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 income and expenses that differ from those of a standard business, which can make record keeping and tax reporting more involved. Common areas we help with include the following.
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 handle the accounting and tax work that comes with medical income, including bookkeeping, annual accounts, Self Assessment and payroll. They also help with tax planning, VAT where it applies and the records that support NHS and private earnings. The aim is to keep your finances accurate, organised and reported on time.
We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners. This includes sole traders, partnerships and limited companies, as well as practices that need help with payroll or practice accounting. If your work involves medical income, we can discuss how the support would apply to you.
NHS income and private fees can arrive in different ways, such as salary, pension, locum payments or invoices for private work, and each may be reported differently. Keeping them separate in your records makes it easier to complete returns accurately and to explain figures if they are queried. The right treatment depends on your individual circumstances, so it is worth reviewing how your income is structured.
Many locum doctors and self-employed medical professionals need to file a Self Assessment tax return, but this depends on how you are engaged and how much you earn. If you have income that is not taxed at source, or you receive untaxed income from several sources, a return is often required. We can review your position and confirm what applies to you.
Typical expenses include medical indemnity, professional body subscriptions, training and certain travel or equipment costs, although the rules are specific and the treatment depends on individual circumstances. Some costs associated with running a practice, such as premises and staff, may also be relevant. We help you identify what applies and keep the evidence to support it.
VAT for medical practices can be complex, because some medical services are exempt while other activities are not. We can review the services you provide, monitor your turnover and help you understand whether registration or a particular VAT treatment applies. Because the position varies between practices, it is best assessed on your own circumstances.
The right structure depends on your income levels, how many people are involved and how the practice is run. Sole trader and partnership arrangements are common for medical work, while a limited company can suit some medical businesses. We can talk through the practical and tax implications before you decide, and review the structure as things change.
Getting started usually means a short conversation about your current accounting arrangements and what you need help with. We can handle the handover with your existing accountant, including requesting the records we need to continue the work. From there, we agree a clear plan for bookkeeping, accounts, tax returns and ongoing support.
