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 professionals often deal with more complicated finances than a single salary, and the treatment of tax, VAT and expenses usually depends on individual circumstances. Common pressure points 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.
Medical Accountants in Loughton look after the accounting and tax side of medical work, which can include bookkeeping, annual accounts, Self Assessment, Corporation Tax, payroll and tax planning. The exact scope depends on how you work — a locum doctor, a private practitioner and a medical practice owner will each have different requirements. We agree the level of support with you before anything begins.
They are suitable for doctors, GPs, medical consultants, locum doctors, private practitioners and the owners or partners of medical practices. Anyone earning income from medical work, whether from the NHS, private fees or a combination of both, can benefit from accounting support. If you are unsure whether your circumstances fit, a short conversation will usually clarify it.
Both need to be reported, but the way each is recorded and taxed depends on your employment status and how the income arises. NHS employment is usually taxed through PAYE, while private fees and locum work often need to be included in a Self Assessment tax return, with payments on account to consider. Because the treatment varies with individual circumstances, we review your position before advising.
You may need to file one if you receive income that is not taxed through PAYE, such as private fees, locum earnings or consultancy income, or if you have other untaxed income or HMRC has asked you to file. The requirement depends on your personal circumstances rather than your job title alone. We can confirm your position and prepare the return if one is due.
Typical items include professional subscriptions, medical indemnity cover and training connected to your existing work, though whether a particular cost qualifies depends on individual circumstances and how it relates to your role. Records and receipts need to be kept to support any claim. We can talk through what applies to you before anything is included.
Yes. We can keep day-to-day bookkeeping in order, prepare management information for a practice and support with VAT where registration applies, including returns and record-keeping requirements. Whether VAT registration is relevant depends on your turnover and the nature of your services. We look at your situation and explain what is needed.
There is no single answer that suits every medical professional — the right structure depends on your income level, how you work and your longer-term plans. A limited company can suit some consultants and practice owners, while sole trader status may be simpler for others. We set out the practical implications so you can make an informed decision.
Switching is usually straightforward. We contact your existing accountant for the information we need, take over the records and confirm the change with HMRC where required. You do not need to handle that correspondence yourself, and we make sure any outstanding filings or deadlines are identified early. From then on, you have a single point of contact for your accounting queries.
Get in touch and we will arrange an initial conversation about your work, your income sources and what you need help with. From there we explain the options, agree the scope of support and confirm the information required to begin. There is no obligation at that first stage — the priority is making sure the advice suits your circumstances.
