Accounting Services for Healthcare in Tyne & Wear
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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 are rarely simple. Income often arrives from several directions, expenses overlap between professional and personal life, and the tax treatment of each element can differ. A few of the challenges we see most often include:
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.
For most healthcare clients it covers Self Assessment returns that combine employed income, private fees, locum or associate payments and rental income, plus the associated allowable expense claims. Where a practice or clinic trades through a limited company, it also includes annual accounts, Corporation Tax returns, confirmation statements and director responsibilities. Beyond compliance, healthcare accounting typically includes bookkeeping, payroll for practice staff, VAT advice where taxable supplies exist, management accounts and forward-looking tax planning around business structure, equipment purchases and profit extraction.
The sector is broad, and the accounting needs vary accordingly. We support GPs and hospital doctors, dentists and dental associates, pharmacists and pharmacy owners, nurses, carers, consultants, physiotherapists and other allied health professionals, as well as clinic owners, private practice partnerships and healthcare businesses that employ staff. Whether you are self-employed, in a partnership or running a limited company, the starting point is the same: understanding how your income arises and what that means for tax and compliance.
Yes. Private fees, locum shifts and associate payments are taxable and generally need to be reported through Self Assessment, even where tax has already been deducted at source on part of the income. The practical difficulty is usually making sure everything is captured — payslips, private invoices, bank receipts and any expenses directly connected to that work. If you have only recently started private work, it is worth reviewing the position before the filing deadline rather than after it.
Yes, and it is one of the more common reasons healthcare clients come to a specialist. NHS contract income and private treatment fees often need to be tracked separately for accounting, profitability and VAT purposes, even where they flow through the same bank account. Keeping that separation clear in the bookkeeping makes the year-end accounts more accurate and gives practice owners a better picture of which parts of the business are performing.
Common claims include professional body subscriptions, GMC, NMC or GDC registration fees, medical indemnity insurance, clinical equipment and its maintenance, specialist clothing and uniform laundering, professional training relevant to your existing role, and a reasonable proportion of home office or travel costs where the rules allow. What qualifies depends on your circumstances and how the income arises, so it is worth reviewing expenses with an accountant rather than assuming or over-claiming.
Many healthcare services are exempt from VAT, but that does not automatically mean the question is settled. Turnover thresholds still matter, and certain supplies — cosmetic or non-medical treatments, retail sales, goods, and some consultancy or staffing arrangements — may be standard rated. Practices with a mixture of exempt and taxable supplies can also face partial exemption calculations, which determine how much input VAT is recoverable. This is an area where getting the treatment right early avoids corrections later.
Yes. Bookkeeping can be maintained from your bank transactions, invoices, receipts and payment records, with clinical and business costs separated as they arise. Payroll covers practice staff such as receptionists, administrators, nurses and associates, including PAYE, National Insurance, pension auto-enrolment and real-time reporting. Taking these tasks on frees up time and reduces the risk of missed deadlines or errors in employer obligations.
It begins with a conversation about your circumstances — how you are structured, where your income comes from, whether you employ staff, and what you would like help with. From there we review your current position and agree the support that fits. Most of the work can be handled remotely through secure document sharing, calls and video meetings, which suits clinicians with limited time between sessions, and you will know who to contact whenever a question arises.
