Accounting Services for Healthcare in Wilmington
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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 areas that most often need careful handling.
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 range of tax and accounting obligations that come with healthcare income. That includes preparing and filing Self Assessment returns for GPs, locums, dentists, consultants, therapists and other self-employed clinicians; preparing annual accounts and Corporation Tax returns where you trade through a limited company; running bookkeeping and record-keeping systems; handling payroll for practices with employees or associates; advising on VAT where private services, dispensing or products create a registration obligation; and providing tax planning around income mix, business structure and drawings. The aim is to have both compliance and forward planning covered in one place.
A specialist is not needed because locum work is unusually complicated in itself, but because the details matter. Locum income can arrive through agencies, direct practice bookings and NHS pensionable routes, each recorded differently, and entitlement to expenses such as mileage, indemnity cover and professional fees depends on how you are engaged. An accountant who regularly deals with healthcare income will know which questions to ask and will spot the issues around employment status, pension contributions and payments on account that a generalist may overlook.
Yes, and keeping them clearly separated is important. NHS and private earnings can carry different treatment for tax and pension purposes, so we set up records that distinguish between them from the start rather than trying to reconstruct a year of income at filing time. This makes the figures more reliable, reduces the risk of errors in your tax return, and means you can see how each part of your work is performing.
Common claims include professional registration and regulatory fees, professional indemnity insurance, medical equipment and instruments, specialist clothing such as scrubs where required for work, professional journals and subscriptions, relevant training and continuing professional development, business mileage and travel between sites, and a proportionate share of home office costs where admin work is done at home. What is allowable depends on your specific circumstances and whether costs are wholly and exclusively for your work, so records matter as much as the categories themselves.
Many clinical services provided by registered healthcare professionals are exempt from VAT, but that is not the whole picture. Dispensing sales, retail products, aesthetic and cosmetic treatments, some non-clinical services and certain consultancy arrangements may be standard rated or differently treated. Where a practice mixes exempt and taxable income, VAT registration thresholds, partial exemption and correct invoicing all need careful handling, and it is worth reviewing before you cross a threshold rather than afterwards.
Payroll for healthcare practices usually involves a mix of salaried employees, part-time reception and admin teams, and associates or locums paid on different terms. We take on real-time reporting, payslips, deductions, statutory payments and pension auto-enrolment duties, and we make sure payments to associates are treated correctly — whether through payroll or as self-employed contractor payments. This keeps the practice compliant and removes a recurring monthly administrative task from your desk.
Yes. Cloud accounting and secure document sharing mean most healthcare clients never need to visit an office. You can send records digitally, access your figures online and discuss your position by phone, email or video call at a time that fits around clinics and patient commitments. Many healthcare professionals find this more practical than traditional face-to-face arrangements, particularly where they work across multiple sites.
Begin with a conversation about how you currently work and what you need. It helps to have a rough idea of your income sources, your trading structure, whether you employ anyone, and any deadlines already approaching. From there we can review your existing arrangements, identify anything urgent, and set out clearly what support would look like and what it would cover, so you can decide with full information in front of you.
