Accounting Services for Healthcare in East Grinstead
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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. A single practitioner may be dealing with several income sources, two sets of records and deadlines that fall at inconvenient times of year. These are the issues we see most often.
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 the same core areas as any accountancy service — bookkeeping, accounts, tax returns and payroll — but it is applied to healthcare circumstances. In practice that means bringing together NHS salary, locum income, private fees and partnership profits on a Self Assessment return, recording pension contributions correctly, tracking expenses such as indemnity cover, professional registration and specialist equipment, running payroll for practice staff and associates, and advising on whether a sole trader, partnership or limited company structure suits your situation. The value is in recognising how clinical income behaves, rather than treating it as a straightforward trading business.
Your NHS salary is taxed through PAYE, but private fees, locum sessions and any partnership profits normally need to be reported on a Self Assessment return as well. The two interact: your total income determines your tax band, so private earnings can be taxed at a higher rate than you might expect, and NHS pension contributions and annual allowance considerations can affect the final calculation. Keeping clean records of private income and directly related costs throughout the year makes the return far more accurate than trying to reconstruct it later.
Most medical care provided by appropriately registered healthcare professionals is exempt from VAT, which is why many practitioners never need to register. The position changes where services fall outside that exemption — cosmetic and aesthetic treatments being the usual example — or where a practice sells goods and non-clinical services alongside clinical care. Businesses providing a mix of exempt and standard-rated supplies can face apportionment questions and partial exemption calculations, so it is worth reviewing your income streams rather than assuming the exemption covers everything.
There is no single answer, because the right structure depends on your profits, whether you work alone or with others, how you take money out of the business and your plans over the next few years. Sole trader and partnership arrangements are simpler to administer but taxed through Self Assessment, while a limited company can offer different tax and National Insurance outcomes at higher profit levels but brings filing, payroll and reporting obligations of its own. It is worth reviewing the structure periodically rather than setting it once and leaving it, because the answer can change as the practice grows.
Yes. Practice payroll often includes salaried clinicians, reception and administrative staff, associates and occasional locums, each with different tax treatment and reporting needs. We can handle payslips, Real Time Information submissions to HMRC, statutory payments, auto-enrolment pension duties and year-end reporting, so the practice stays on schedule throughout the tax year. We can also work alongside existing practice managers or bookkeepers where you prefer to keep some elements in-house.
Broadly, you need records that support the figures on your tax return — income received, expenses claimed, bank and card statements, invoices, mileage logs and pension information. Self-employed records generally need to be kept for at least five years after the 31 January filing deadline for that tax year, and company records for longer. In healthcare, the practical challenge is usually less about the retention period and more about capturing income from multiple sources consistently, which is why a simple, agreed system for recording fees, shifts and receipts tends to save the most time.
Certainly. Many healthcare professionals work across more than one site, split time between NHS and private work, or provide services in different settings entirely. What matters is that income, expenses and pension contributions are recorded clearly so each element is reported correctly, and that deadlines are tracked centrally. Much of this can be handled remotely, with documents shared securely and meetings held by phone or video, alongside in-person conversations where these are useful.
It begins with a conversation about how you currently work and what you would like to change. Bring whatever you have — last year's return, recent accounts, a rough idea of your income sources, or simply a list of concerns — and we can talk through your position, the deadlines ahead and the support that would make the biggest difference. From there, we outline what the work involves, agree responsibilities, and set up arrangements for records, payroll or filing so nothing is left until the last minute.
