Accounting Services for Healthcare in Bedford
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See what doctors, dentists, and care providers say about working with us.
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 finances rarely follow a simple pattern, and the quirks of medical income create tax and accounting issues that catch people out. These are the areas 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.
The core work is familiar — accounts, tax returns, bookkeeping, payroll and VAT — but the detail differs. Healthcare clients often have several income sources at once, including NHS salary, private fees, locum work and medico-legal or consultancy income. Many services are VAT exempt, which affects what can be reclaimed on costs, and practice teams frequently include associates and locums whose tax and pension treatment is not the same as a standard employee. Healthcare accounting means understanding those specific rules rather than applying a generic template.
Locum work usually means self-employment, which brings Self Assessment obligations, Class 2 and Class 4 National Insurance considerations, allowable expense claims, and payments on account that can surprise people in the first couple of years. If you also have a salaried post, private consultations or other income, the return becomes more involved. We can prepare and file your Self Assessment return, review which expenses are genuinely allowable, and help you plan for tax payments rather than meeting them unexpectedly.
The underlying rules are the same, but the questions differ. A dentist may be dealing with associate income, practice equipment finance and possibly incorporation. A pharmacist or clinic owner is likely to be running payroll, managing supplier costs, deciding how to structure the business, and reviewing whether VAT applies to any non-exempt services such as retail products or cosmetic treatments. We tailor the work to the entity and the individual — often both, since owners usually have personal tax matters running alongside the business.
For tax purposes, the two income streams generally need to be tracked separately and reported accurately, because they can arise in different capacities or through different entities. For VAT, most medical services are exempt, but private work that falls outside the exempt categories — cosmetic procedures or product sales, for example — can be standard-rated. When a business has both exempt and taxable income, partial exemption rules limit how much input VAT can be reclaimed, so records need to distinguish between them from the outset.
It depends on whether the income is employment or self-employment, and on whether a cost was incurred wholly and exclusively for the work. Costs commonly reviewed include professional registration and body fees, medical indemnity insurance, specialist equipment and instruments, uniforms, professional subscriptions, continuing professional development, business mileage, and a proportionate share of home costs where genuine business use exists. We look at each item on its merits rather than assuming a blanket list applies to everyone.
Yes. Payroll for a practice team often includes a mix of salaried staff, partners, associates and locums, each with different treatment, plus pension auto-enrolment duties and the reporting that comes with them. Regular bookkeeping keeps transactions categorised and reconciled, which makes VAT returns, management accounts and year-end work considerably quicker and reduces the chance of last-minute scrambling before a deadline.
It can. Most of the information we need — bank statements, invoices, payroll details, expense records — can be shared digitally, and meetings can be held by phone or video at times that fit around clinics and surgery hours. What matters more than proximity is having a clear process for sending records, a shared understanding of deadlines, and an adviser you can actually reach when a question comes up.
It begins with a conversation about your circumstances: how you are structured, where your income comes from, what is already in place and what is causing difficulty. From there we review your accounting and tax position, identify anything outstanding or overdue, and agree the scope of support — whether that is a full service covering bookkeeping and payroll or something narrower such as Self Assessment and tax planning. You will know what we need from you and when, before any work begins.
