Accounting Services for Healthcare in Crowthorne
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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 accounting is rarely straightforward, because income, expenses and compliance obligations tend not to fit a single pattern. The challenges below come up regularly among the practitioners and healthcare businesses we support.
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 tax and compliance, but it extends well beyond filing. It typically includes preparing Self Assessment returns for practitioners with mixed income, producing annual accounts for practices, partnerships and limited companies, maintaining bookkeeping records, running payroll and pension duties for staff and locums, advising on VAT where mixed supplies are involved, and handling Corporation Tax where a healthcare business trades through a company. Good healthcare accounting also involves forward planning — helping you understand what a tax bill is likely to be, how a new contract affects your position, and whether your current structure still suits how you work.
We support a wide range of healthcare clients, including GPs and doctors, dentists and dental practices, pharmacists and pharmacy owners, consultants, physiotherapists, nurses, allied health professionals and carers, as well as private clinics, multi-practitioner practices and healthcare companies. The common thread is that the accounting work needs to reflect healthcare-specific income patterns and VAT rules. If you are unsure whether your circumstances fit, the simplest approach is a conversation about your role, your income sources and what you currently need help with.
Not by law, but it often makes sense. Locum and part-time work frequently produces a mix of employed income, self-employed income and expenses spread across several engagements, which makes Self Assessment more complex than a single employment. There are also decisions about allowable expenses — indemnity cover, professional fees, travel between sites and equipment — where errors are common and corrections are time-consuming. An accountant can keep the records straight, make sure claims are properly supported, and take the filing off your hands so deadlines do not become a problem.
The two need to be tracked separately and clearly. NHS contract payments, private fees, locum income and any dividends or partnership profits all carry different tax treatment and different evidence requirements. We start by mapping where each income stream comes from, how it is paid and what documentation exists, then set up bookkeeping that records them distinctly. That makes the tax return straightforward to prepare, keeps VAT treatment accurate where relevant, and means you can see how much of your income is tied to each part of your work.
Common claims include professional body and registration fees, indemnity or medical defence insurance, CPD and training that maintains existing skills, specialist equipment and uniforms, business travel between sites, and a proportionate share of home costs where you genuinely work from home. The important point is that expenses must be incurred wholly and exclusively for the business and be supported by records. Claims that cannot be evidenced are the ones that cause difficulty, so we look at what you actually spend and confirm what can be claimed rather than applying broad assumptions.
It depends on your turnover and what you provide. Many medical services are exempt from VAT, but not everything a healthcare business does falls into that category — cosmetic treatments, retail sales in a pharmacy and certain non-medical services can be standard-rated. Once registration applies, mixed exempt and taxable supplies usually mean partial exemption calculations, which need to be done consistently. We review your services, income levels and structure to establish where you stand, then handle the ongoing VAT work if registration is required.
Yes. Payroll for a practice typically covers reception and administrative teams, nurses, clinicians and locum arrangements, each with different treatment. That includes producing payslips, calculating PAYE and National Insurance, handling statutory payments where applicable, and managing auto-enrolment pension duties. Where locums are engaged regularly, we can also look at employment status questions, since the way a locum is engaged affects both payroll obligations and the tax position of the practice.
It starts with a straightforward conversation about your circumstances — your role, how the business is structured, where your income comes from and what currently needs attention. From there, we review your accounting and tax position, identify the services that are actually relevant, and agree a scope of work and reporting routine. If you are already working with an accountant, we can manage the handover so nothing falls between the two. The aim is to have proper support in place without disruption to your practice.
