Accounting Services for Healthcare in Wimbledon
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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 rarely have a single, simple income stream, and the tax rules that apply to clinical work are not always intuitive. These are the issues we see most often.
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.
It covers the same core compliance work as any other sector — bookkeeping, annual accounts, tax returns, payroll and VAT — applied to the way clinicians earn money. In practice that means dealing with mixed NHS and private income, locum or freelance engagements, practice and partnership profits, staff payroll, pension contributions and the exemptions that apply to medical services. Advice also tends to focus on structure: whether you are better placed as a sole trader, a partner or a limited company, and how to plan tax around uneven earnings.
Usually, yes. If all your income were taxed through PAYE there would be little to do, but private fees, locum payments and practice profits sit outside PAYE. That means registering for Self Assessment, reporting the income, claiming the expenses you are entitled to and budgeting for payments on account. An accountant can also check whether a limited company arrangement falls under the off-payroll working rules and make sure the right tax is being paid in the right place.
In many cases, yes, provided the cost is incurred wholly and exclusively for the purposes of your profession and is not reimbursed by an employer. Professional body subscriptions, medical indemnity and defence union cover, required CPD, specialist equipment, professional uniforms and travel between sites are commonly allowable for the self-employed. Some costs are restricted where there is a private or personal element, so it is worth reviewing the detail before claiming.
Many healthcare services provided by registered professionals are exempt from VAT, meaning no VAT is added to the invoice and no VAT is reclaimed on related costs. Not everything falls within the exemption, however. Cosmetic or purely aesthetic treatments, certain medical reports, dispensing, retail sales and some non-medical services can be standard-rated. If your practice provides a mix of supplies, partial exemption rules may apply, and accurate record keeping becomes essential.
It depends on your income level, your contracts, the risk you carry and how you want to extract money from the business. Sole trader status is simple to run, a partnership suits clinicians sharing a practice, and a limited company can be efficient at higher profit levels — though it brings Corporation Tax, Companies House filings and, in public sector engagements, off-payroll working rules. The right answer often changes as a practice grows or changes hands, so it is worth reviewing periodically.
If you provide services through your own limited company to an NHS Trust, a GP practice or another public sector body, the off-payroll working rules generally place responsibility for determining employment status on the client rather than on you. Where the engagement is assessed as inside IR35, tax and National Insurance are deducted at source, which affects your net pay and your company position. Reviewing the contract and the day-to-day working practices before signing, and keeping evidence of how the engagement actually operates, is sensible.
Yes. Practice payroll typically includes clinical and administrative employees, part-time and sessional staff, and locums engaged through their own companies, and each needs to be treated correctly. Our payroll support covers real-time information submissions to HMRC, payslips, statutory payments such as sick pay and maternity pay, and automatic enrolment pension duties. Running payroll alongside your accounts keeps the figures consistent with your year-end returns and avoids duplicated effort.
Look for a firm that recognises the difference between clinical income streams and asks the right questions about your contracts, structure and pension arrangements rather than treating you as a standard small business. Most accounts, tax returns, payroll and VAT work can be handled remotely, with documents shared securely and meetings held by phone or video, so location matters more for convenience than for service quality. Getting started usually begins with a conversation about your role, income sources and any practice or company structures, followed by a review of your current position and a clear outline of the support available.
