Accounting Services for Healthcare in Combs
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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 professionals and healthcare businesses in Combs often face accounting and tax issues that are more complex than they first appear. The challenges below are common across locum work, private practice, NHS contracts, clinics, and incorporated medical businesses.
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.
Accounting for healthcare professionals in Combs can cover a range of services depending on how you work. For sole traders, locums, and consultants, this often includes Self Assessment, record keeping, allowable expense reviews, and help with payments on account. For limited companies, clinics, and medical practices, it may include annual accounts, Corporation Tax, payroll, pension auto-enrolment, VAT returns, management accounts, and advice on business structure. The right mix depends on your income sources, whether you have NHS or private work, whether you employ staff, and how your healthcare business is set up.
Yes. Many healthcare professionals in Combs earn income from more than one source, such as NHS contracts, private patient fees, locum shifts, teaching, or consultancy. These income streams need to be recorded accurately and reported correctly on your tax return or company accounts. CruseBurke can help separate business and personal income, review the expenses connected to each stream, and make sure the figures are presented clearly to HMRC. We can also help you plan for tax payments when income is irregular or arrives at different times of the year.
It is not a legal requirement, but a locum doctor or healthcare contractor may find an accountant helpful because tax affairs can become complicated quickly. You may be working through an umbrella company, a limited company, or as a sole trader, and each route has different reporting and tax implications. An accountant can help with Self Assessment or company accounts, review expenses, manage payroll if you pay yourself a salary, and explain how IR35 or off-payroll working rules may affect your engagements. This can reduce the risk of errors and help you keep better financial records.
VAT for healthcare services is not always straightforward. Many medical and healthcare services are exempt from VAT, but some related services, products, or non-medical treatments may be taxable. A clinic or practice with mixed income may need to understand which parts of its turnover are exempt and which are standard-rated, and how that affects VAT registration and returns. CruseBurke can review your services and help you report VAT correctly, but the exact treatment depends on the nature of the work you provide.
Allowable expenses depend on your role and how you work, but common examples can include professional indemnity insurance, registration fees for bodies such as the GMC or NMC, medical equipment, specialist training, professional subscriptions, mileage for business travel, and a proportion of home office costs where relevant. Personal expenses are not allowable, and some costs may need to be apportioned if they are used for both private and professional purposes. CruseBurke can help review your spending and identify which expenses are likely to be allowable, so your tax return or accounts reflect the correct position.
Yes. Payroll for a medical practice or clinic can include salaried clinicians, receptionists, administrative staff, practice managers, and other team members. CruseBurke can help calculate pay, process deductions, issue payslips, report to HMRC, and manage pension auto-enrolment duties where they apply. If you use locums or self-employed contractors, we can also help distinguish between employment and self-employment arrangements and keep the relevant records organised.
Switching accountants usually starts with a conversation about your current position. CruseBurke can review your existing bookkeeping, returns, payroll, VAT records, and company accounts, then agree what support you need. We can contact your previous accountant for relevant information, subject to your authorisation, and help make the transition as smooth as possible. Once the handover is complete, we set out how records will be shared and when work will be completed, so you know what to expect.
Healthcare professionals should keep records of all income, including NHS payments, private fees, locum income, and any other earnings. You should also retain receipts and invoices for allowable expenses, bank and credit card statements, payroll records, VAT records if registered, and details of professional registrations or indemnity cover. Good record keeping makes tax returns and accounts easier to prepare and helps support any claims if HMRC asks questions. CruseBurke can advise on a practical record-keeping system that fits your working pattern.
