Accounting Services for Healthcare in Cowley
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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 practices often face financial admin that is more complicated than it first appears. These are the issues we see most often raised by clinicians and practice owners.
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.
It covers the full range of accounting and tax work that healthcare professionals need: preparing and filing Self Assessment returns, keeping bookkeeping up to date, preparing annual accounts and Corporation Tax computations for limited companies, running payroll for practice staff, handling VAT registration and returns where required, and advising on structure, expenses and tax planning. The difference from a general accountant is familiarity with how healthcare income behaves, including NHS and private fee mixtures, locum work, partnership profit shares and practice overheads.
In most cases, yes. Locum income is generally taxed through Self Assessment unless it is fully taxed under PAYE with no untaxed income, expenses to claim or other complications. If you work through an agency on PAYE, you may still need to file if you have additional income or want to claim allowable expenses. If you work through your own limited company, different rules apply, and off-payroll working rules may be relevant depending on the engager. We can review your specific arrangements and confirm what is required.
Yes. NHS and private income are reported together on your tax return, but they are not always treated identically. Practice or partnership profits are usually reported differently from directly received private fees, and expenses need to be allocated sensibly between income streams. Getting this wrong is one of the more common causes of inaccurate returns, so we take time to understand how each element of your income arises before preparing the figures.
Allowable expenses are those incurred wholly and exclusively for your work. Common examples include professional body subscriptions, indemnity or malpractice insurance, registration fees, clinical equipment and uniforms, some travel between sites, and a proportionate share of home office costs where you do administrative work at home. Clothing that is ordinary everyday wear is not allowable even if worn at work. Mixed or personal use needs to be apportioned, and we can help you apply the rules correctly rather than guessing.
A limited company typically needs annual accounts filed with Companies House, a Corporation Tax return and computation submitted to HMRC, and accurate records throughout the year. If you employ anyone, payroll and pension auto-enrolment duties apply. VAT registration is compulsory once turnover passes the threshold, though voluntary registration can sometimes be worth considering. You also need to think about how you take money out of the company, since salary, dividends and pension contributions are taxed differently and the mix matters.
VAT in healthcare is not straightforward. Many medical services are exempt, while certain cosmetic, aesthetic or non-medical treatments are standard-rated. A practice offering a mix may need to apportion income correctly and could face a registration decision based on the taxable element alone. We can review what you provide, identify which supplies are exempt and which are not, and make sure returns reflect the correct treatment.
Yes. Much of the work involved in preparing accounts and returns can be handled remotely through secure document sharing and digital record keeping. Many healthcare clients prefer it because it fits around clinical commitments. We can agree a practical way for you to send records, whether that is scanned receipts, cloud accounting software or summary spreadsheets, and set out a schedule so nothing is left until the last week before a deadline.
The first step is a conversation about how you work and what you need. We will ask about your income sources, current business structure, existing bookkeeping arrangements and any upcoming filings. From there, we can confirm what support would be appropriate, whether that is a full bookkeeping and compliance service or targeted help with a specific issue such as Self Assessment, payroll or a structure review. If we are not the right fit, we will tell you.
