Accounting Services for Healthcare in Birmingham
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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 pressure points are usually the same ones year after year. These are the areas we see causing the most difficulty for healthcare professionals and practices.
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 combines day-to-day accountancy with an understanding of how healthcare income behaves. Typically that means preparing and filing your Self Assessment return or annual accounts, keeping bookkeeping up to date, running payroll, handling VAT where your activities are not wholly exempt, and advising on how NHS pay, private fees or practice profits are taxed. It also means spotting issues early — for example where pension growth, a change of contract or a new private clinic could affect your position — so you are not reacting to a bill after the event.
Yes. Combining PAYE income from an NHS role with self-employed earnings from private practice or locum work is one of the most common situations we deal with. The NHS income is taxed through PAYE but still has to be reported on your tax return, while the self-employed side needs its own records, expense claims and payments on account. Handling the two together properly helps avoid paying too much or too little during the year and reduces the chance of HMRC asking questions later.
Off-payroll working rules are a key consideration, because many NHS engagements fall within the public sector, and the responsibility for determining employment status can sit with the engager rather than with you. Alongside that come the usual limited company duties: annual accounts and a confirmation statement, Corporation Tax, PAYE if you draw a salary, VAT once turnover passes the threshold, and properly documented dividends. It is far easier to review the structure before a contract is signed than to unpick it afterwards.
Broadly, costs that are wholly and exclusively for your work and not reimbursed by an employer. Common examples include professional registration and indemnity insurance, mandatory training and CPD, specialist equipment, clinical clothing, professional body subscriptions, and a proportionate share of home running costs where you do admin there. Travel between sites or to temporary workplaces may qualify, though ordinary commuting normally does not. Evidence matters — HMRC expects records rather than estimates, so keeping receipts and mileage logs as you go is worthwhile.
It depends on the nature of the work. Many medical services provided by registered health professionals are exempt, which means you do not charge VAT on them — but it also generally means you cannot reclaim VAT on related costs. If turnover from taxable activities such as cosmetic or aesthetic treatments, medico-legal work, retail sales or certain non-medical services goes above the registration threshold, registration may be required. Where a business has both exempt and taxable income, partial exemption rules come into play, so it is worth reviewing the position before the threshold is reached rather than after.
Practices often pay several different groups at once: reception and admin staff on PAYE, salaried clinicians, and self-employed associates or locums who invoice the practice. Each needs different treatment. PAYE brings real-time reporting, payslips and pension auto-enrolment duties, while self-employed clinicians are normally paid gross and need a clear record of their invoices. Getting the classification right matters, since it is a common area of HMRC interest, so contracts and working arrangements are worth reviewing periodically.
Yes. Most of what we need moves electronically — bank statements, invoices, payroll data, pension figures and other records — and secure online tools make it straightforward to share documents and review numbers without meeting in person. Many healthcare clients prefer this because shift patterns and clinic hours make daytime appointments difficult. What matters more than the format is having a clear point of contact and an agreed timetable for bookkeeping, payroll and filing.
It usually begins with a conversation about your circumstances: how you are structured, where your income comes from, what accounting is already in place and what is causing you concern. From there we review your current position, confirm what needs to be filed and by when, and set out the level of support that fits your situation. If you already have an accountant, the handover is normally a straightforward matter of contacting them for the relevant records and professional clearance.
