Accounting Services for Healthcare in Oulton
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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 rarely produces a simple tax picture. Income often arrives from several directions, expenses are easy to miss or misclassify, and the rules around pensions, VAT and business structures need careful handling. These are 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 accounting work as any accountant — bookkeeping, tax returns, accounts, payroll and VAT — but applied with an understanding of how healthcare income and costs behave. That means correctly reporting NHS salary alongside private fees, locum income, associate payments or director's remuneration, identifying the expenses healthcare professionals commonly miss, checking whether VAT applies to particular services, and advising on structure and pension implications. It also means knowing that your available time for paperwork is limited, so we work to make the process as efficient as possible.
You may still benefit. Once you have any untaxed income — private consultations, insurance work, medico-legal reports, teaching or occasional locum shifts — you generally need to report it through Self Assessment, and the interaction with your employed income affects the tax due. An accountant can confirm whether you need to file, make sure allowable expenses such as registration fees, indemnity cover, CPD and professional subscriptions are properly claimed, and keep the additional income recorded in a way that does not become a problem later.
We start by gathering the full picture: your NHS payslip and P60 information, private fee statements, locum or associate income records, bank interest and any other taxable income. Each source is reported correctly, and expenses are allocated to the right income stream so relief is claimed appropriately. Where there is overlap between employment and self-employment costs, we check that the treatment is right rather than assuming. Payments on account are also reviewed, so you are not caught out by an unexpected bill.
Locum work through a company brings several considerations: how you take money out of the company efficiently, whether your engagement falls inside or outside IR35, what expenses the company can and cannot claim, and whether the company remains worthwhile compared with working as a sole trader. There are also practical matters such as director's Self Assessment, Corporation Tax filing and Companies House deadlines. We can review your arrangements and set up the bookkeeping and payroll needed to keep everything in order.
Common claims include professional body and registration fees, professional indemnity insurance, CPD and required training, specialist equipment and instruments, uniforms and laundry, professional journals and reference materials, relevant travel between sites, and a proportionate share of home running costs where you work from home. The critical point is that each expense must be incurred wholly and exclusively for your work and supported by evidence, which is why we encourage a straightforward record-keeping routine rather than a year-end shoebox.
Many services delivered by registered health professionals are exempt from VAT, but not everything is. Treatments that are not considered medical care, sales of goods, room or equipment hire, and certain cosmetic or wellbeing services can fall outside the exemption. At the same time, an exempt business cannot usually reclaim all of the VAT it pays on costs. We look at your particular mix of income and costs and confirm whether registration is required or advisable, and how returns should be prepared.
Yes. Practice payroll often includes salaried clinicians, reception and administrative staff, and associate payments that may need different treatment from standard wages. We can handle payslips, PAYE and National Insurance, pension auto-enrolment duties, starter and leaver processes, and end-of-year reporting such as P60s and P11Ds, so the practice stays compliant and staff are paid accurately and on time.
Absolutely. Most of the information needed for bookkeeping, payroll, tax returns and accounts can be shared securely online, and many clients prefer to discuss their affairs by phone or video call at a time that fits around clinics and surgeries. Records can be submitted digitally throughout the year rather than saved for a single meeting, and we will agree a clear way of working that suits your schedule and your practice.
It starts with a conversation about your circumstances: your role, how you are paid, whether you run a practice or work independently, and what you need help with. From there we review your existing records and filings, identify anything outstanding or at risk, and explain the support that fits — whether that is bookkeeping, payroll, Self Assessment, annual accounts or ongoing tax planning. You will then have a clear idea of what happens next and when.
