Accounting Services for Healthcare in Oswestry
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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 finances tend to be more layered than they first appear. These are the issues we see practitioners and practice owners working through 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.
Healthcare accountants handle the tax and accounting work specific to clinical income and practice ownership. In practice that means preparing Self Assessment returns where you have NHS pay alongside private or locum earnings, calculating tax and National Insurance liabilities, preparing annual accounts and Corporation Tax returns for incorporated practices, running payroll for clinical and administrative staff, managing VAT registration and returns where relevant, and keeping bookkeeping accurate throughout the year. It also includes planning work, such as advising on whether a partnership or limited company suits you better, or how to structure drawings and pension contributions efficiently.
It suits anyone earning income from healthcare work, whether employed, self-employed or a mixture of both. That includes GPs, hospital doctors, consultants, locums, dentists, dental associates, pharmacists, nurses, advanced practitioners, physiotherapists, podiatrists and other allied health professionals. On the business side, it fits medical and dental practices, pharmacies, private clinics, care providers and healthcare companies that employ staff or hold premises. If you are unsure whether your situation needs specialist support, an initial conversation is usually enough to establish it.
It depends on your circumstances rather than your job title. If you are fully employed with tax deducted through PAYE and no other income, you may not need to file. However, a return is likely to be required if you also work as a locum, receive private patient fees, hold a partnership share, earn rental income from a consulting room, or have income from savings or investments above the reporting thresholds. Filing late or failing to report income can trigger penalties and interest, so it is worth checking your position early rather than assuming PAYE has covered everything.
Yes, this is one of the most common situations for healthcare clients. NHS salary is taxed through PAYE, while private fees, locum work and self-employed income are reported through Self Assessment. The two interact: PAYE may not collect the right amount overall, so a balancing payment can arise, and payments on account may become relevant. Getting this right means keeping clinical income records separate and reviewing the position during the year rather than only at the filing deadline.
Allowable expenses must be incurred wholly and exclusively for your work, but there is usually more that qualifies than people expect. Typical examples include professional body and registration fees, professional indemnity insurance, specialist uniforms and laundry costs, medical equipment and its maintenance, relevant CPD and training, professional subscriptions, and travel between work locations where it is not ordinary commuting. A home office claim and a proportion of phone and internet costs may also be possible. Because the detail matters, we review expenses with you rather than applying a blanket approach.
Most healthcare services provided by registered professionals are exempt from VAT, which means you generally do not charge VAT on them and cannot usually reclaim VAT on related costs. The complications come from mixed income. A pharmacy selling retail goods, a clinic offering non-exempt treatments such as some cosmetic procedures, or a practice receiving other taxable income may need to register and then account for VAT only on the taxable elements. Partial exemption rules and the de minimis limits determine how much input VAT can be recovered, and this often needs careful calculation rather than an estimate.
Yes. We can run payroll for clinical, nursing, administrative and support staff, including real-time reporting to HMRC, payslips, statutory payments, pension auto-enrolment and year-end submissions. We also help with the treatment of payments to locums, associates and sessional staff, where the question of employment status can affect both the practice and the individual. Handling this properly keeps records consistent and reduces the risk of unexpected tax or pension liabilities later.
Yes. Much of the accounting relationship runs perfectly well remotely, using secure document sharing and digital records, which suits practitioners who work across multiple sites or keep irregular hours. You can send information when it suits you, hold reviews by phone or video, and still have a named contact who knows your circumstances. Many clients find this more convenient than arranging in-person meetings, and it keeps the process efficient without losing the personal element.
