Accounting Services for Healthcare in Derby
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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 income is rarely simple, and the tax rules that apply to it are not always obvious. These are the issues we see most often when clinicians and healthcare businesses review their accounting arrangements.
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 is the same core accounting work — bookkeeping, accounts, tax returns, payroll, VAT — but applied with an understanding of how healthcare income behaves. For a clinician, that might mean preparing a Self Assessment that correctly separates NHS salary, locum income and private fees, and identifying expenses such as indemnity cover, registration fees and CPD that are genuinely allowable. For a practice or clinic, it means producing accounts that reflect mixed income streams, handling payroll for clinical and admin staff, and advising on VAT where private and NHS work sit side by side.
You do not legally need one, but locum work creates exactly the kind of tax position a generalist can overlook. Income arrives from multiple sources across the year, expenses such as travel between sites, indemnity insurance and equipment are easy to miss, and payments on account can cause cash flow surprises if they are not planned for. A healthcare-focused accountant will also be alert to how locum earnings interact with NHS pension contributions and any employment you hold alongside them.
All sources are reported on one return, but each has to be recorded correctly. NHS employment income is normally reported from your P60, while private consultation fees, locum payments and other self-employed earnings are reported separately with the associated expenses. Keeping these streams clearly separated in your records throughout the year makes the return more accurate and much quicker to prepare. Payments on account also need to be considered, since a growing private income can push up the following January's bill.
It depends on your turnover and the nature of your services. Many healthcare services are exempt from VAT, but not all activities carried out by a clinic or practice fall into that category, and the position can differ between, for example, medical care, dispensing, cosmetic or non-medical services, and the sale of goods. Registration is compulsory once taxable turnover crosses the threshold, and voluntary registration can sometimes be beneficial. Because mixed supplies make this area less clear-cut, it is worth reviewing your specific income streams.
It depends on your role and how you are taxed, but commonly claimed items include professional indemnity and registration fees, revalidation and CPD costs, specialist equipment and uniforms, professional subscriptions, mileage for business travel between sites, and a proportion of home costs where you use part of your home for administration. Expenses must be wholly and exclusively for your work, and there are rules that differ between employment and self-employment, so accurate records and a quick review before filing are worthwhile.
There is no single right answer, and the best structure depends on profits, how many people are involved, your plans for growth and how you want to take money out of the business. Sole trader and partnership arrangements are simpler to run, while incorporation can offer different tax outcomes and limited liability, but brings additional compliance and payroll obligations as a director. As a practice takes on partners, hires staff or adds new services, the original structure may no longer be the most suitable.
Yes. We can process payroll for salaried clinicians, part-time administrative staff, reception teams and occasional workers, handle PAYE and National Insurance, issue payslips and deal with year-end reporting. Automatic enrolment duties are managed alongside payroll, including assessing staff, handling contributions and meeting declaration deadlines, so the pension side does not become a separate administrative burden.
Yes. Much of the work — bookkeeping, accounts preparation, Self Assessment, payroll and VAT reporting — can be handled digitally, with documents shared securely and questions answered by phone, email or video call. Many healthcare professionals prefer this because it fits around clinic hours and avoids travel. Where a face-to-face discussion is more useful, that can be arranged at a time that works for you.
It starts with a conversation about how you work and what you need. We will ask about your income sources, your current structure, your filing and payment deadlines, and any outstanding records or returns. From there we can confirm which services are relevant, what information we will need from you, and what the ongoing arrangement would look like. If you are switching accountants, we can also explain how the handover from your existing adviser is managed.
