Accounting Services for Healthcare in Coulsdon
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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 professionals often deal with a financial picture that is more layered than their colleagues in other sectors. A few of the challenges we see most regularly include:
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.
Healthcare accountants work with income and cost structures that generalists meet less often: NHS payments alongside private fees, associate and locum arrangements, partnership profit shares, professional registration and indemnity costs, and the VAT exemptions that apply to some medical services but not others. The mechanics of filing are the same, but the judgement calls — what counts as an allowable expense, how a mixed income year should be reported, whether incorporation genuinely helps — depend on understanding the sector. That is where specialist healthcare accounting adds practical value.
They suit any healthcare professional or healthcare business with tax and accounting responsibilities. That includes doctors and GPs with private or locum income, dentists and dental practice owners, pharmacists, nurses and advanced practitioners, consultants, physiotherapists and other allied health professionals, carers and care providers, as well as private clinics, medical practices, dental partnerships and care businesses. If you are employed only and receive no other income, your needs may be straightforward; if you combine employment with self-employment, own a practice, or employ staff, specialist support tends to be far more useful.
Yes, and this is one of the most common situations we see. NHS income and private income can be taxed in different ways depending on whether you receive them as an employee, a self-employed practitioner, or through a limited company. The key is reporting each stream under the correct category and applying the right expenses to each. We review how your income is actually structured before preparing returns, so the figures reflect reality rather than an assumption about how doctors or dentists are usually paid.
A return is generally required if you are self-employed, receive income from private practice or locum work that is not taxed at source, are a partner in a practice, have untaxed income such as rental or investment income, or meet other criteria set by HMRC. Salaried employees with tax already deducted through PAYE may still need to file if they have additional income or higher-income child benefit considerations. Rather than guessing, we confirm your position and handle the return on your behalf if one is due.
Many healthcare services are exempt from VAT, but not all of them. Cosmetic or aesthetic treatments, medico-legal reporting, retail sales of products, and some consultancy or training work are commonly standard-rated. A practice carrying out both exempt and taxable activities may need to apportion VAT through partial exemption rules, and may be able to recover some input VAT. Because this area is fact-specific, we look at your actual service mix and transactions before advising on registration and how returns should be prepared.
Typical claims include professional body and registration fees, professional indemnity insurance, CPD and mandatory training, specialist equipment and instruments, uniforms and laundry where required, business travel between practice locations, and a proportionate share of home office costs where admin work is genuinely done there. Everyday commuting to a permanent workplace is not allowable, and expenses with mixed personal and professional use must be apportioned. We help you claim what you are entitled to while keeping records that would stand up to HMRC scrutiny.
Yes. Payroll for healthcare employers often involves a mix of salaried staff, hourly reception and admin teams, part-time clinicians, and occasional locum payments, plus pension auto-enrolment duties. We can run payroll on your behalf, produce payslips, submit RTI information to HMRC, and handle the associated pension administration, so your team is paid accurately and on schedule and your reporting obligations are met.
Remote working is straightforward for most healthcare clients. Income and expense records, invoices, bank statements and payroll information can all be shared securely, and meetings can be held by phone or video at times that fit around clinic hours. To begin, we start with a conversation about your circumstances, review your current accounting and tax position, and then confirm which services you need and what information we will require from you. From that point, deadlines and responsibilities are set out clearly so you know exactly what happens and when.
