Accounting Services for Healthcare in Old Hatfield
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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 more complicated financial picture than many other taxpayers. The challenges below are common, and they are exactly the kind of issues our Accountants for Healthcare in Old Hatfield help clients work through.
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.
They help healthcare professionals and healthcare businesses manage the accounting, tax and compliance side of their work. Depending on how you earn income, that can include Self Assessment tax returns, annual accounts, bookkeeping, payroll, VAT returns, Corporation Tax, tax planning and management accounts. For example, a locum doctor may need help bringing together NHS, private and consultancy income, while a dental practice may need payroll for staff, VAT advice on mixed services and annual accounts for the practice company. The aim is to keep your records accurate, meet HMRC deadlines and give you a clearer view of your finances.
No. The service is relevant to a wide range of healthcare professionals and healthcare businesses. That can include dentists, pharmacists, nurses, midwives, carers, consultants, physiotherapists, psychologists, osteopaths, chiropractors, podiatrists, dietitians and other regulated practitioners. It also covers clinics, medical practices, dental practices, pharmacies, care providers and healthcare businesses with employees or subcontractors. If your work involves clinical services, private practice, NHS income, patient fees or healthcare-related products and treatments, we can review your circumstances and explain how the relevant accounting and tax rules may apply.
Yes. Many healthcare professionals receive income from more than one source, such as an NHS salary, private consultations, locum shifts, associate work, teaching, expert witness fees or royalties. These amounts may need to be reported correctly on your Self Assessment tax return, and the tax already deducted through PAYE may not cover the full liability. We can help gather the figures, identify allowable expenses, check payments on account and prepare the return so your overall position is reported accurately. It is also useful to review your position during the year rather than waiting until the filing deadline.
Allowable expenses depend on your role, how you work and the reason for the cost. Common examples can include professional indemnity insurance, regulatory or professional body fees, CPD, specialist equipment, clinical clothing, mileage for business travel, professional subscriptions, and a reasonable proportion of home office costs where you work from home. Cosmetic or personal costs are not usually allowable, and mixed-use expenses need to be apportioned fairly. Good record keeping is essential, because HMRC expects claims to be accurate and supported. We can review your expenses and explain what is likely to be allowable in your circumstances.
Not always. VAT treatment in healthcare is complex. Some medical services may be exempt, while other supplies — such as certain cosmetic treatments, product sales, training, consultancy or non-medical services — may be standard-rated or treated differently. Registration can also be required if your taxable turnover exceeds the VAT threshold, and voluntary registration may sometimes be worth considering. The right answer depends on the exact services you provide, who pays for them and how they are packaged. We can review your income streams, help determine the correct VAT treatment and manage VAT returns if registration applies.
Yes. Payroll support for healthcare practices can include calculating pay, tax and National Insurance for employees, issuing payslips, submitting RTI information to HMRC, managing pension auto-enrolment duties, handling starters and leavers, and preparing year-end reports such as P60s. This can be useful for practices employing receptionists, nurses, dental hygienists, associate clinicians, administrators or other staff. Accurate payroll matters because mistakes can affect employees and create compliance issues. We can work with your existing payroll arrangements or take on the process if you prefer to outsource it.
Yes. Locum and consultancy work often creates a mix of invoices, timesheets, agency payments, travel costs, equipment costs and irregular income. You may also need to consider whether you are operating as a sole trader, through a limited company or via an agency arrangement. We can help organise your bookkeeping, track income and expenses, prepare Self Assessment or Corporation Tax returns where relevant, and advise on practical matters such as payments on account and cash flow planning. The key is to keep records up to date so that nothing is missed when tax returns are prepared.
The first step is to get in touch with CruseBurke and explain how you work, what income you receive and what support you need. We can then arrange an initial conversation, review your current accounting and tax position, and confirm which services are relevant. You may be a sole practitioner who needs help with Self Assessment, a partnership needing annual accounts, or a limited company looking for payroll, VAT and Corporation Tax support. Once we understand your circumstances, we can set out a clear next step and agree how to move forward.
