Accounting Services for Healthcare in East Molesey
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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 rarely fit a single template, and the same few pressure points tend to appear regardless of specialty. Recognising them early usually makes the compliance side far less stressful.
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.
For most healthcare clients, this covers Self Assessment returns that correctly report NHS, private, locum and other income; annual accounts and Corporation Tax or partnership returns where relevant; bookkeeping to keep records current; VAT registration, returns and partial exemption calculations; payroll for employees, associates and locums; and tax planning around business structure, capital allowances and profit extraction. Management accounts and periodic reviews are often added where a practice needs clearer visibility of cash flow and profitability.
They suit anyone earning income from healthcare work, whether that is a sole practitioner or a larger practice. Typical clients include GPs and locum doctors, dentists and orthodontists, pharmacists, consultants, physiotherapists and other allied health professionals, nurses and carers working through agencies or directly, and healthcare businesses such as clinics, medical practices and dispensaries operating as sole traders, partnerships or limited companies.
The main differences come from the number of income sources and the nature of the expenses. A single PAYE salary is straightforward, but combined NHS employment, private fees, locum work and teaching income must all be reported accurately and reconciled across payers. On the expense side, items such as professional indemnity cover, registration fees, specialist equipment, journals and business travel may be allowable, while ordinary commuting generally is not — so the records you keep directly affect the tax you pay.
A limited company brings statutory obligations regardless of size: annual accounts, a confirmation statement, Corporation Tax returns and accurate payroll reporting for any salary you take. Healthcare adds further considerations, such as the treatment of private and NHS income within the company, VAT on mixed supplies, and whether retaining profits or extracting them as salary or dividends is more appropriate for your circumstances. An accountant helps ensure the filings are correct and that structure decisions are reviewed as your income changes.
Yes. Many healthcare services are exempt from VAT, but practices frequently also make taxable supplies — for example non-prescription retail, certain cosmetic treatments or specific dispensing activity. That mix triggers partial exemption rules, which determine how much input VAT can be recovered. We review the income streams, apply the appropriate treatment, and keep the calculations and supporting records in a form HMRC can follow.
The two groups need to be treated differently. Salaried employees, reception staff and practice managers go through PAYE with income tax, National Insurance and pension contributions deducted and reported under Real Time Information. Self-employed associates and locums typically invoice the practice and are responsible for their own tax, but the contracts and working arrangements need to support that position. We run the payroll, produce payslips and RTI submissions, and help ensure associate arrangements are documented consistently.
Yes. Accounts, payroll, VAT returns and Self Assessment can all be managed remotely using secure digital records and document sharing, which suits healthcare clients whose working hours rarely align with office appointments. Records can be uploaded as they arise, questions handled by email or scheduled calls, and reports delivered electronically. What matters is the quality of the records and the clarity of the communication, not whether the conversation happens in person.
It begins with a conversation about how you work and what you currently have in place. Bring whatever you can — recent returns, accounts, payroll details, a rough idea of your income sources and any deadlines that are approaching or overdue. From there, the position is reviewed, outstanding issues are identified, and a clear plan is set out covering bookkeeping, payroll, VAT, accounts and Self Assessment, so you know exactly what happens next and when.
