Accounting Services for Healthcare in West 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 income rarely comes from one neat source, and that is where most accounting difficulties begin. These are the issues we see healthcare professionals and practices dealing with 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.
The work covers the full financial cycle of a healthcare professional or practice. In practice, that usually means maintaining bookkeeping records, preparing and filing Self Assessment returns, producing annual accounts and Corporation Tax computations where a company is involved, running payroll for practice staff and associates, advising on VAT treatment of private and non-NHS income, and providing tax planning around pay, dividends, equipment purchases and business structure. The healthcare-specific part is understanding how NHS income, private fees, locum work, insurance payments and pension contributions interact, so nothing is missed or misreported.
They suit anyone earning income from clinical work or running a healthcare business. That includes GPs and locum GPs, hospital consultants with private practice, dentists and dental associates, pharmacists and pharmacy owners, nurses and advanced practitioners, physiotherapists, psychologists, optometrists, podiatrists and other allied health professionals, as well as partners in medical practices, clinic owners and care providers. If your income is straightforward salary only, you may need very little support. As soon as you have self-employed earnings, a partnership share, a limited company, employees or VAT-registered services, specialist help becomes far more valuable.
Yes, in most cases. If you receive self-employed income from locum work, private consultations, medico-legal reports, insurance work or similar, you will normally need to register with HMRC and file a Self Assessment return, even if you also have a salaried NHS or hospital role taxed through PAYE. The return brings all your income together and calculates the final liability, taking into account tax already paid. Deadlines for registration and filing are fixed, and late filing or payment can trigger penalties, so it is worth getting the position confirmed early rather than at the last minute.
NHS salary is usually taxed through PAYE, with tax deducted at source, while private fees, locum payments and similar income are typically self-employed earnings that you report yourself. Both feed into your overall tax position, and the PAYE already deducted is credited against your final bill. The two streams also behave differently for expenses, pension contributions and record keeping. Keeping them clearly separated in your accounts makes the year-end process far smoother and reduces the risk of questions about which costs relate to which income.
Commonly allowable costs include professional indemnity insurance, registration and licence fees for bodies such as the GMC or NMC, medical equipment and instruments, specialist clothing such as scrubs and uniforms, professional journals and subscriptions, CPD courses and conferences, and a reasonable proportion of home office, phone and travel costs where these relate to self-employed work. The underlying test is that the expense must be wholly and exclusively for the business. We review your spending annually so legitimate costs are captured and anything unlikely to be accepted is flagged before it goes into a return.
Many healthcare services are exempt from VAT, but not all activities are treated the same way. Private cosmetic work, some diagnostic services, retail sales in a pharmacy or clinic, and certain non-medical services can be standard-rated. If your taxable turnover across all your business activities crosses the registration threshold, registration may be required, and mixed-income practices need to consider partial exemption rules. Because exempt and standard-rated income behave differently, it is worth reviewing your position before you approach the threshold rather than after.
Yes. We can run payroll for the whole practice, covering salaried staff, associates and other workers, and handle payslips, pension auto-enrolment, starter and leaver reporting and real-time submissions to HMRC. We also look at how each worker is engaged. Employment status matters, because treating someone as self-employed when HMRC considers them employed can lead to unexpected tax and National Insurance liabilities. Getting the arrangement right from the outset is far less costly than correcting it later.
Remote working is now completely normal for healthcare clients, particularly those who move between sites or work irregular hours. Records can be shared through cloud accounting software, documents can be sent securely, and meetings can be held by phone or video at times that fit around clinics. To begin, we arrange an initial conversation to understand your structure, income sources and current deadlines, then review your existing accounting position and set out what support is needed. From there, we agree responsibilities and timing and take over the work that is causing you the most difficulty.
