Accounting Services for Healthcare in Chulmleigh
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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 work tends to generate financial complexity that builds quietly over time. These are the issues that most often need attention from an accountant who understands the sector.
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.
Healthcare accounting covers the same core disciplines as any accountancy service, but applied to the way healthcare income and costs work. In practice, that usually means bookkeeping, Self Assessment for sole traders and partners, annual accounts and Corporation Tax for limited companies, VAT returns where registration applies, payroll for practice staff and pension auto-enrolment administration. What makes it specialist is the treatment of sectorspecific issues, such as NHS contract income, private patient fees, locum earnings, exempt versus taxable services for VAT, and expenses like indemnity insurance, professional registration and clinical equipment.
It often is, because the tax treatment of healthcare income is not always obvious. A locum working across several practices may have multiple payers and inconsistent monthly income, which affects how Self Assessment payments on account work. A dentist may have a mix of NHS and private treatment, plus laboratory costs and staff wages. A specialist accountant is more likely to spot missed expenses, question an incorrect VAT treatment or flag a structure that no longer fits, which a general practitioner accountant may not think to review.
Yes. Combining NHS and private income is common, and the main task is making sure every source is captured accurately and reported on the correct basis. NHS income may arrive through contracts, session payments or pension-related arrangements, while private fees might be invoiced directly or through a practice. The records need to reconcile across all of them, and expenses must be apportioned sensibly where they relate to both. Where relevant, we also consider how the total income affects payments on account and any higher rate liability.
Many medical and healthcare services are exempt from VAT, but exemption is not automatic across everything you do. Income from cosmetic procedures, retail sales such as pharmacy products outside prescriptions, some occupational health services and non-clinical consultancy can be standard-rated. If you have a mixture of exempt and taxable income, you may be required to register and account for VAT, and a partial exemption calculation may be needed to work out how much input VAT you can recover. This is an area where getting the treatment wrong can be costly in both directions.
Broadly, expenses must be incurred wholly and exclusively for your work. For healthcare professionals, that commonly includes professional indemnity insurance, registration and licence fees, professional body subscriptions, continuing professional development and mandatory training, specialist equipment and software, clinical clothing that is not ordinary everyday wear, professional journals, and a proportionate share of home costs where you genuinely run administrative work from home. Motor and travel costs can also be claimable for business journeys, though ordinary commuting is not. Records matter, so receipts and a clear note of the business purpose should be kept.
Yes. Payroll support can cover salaried clinicians, nurses, receptionists, practice managers, part-time and bank staff, as well as the pension auto-enrolment duties that apply to eligible employees. That includes calculating pay and deductions, issuing payslips, submitting real time information to HMRC and handling starters and leavers correctly. Practices with a mix of permanent staff and locum payments often find that separating these properly avoids confusion in both payroll and the accounts.
Yes. Much of the accounting work can be handled remotely using secure digital records and document sharing, which suits clinicians who cannot easily step away from patient appointments during office hours. We can work with cloud bookkeeping systems, share figures and reports electronically, and arrange calls at times that fit around clinic sessions, theatre lists or home visits. Many healthcare clients find this arrangement more practical than travelling to an appointment for routine accountancy matters.
Start with an initial conversation. Tell us whether you work as a sole trader, partner or company director, how your income is structured, whether you employ staff and which deadlines are coming up. It also helps to know what is currently causing difficulty, whether that is bookkeeping, Self Assessment, VAT or payroll. From there, we review your position and outline how the work would be handled, including which services are relevant to you and what needs to happen before the next filing deadline. There is no obligation to proceed after that first discussion.
