Chartered Medical Accountants for the Whole Healthcare Sector
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We help online coaches and advisors with accurate cloud-based accounting support.
Tax planning for doctors and medical professionals with different sources of income and professional expenses.
Pension input calculations, tapered Annual Allowance checks and Scheme Pays advice, based on NHS Pension Scheme guidance.
Accurate bookkeeping for medical professionals, practices and businesses.
Payroll for clinical and admin staff, locum payments, statutory pay and pension auto-enrolment filed on time each month.
Most medical care is VAT exempt but cosmetic treatment, dispensing and product sales are not. We handle partial exemption calculations properly.
Medical income rarely arrives in one simple stream, and that is where accounting and tax matters can quickly become complicated. Some of the pressures we see most often include:
We act for medical clients across London and understand London weighting and high-cost area supplements.
Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.
Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.
Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.
Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your practice, your income mix and your pension position.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
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.
We help medical professionals and medical practices with the day-to-day accounting and tax work that sits behind their clinical role, including bookkeeping, annual accounts, Self Assessment, payroll and tax planning. Where a practice or practitioner is registered for VAT, we can assist with VAT records and returns as well. The specific mix of support depends on how your income is structured and what you already have in place.
We work with doctors, GPs, consultants, locum doctors, private practitioners and medical practice owners, whether they operate as sole traders, partnerships or limited companies. If your income comes from NHS work, private fees, locum shifts, consultancy or a combination of these, the accounting approach can be adapted accordingly. Medical practices needing payroll, bookkeeping and business accounting support are equally welcome.
Yes. A mix of NHS and private income is common, and the main task is making sure each source is recorded accurately and treated correctly for tax purposes. How the income is reported and what reliefs or expenses may be available depends on your individual circumstances, which is why we review your position rather than applying a blanket approach.
Many medical professionals do need to file a Self Assessment return, particularly where income arises outside of taxed employment, such as private fees, locum work, consultancy or practice profits. Whether you are required to file depends on your personal circumstances, including your total income and how it is paid. We can confirm your position and prepare and submit the return on your behalf where it is needed.
Expenses such as medical indemnity cover, professional body subscriptions, registration fees and certain costs of running a practice are commonly claimed, but the rules are specific and the treatment depends on individual circumstances. Not every cost associated with working as a medical professional qualifies. We review your outgoings and explain which items are likely to be allowable and why.
Yes. We can maintain your bookkeeping records, reconcile income and expenditure, and run payroll for practice staff and partners, including the relevant submissions to HMRC. This suits medical practices that would rather keep clinical time free than spend evenings on spreadsheets. Reporting can be provided at a frequency that works for you.
VAT registration depends on your taxable turnover and the nature of the services you provide, as some medical services are exempt while others are not. If you are already registered, we can help with record-keeping and returns; if you are approaching a threshold, we can look at the position before you need to act. Because VAT treatment varies, we assess it against your own circumstances.
There is no single answer that suits every medical professional, as each structure carries different tax, administrative and liability implications. A locum working independently may find one structure straightforward, while a growing medical practice with partners and staff may benefit from another. We can talk through the practical differences and how they might apply to you before any change is made.
Switching is usually simpler than expected, and we can handle much of the process, including contacting your existing accountant and obtaining the records we need to take over. Once we have reviewed your history and current position, we agree what support you need going forward. If you are unsure where your paperwork stands, we can still help you get organised from that starting point.
