Accounting Services for Healthcare in Ashfield
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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 accounting is rarely just about adding up invoices. Income arrives in different forms, from different sources and on different timetables, and the rules around expenses, VAT and pensions do not always line up neatly with clinical reality. These are the pressures 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 accountant — accounts, tax returns, bookkeeping, payroll and VAT — but applied to the way healthcare income and costs arise. In practice that means correctly reporting NHS, private, locum and insurance income, identifying healthcare-specific allowable expenses such as professional indemnity cover and registration fees, handling payroll for associates and practice staff, and dealing with VAT where mixed NHS and private work creates complexity. It also includes advisory work on structure, profit extraction and cash flow.
It suits self-employed clinicians such as GPs, locums, consultants, dentists, pharmacists, physiotherapists and allied health professionals, as well as partnerships and limited companies running practices, clinics, pharmacies or care services. If your income comes from more than one source, includes NHS or private elements, or involves employing or engaging other clinicians and staff, specialist support tends to be more useful than a generalist approach.
Both are reportable, and the way they are treated depends on your structure. A sole trader reports the combined profits on Self Assessment, while a limited company reports income through its accounts and Corporation Tax return, with your own pay handled separately through salary and dividends. The important points are classifying each income stream correctly, keeping records that support the figures and making sure any deductions or expenses are allocated to the right activity.
Commonly claimed items include professional indemnity insurance, annual registration and professional body fees, specialist equipment and instruments, clinical clothing, relevant training and CPD, and a reasonable proportion of home office and travel costs where the purpose is genuinely business. The precise position depends on your circumstances and whether costs are incurred wholly and exclusively for your work, which is why it is worth reviewing your expenses before your return is prepared.
You must register once your taxable turnover for the rolling twelve months exceeds the current VAT threshold, and you may choose to register voluntarily before that point. The complication for healthcare is that some services are exempt while others are standard-rated, and mixed NHS and private income needs to be assessed activity by activity. Getting this wrong can mean an unexpected liability, so it is worth reviewing before you cross the threshold.
It depends on the arrangement. Salaried staff, receptionists, nurses and practice managers are typically processed through PAYE with pension contributions and the usual reporting obligations. Associates and locums can be engaged in different ways, and whether they should be treated as employees, workers or self-employed contractors affects your payroll, pension and reporting duties. We review each arrangement and set up payroll so it is run consistently and correctly.
Yes. Much of the information we need — bank records, invoices, receipts and payroll data — can be shared digitally, and cloud accounting software makes it straightforward to keep records current without regular in-person meetings. We agree a way of working that suits your schedule, including calls or video meetings at times that fit around clinics and surgery hours.
It begins with a conversation. We will ask about your structure, your income sources, your current accountant or record-keeping arrangements and any deadlines approaching. From there we review your position and set out what support would be appropriate, what information we need from you and how the ongoing work will be organised. If you are switching accountants, we can handle the handover with your existing adviser.
