Accounting Services for Healthcare in Berkhamsted
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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 income rarely arrives in a neat, single stream. These are the practical financial issues we see healthcare professionals and medical businesses working through 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.
They handle the accounting and tax work that sits behind clinical practice, tailored to how healthcare income is earned. In practice, that means bookkeeping, Self Assessment tax returns covering NHS pay, private fees and locum work, annual accounts and Corporation Tax for incorporated practices, payroll for clinical and administrative staff, VAT returns where relevant, and advice on business structure and tax planning. The difference from a general accountant is familiarity with healthcare-specific details such as sessional pay, associate agreements, indemnity cover and the VAT treatment of clinical services.
They suit any individual or organisation earning income from healthcare work. That includes GPs, hospital doctors and consultants with private or locum income, dentists and associates, pharmacists, nurses and carers, physiotherapists and other allied health professionals, and the clinics, medical practices and healthcare companies that employ them. Whether you are self-employed, in a partnership or running a limited company, the underlying accounting needs are similar — accurate records, correct tax treatment and clear reporting.
In most cases, yes. If you receive income that has not been taxed at source — private patient fees, locum payments made gross, or profits from self-employment — you will normally need to register with HMRC and file a Self Assessment return each year. Income from multiple sources must be reported together, so it is worth checking that your registration reflects everything you do. An accountant can confirm your position, register you with HMRC if needed and make sure all income streams are declared correctly.
Salaried NHS pay is normally taxed through PAYE, with tax deducted before you receive it, while private and locum fee income is generally taxed through Self Assessment. That distinction matters because the two streams are reported differently and can affect how much tax you owe overall. Practitioners who combine both often find their PAYE code does not collect the right amount across the year, leaving a balancing payment to settle. Careful record keeping for private fees, and allowance for the tax due on them, avoids an unwelcome surprise.
Broadly, costs incurred wholly and exclusively for the purposes of your work. In healthcare that commonly includes professional registration and body subscriptions, medical indemnity insurance, specialist equipment and uniforms, relevant training and continuing professional development, professional journals, and business mileage or travel between sites. Where you work from home, a reasonable proportion of household costs may be claimable. Records matter here — HMRC expects evidence, so keeping receipts and a mileage log throughout the year is far easier than reconstructing them later.
It depends on the mix of services you provide and the level of your taxable turnover. Many clinical healthcare services are exempt from VAT, but other income — such as cosmetic treatments, some medicolegal work, retail sales or advisory services — may be standard-rated. If your taxable turnover crosses HMRC's registration threshold, registration is usually required, and even where it is not mandatory, voluntary registration can sometimes be beneficial. Because healthcare sits in a genuinely complicated VAT area, it is worth reviewing your position rather than assuming exemption covers everything.
Yes. Payroll can cover everyone on the practice books, from salaried clinicians to reception and administrative staff, including starters, leavers, statutory payments, real time information submissions to HMRC and year-end reporting. Alongside that, we can support pension auto-enrolment duties, including assessing staff, handling contributions and keeping the necessary records. Taking payroll off your hands reduces the risk of missed deadlines and frees up practice management time, while keeping payslips and pension contributions accurate and consistent.
Yes — many healthcare clients share records electronically and meet by video or phone, which fits around clinics and shift patterns well. Getting started is straightforward: an initial conversation about how you work and where your income comes from, followed by a review of your current records, returns and any approaching deadlines. From there, we agree which services you need and how information will be passed across. If you would like to discuss your circumstances, contacting CruseBurke is the natural first step.
