Accounting Services for Healthcare in Bexleyheath
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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 finances tend to be more layered than they first appear, and the tax rules that apply to them 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.
The work covers the standard accounting and tax obligations plus the sector-specific detail that sits around them. In practice that means preparing and filing Self Assessment returns for self-employed clinicians and those with private income, preparing annual accounts and Corporation Tax returns for incorporated practices, running payroll for salaried and sessional staff, advising on VAT treatment across exempt and taxable services, keeping bookkeeping accurate, and providing tax planning and management accounts. For healthcare clients, the emphasis is usually on getting NHS and private income reported correctly, ensuring pension figures are handled properly, and making sure allowable expenses are captured rather than missed.
The core compliance work is similar, but the detail differs considerably. Healthcare throws up questions that general practices deal with less often: how to treat NHS pension growth for annual allowance purposes, how to split private fees from salaried income, which clinical and non-clinical services are exempt or standard-rated for VAT, how locum work through an agency should be structured, and how a practice should be structured where several practitioners share profits. Working with an accountant who handles these issues regularly means fewer explanations from you and more reliable answers.
Yes, and this is one of the most common situations we deal with. Your NHS salary is taxed through PAYE, while private fees and self-employed earnings need to be reported through Self Assessment. Both must be declared, and the interaction between them affects your overall tax position, your payments on account and potentially your pension annual allowance. We review both sides together so the return is complete and the tax you pay reflects your actual circumstances rather than a rough estimate.
It depends on how you are engaged. Some locum roles are employment, with tax deducted through PAYE, while others are genuine self-employment where you invoice for your services and report the income through Self Assessment. Agency arrangements, fixed-term contracts and regular sessional work can all point in different directions, and the off-payroll working rules can apply where work is carried out through your own limited company. Getting the status right matters, because it affects how you are taxed, what you can claim and how you are treated for pension purposes.
Broadly, costs that are wholly and exclusively incurred for the purposes of your work are allowable, which in healthcare often includes professional registration and indemnity cover, medical equipment and uniforms, specialist journals and reference materials, business mileage and travel between sites, continuing professional development where it maintains existing skills, and a proportionate share of home costs where a room is used for practice administration or report writing. Personal costs, ordinary commuting and general living expenses are not allowable. We review expenses with you to make sure claims are accurate and defensible.
Many medical services are exempt from VAT, so a practice providing only exempt care may not need to register simply because of turnover from those services. However, exemption is not automatic across everything a healthcare business does. Some treatments, health screening, retail sales and non-medical services are standard-rated, and those supplies count towards the registration threshold. Where a business makes both exempt and taxable supplies, partial exemption rules can apply and may restrict how much input VAT can be recovered. We review what you actually supply before advising on registration.
Yes. We handle payroll for salaried staff, sessional and bank workers, associate practitioners and locum cover, including the correct tax codes, National Insurance treatment, statutory payments, pension auto-enrolment and the reporting duties that come with them. Practice payroll often involves several different pay arrangements running alongside each other, so we make sure each one is set up correctly rather than being squeezed into a single structure.
Yes. Much of the work we do for healthcare clients is handled remotely, using secure document sharing and electronic signatures so records and approvals can be exchanged without you needing to travel. Calls and meetings can be arranged around clinic times, theatre lists and on-call commitments rather than fixed office hours. The service is the same, and many clients find the process quicker and easier than dealing with paperwork in person.
