Accounting Services for Healthcare in Chester
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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 finance tends to be more layered than it first appears. These are the pressure points we see most often, and they are the reason specialist support usually pays for itself in time and peace of mind.
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. What changes is the detail. Healthcare clients often have income from more than one source, such as NHS payments, private fees, locum work or teaching, and each element needs to be reported correctly. There are also profession-specific expenses to consider, such as professional body fees, indemnity insurance and CPD, plus VAT questions that arise when private and NHS income are mixed. Specialist healthcare accounting puts those details at the centre of the work rather than treating them as an afterthought.
It suits most people earning a living in healthcare. That includes GPs and practice partners, dentists, pharmacists, consultants, nurses, carers, physiotherapists, podiatrists, optometrists, psychologists and other allied health professionals, along with the clinics, surgeries and multi-practitioner practices that employ or engage them. Whether you work as a sole trader, a partner, a limited company director or a mix of all three, the right structure and reporting approach depends on your particular circumstances.
If you are self-employed, a partner in a practice, a company director, or you receive income that is not taxed at source — private fees, locum payments, rental income or significant untaxed savings and dividend income — you will usually need to file a Self Assessment return. Many people in healthcare are also required to file simply because their income exceeds the threshold for automatic deduction, or because they have high-income child benefit implications to report. The return must reflect all your income sources, not just your main one, and the deadlines are fixed.
Incorporating can suit some practices and clinicians, and less so for others. As a company, profits are subject to Corporation Tax rather than Income Tax and National Insurance, and you typically take money out through a combination of salary and dividends. That can be efficient, but it comes with additional obligations: statutory accounts, confirmation statements, director responsibilities and more formal record keeping. For GP partnerships and certain NHS contract arrangements there are restrictions to consider as well, so structure decisions should always be reviewed against your specific contract and income mix before any change is made.
Broadly, expenses must be incurred wholly and exclusively for your work. Common examples include professional registration and body fees, professional indemnity insurance, CPD and training that maintains existing skills, specialist equipment and instruments, uniforms and laundry, medical reference materials, and a proportionate share of home office or travel costs where the use is genuinely business-related. Clothing that doubles as everyday wear, commuting, and training that opens up a new profession are generally not allowable. Good records make the difference between a claim that stands up and one that does not.
VAT in healthcare is rarely black and white. Many medical services are exempt, but not all — cosmetic treatments, some diagnostic work, retail sales and certain non-medical services are treated differently. When a business supplies both exempt and standard-rated or zero-rated services, VAT recovery on costs usually has to be apportioned, which is where partial exemption rules come in. Registering unnecessarily can cost money, while failing to register on time can trigger penalties, so the position is worth reviewing properly against the services you actually provide.
Yes. Payroll for healthcare businesses often involves a mix of salaried staff, part-time reception and admin teams, and associates or locums engaged on varying terms. We can manage payslips, RTI submissions to HMRC, statutory payments, and pension auto-enrolment duties, including assessing which staff need to be enrolled. Getting the status of associates right matters too, since the tax treatment differs between employment and self-employment, and errors there can affect both the practice and the individual.
Working remotely is straightforward and very common for busy clinicians. Records and documents can be shared securely online, meetings can be held by video or phone, and cloud bookkeeping means your figures are available when you need them rather than only at year end. To get started, the first step is a conversation about your circumstances — how you are set up, how your income arrives, what you are currently doing and where the pressure points are. From there we can set out what support would be appropriate and how it would work in practice.
