Accounting Services for Healthcare in Etchingham
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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 practitioners rarely have a single, tidy income stream. That complexity is the root of most accounting and tax difficulties we see, and it is why specialist support tends to pay for itself in accuracy and peace of mind.
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 splits broadly into compliance and advice. On the compliance side, that means preparing and filing Self Assessment returns, annual accounts, Corporation Tax or partnership returns and VAT returns, maintaining bookkeeping records, and running payroll where you employ staff. On the advisory side, it means reviewing whether your business structure still suits you, checking that you are claiming the expenses you are genuinely entitled to, planning for tax bills rather than being surprised by them, and helping you interpret management accounts so you can make decisions about staffing, equipment or expanding services. For healthcare clients, the added value is understanding how NHS income, private fees, associate arrangements and exempt healthcare services interact.
If your only income is a salaried NHS post and your tax code is straightforward, a specialist is not always necessary. The picture changes as soon as you add private practice fees, locum work, medico-legal reports, teaching, rental income or investment income. PAYE only collects tax on the employment itself, so additional income usually needs reporting through Self Assessment, and reliefs such as professional indemnity cover, registration fees and allowable mileage can be missed. A healthcare-focused accountant checks that all streams are reported correctly and that the overall position is accurate.
Yes. This is one of the most common situations we deal with. We gather the figures from your employment, any private or locum fees, and any other income, then prepare a return that reports each source correctly. The practical benefit is that tax already paid through PAYE is properly credited, allowable practice costs are claimed, and you have a clear calculation of what remains to pay along with the deadlines involved. If your private income fluctuates from year to year, we can also help you plan payments on account so the amounts due are less disruptive.
Most healthcare services provided by registered medical professionals are exempt from VAT, which is why many practitioners never register. Complications arise when a business supplies a mix of exempt and non-exempt services — for example cosmetic or purely aesthetic treatments, non-medical services, retail sales of products, or certain training and consultancy. In those cases, income streams need to be classified correctly and records kept so the VAT returns are accurate. We review what you supply, advise on registration and treatment, and make sure the reporting stands up to scrutiny.
Yes. Payroll for healthcare employers is often more involved than it first appears, because teams typically combine full-time staff, part-time clinicians, hourly sessional workers and associates paid on a different basis. We can handle calculations, payslips, starters and leavers, statutory payments, pension contributions and the reporting that goes with them, so your practice manager or admin team is not absorbing that work alongside patient-facing duties. We can also align the payroll figures with the wider accounts so everything reconciles.
It depends on how you work, but common examples include professional body and registration fees, professional indemnity insurance, specialist equipment and its maintenance, clinical clothing such as scrubs or uniforms, medical reference materials, subscriptions to clinical journals, and business travel or mileage between sites. If you run a practice, a proportion of premises, utilities, software, marketing and administrative costs may also be relevant. The key test is whether a cost is incurred wholly and exclusively for the purpose of your professional activity. We review your spending and identify what is reasonable to claim, and what is not.
Yes. Much of the work involved in accounting, payroll, VAT and Self Assessment can be handled remotely using secure digital records and online communication, which suits practitioners who move between sites or work irregular hours. Documents can be shared electronically, questions dealt with by email, phone or video call, and bookkeeping kept up to date without paperwork changing hands. We will agree the working arrangements with you at the outset so you know how to reach us and how information will be exchanged.
It usually begins with an initial conversation about how you work, where your income comes from and what is currently causing difficulty — whether that is an overdue return, a practice that has grown faster than its systems, or uncertainty about your structure. From there we review your existing records and filings, confirm what support would be most useful, and agree the services and timescales. If you are moving from another accountant, we can also manage the handover, including obtaining the information needed to take over your records and filings.
