Accounting Services for Healthcare in Durham
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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 finances tend to be more layered than they first appear. The same clinician might be paid through payroll, invoiced for private work and claiming expenses across three different roles, all while trying to keep a practice running. These are the areas that most often cause difficulty.
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 work covers both routine compliance and ongoing advice. In practice, that means preparing and filing Self Assessment returns, annual accounts and Corporation Tax computations, keeping bookkeeping up to date, running payroll and pensions for practice staff, handling VAT returns and partial exemption calculations where you have a mix of exempt and standard-rated supplies, and preparing management accounts so you can see how the practice is performing. Just as importantly, it means being available for questions — whether a new contract is worth signing, whether it is time to incorporate, or how much to set aside for an upcoming tax bill.
Not everyone, but far more healthcare professionals do than they might expect. Employed clinicians whose only income is taxed through PAYE may not need to file, but a return is usually required if you also earn private fees, do locum or agency work, receive income from medico-legal reports or teaching, have rental income, or your earnings exceed the thresholds HMRC applies. High earners may also need to file to account for the High Income Child Benefit Charge or pension annual allowance issues. The safest approach is to have your circumstances reviewed rather than assume you are outside the system.
All of it is taxable, but the way it arrives matters. NHS income may come through payroll with tax already deducted, while private fees typically arrive gross and need to be declared in full. The complexity comes from keeping the two separate in your records, working out which expenses relate to which activity, and making sure payments on account reflect your actual liability rather than last year's. Getting this wrong tends to surface later as an unexpected bill, which is why we reconcile income sources carefully before a return is submitted.
Broadly, costs that are incurred wholly and exclusively for your professional work. That commonly includes professional indemnity insurance, registration and revalidation fees, professional body subscriptions, specialist equipment and clinical clothing, medical references and textbooks, and a reasonable business proportion of costs such as phone, home broadband or a home office where you genuinely use it for work. What can and cannot be claimed depends on your role and how the expense was used, so it is worth reviewing each year rather than relying on a generic list.
It depends on your turnover and, crucially, on what you supply. Many healthcare services are exempt from VAT, which means they do not count towards the registration threshold in the same way standard-rated sales do. However, once you add standard-rated income — such as cosmetic treatments, non-medical reports, retail sales or commercial room hire — registration can become compulsory. If you are registered and supply a mixture of exempt and taxable services, partial exemption rules apply and some of the VAT you pay on costs may not be recoverable, so the calculations need to be done properly.
Yes. Payroll for a healthcare practice often involves a mix of employees on standard contracts, part-time staff, associates and locums engaged on differing terms. We handle PAYE, payslips, statutory payments, pension auto-enrolment and the year-end reporting that goes with them. Employment status is part of the same conversation, because whether someone is genuinely self-employed or should be treated as an employee affects tax, National Insurance and, in some cases, the practice's exposure to penalties.
Accounting work is largely digital, so records can be shared securely and meetings held by phone or video at times that fit around clinics, surgery lists and home visits. Remote working suits many healthcare professionals who cannot easily step away during the working day, and it makes no difference to the level of support you receive. What matters is that your records are complete, your deadlines are known and your adviser understands how your income streams fit together.
It begins with a conversation about your circumstances — your structure, income sources, staffing and what is currently in place. From there we review your accounting and tax position, identify anything urgent such as an approaching deadline or an unregistered VAT obligation, and set out which services would genuinely help. If you are moving from another accountant, we can handle the handover and liaise on your behalf. Nothing is agreed until you have a clear picture of what is involved and why.
