healthcare services are exempt from VAT, which means they do not count towards the registration threshold in the usual way. However, income from cosmetic treatments, retail sales, dispensary products, non-clinical consultancy and some property arrangements may be taxable. Where a business has a mix of exempt and taxable income, partial exemption rules apply and registration decisions need careful analysis rather than a simple threshold test.
Yes. Most of the information we need — bank records, invoices, expense receipts and payroll details — can be shared securely online, and meetings can be held by video call or telephone. Many healthcare professionals find this convenient because it fits around clinics, theatre lists and patient appointments. Document exchange and record keeping are handled digitally, so you are not reliant on posting paperwork.
The first step is a conversation about your situation — your role, how your income is structured, what you already have in place and what you would like help with. We will then review your accounting and tax needs, confirm the scope of support and agree how we will work together. If you are switching accountants, we can also help coordinate the handover of records from your existing adviser.
